助产士主导的导乐陪伴分娩护理对阴道分娩产妇分娩疼痛及产程进展的影响  

Effect of Midwifer-Led Doula Accompanied Delivery Care on Labor Pain and Labor Progress in Women with Vaginal Delivery

作　　者：徐秀凤 孟珊 XU Xiufeng;MENG Shan(Department of Obstetrics and Gynecology,Zaozhuang Maternal and Child Health Hospital,Zaozhuang 277000,China)

机构地区：[1]枣庄市妇幼保健院产科,山东枣庄277000

出　　处：《反射疗法与康复医学》2024年第21期166-169,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨助产士主导的导乐陪伴分娩护理对阴道分娩产妇的具体影响。方法选择2020年5月—2023年9月枣庄市妇幼保健院收治的78例阴道分娩产妇为研究对象,按随机数字表法将其分为对照组和观察组,各39例。对照组实施常规产科护理,观察组在对照组基础上实施助产士主导的导乐陪伴分娩护理。对比两组的分娩疼痛、负性情绪、产程进展、不良分娩结局发生情况。结果观察组分娩疼痛情况优于对照组,差异有统计学意义(P<0.05)。观察组第一、第二、第三及总产程均短于对照组,组间差异有统计学意义(P<0.05)。护理前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分对比,组间差异无统计学意义(P>0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。观察组不良妊娠结局发生率为2.56%,低于对照组的20.51%,差异有统计学意义(P<0.05)。结论在阴道分娩的产妇中应用助产士主导的导乐陪伴分娩护理,有助于减轻疼痛感及负性情绪,缩短产程,减少不良妊娠结局的发生。Objective To explore the specific impact of midwifer-led doula accompanied delivery care on vaginal delivery women.Methods A total of 78 vaginal delivery mothers admitted to Zaozhuang Maternal and Child Health Hospital from May 2020 to September 2023 were selected as the research objects,they were divided into a control group and an observation group,with 39 cases in each group.The control group received routine obstetric care,while the observation group received midwifer-led doula accompanied delivery care on the basis of the control group.Compare the delivery pain,negative emotions,progress of delivery,and occurrence of adverse delivery outcomes between the two groups.Results The delivery pain in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).The first,second,third,and total stages of labor in the observation group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before nursing,there wereno statistically significant differences in the scores of the Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)between the two groups(P>0.05);after nursing,two groups of SAS and SDS scores were lower than those before nursing,and the observation group had SAS and SDS scores were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of adverse pregnancy outcomes in the observation group was 2.56%,which was lower than 20.51%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of midwifer-led doula accompanied delivery care in vaginal delivery women can help alleviate pain and negative emotions,shorten the delivery process,and reduce the occurrence of adverse pregnancy outcomes.

关 键 词：阴道分娩 助产士主导 导乐陪伴分娩 分娩疼痛 负性情绪 分娩结局 

分 类 号：R714.3[医药卫生—妇产科学]