家庭产房服务联合分期心理干预对无痛分娩初产妇产程进展和舒适度的影响  

Effects of family delivery room service combined with staged psychological intervention on labor progress and comfort in primiparas undergoing painless delivery

作　　者：李笑媛 苗艳 张欣 孟静 Li Xiaoyuan;Miao Yan;Zhang Xin;Meng Jing(Delivery Room,Cangzhou People’s Hospital,Cangzhou 061000,China)

机构地区：[1]沧州市人民医院产房,河北沧州061000 [2]沧州市人民医院护理部,河北沧州061000

出　　处：《海军医学杂志》2025年第2期205-209,共5页Journal of Navy Medicine

基　　金：河北省卫生健康委员会资助项目(20210430)。

摘　　要：目的探讨家庭产房服务联合分期心理干预对无痛分娩初产妇产程进展和舒适度的影响。方法选择2020年1月至2024年1月由沧州市人民医院收治的200例初产妇作为研究对象。产妇年龄20~38岁[(28.94±4.38)岁],体重60~80 kg[(69.31±6.83)kg],孕周均为36周以上。根据是否行家庭产房护理分为对照组(100例,行常规护理)和观察组(100例,行家庭产房服务联合分期心理干预),比较2组产妇产程进展(第1产程、第2产程、第3产程),评价舒适度[舒适状况量表(GCQ)]、疼痛程度[视觉模拟量表(VAS)]、心理健康状况[分娩恐惧量表(CAQ)、妊娠相关焦虑量表(PAQ)、爱丁堡产后抑郁量表(EPDS)]、护理满意度。结果观察组第1产程时间[(7.14±1.05)h]短于对照组[(8.18±1.12)h]、第2产程时间[(1.05±0.14)h]短于对照组[(1.22±0.16)h],差异有统计学意义(P<0.05);2组产妇第3产程时间比较差异无统计学意义(P>0.05)。干预后,观察组GCQ各维度评分均高于对照组,VAS评分低于对照组,CAQ、PAQ、EPDS评分均低于对照组,差异均有统计学意义(P<0.05)。观察组护理满意率(86.00%)高于对照组(75.00%),差异有统计学意义(P<0.05)。结论对无痛分娩初产妇行家庭产房服务联合分期心理干预能够缓解产妇分娩时的负面情绪和疼痛感,加快其产程进展的同时还能提高其舒适度。Objective To explore the effects of family delivery room service combined with staged psychological intervention on labor progress and comfort in primiparas undergoing painless delivery.Methods A total of 200 primiparas with a gestational age of above 36 weeks who were admitted to Cangzhou People’s Hospital between January 2020 and January 2024 were enrolled in this study.Their mean age was(28.94±4.38)years(range,20-38 years),and mean body weight was(69.31±6.83)kg(range,60-80 kg).They were divided into control group(100 cases,routine nursing)and observation group(100 cases,family delivery room service combined with staged psychological intervention).The progress of labor(the first,second and third stages of labor)was compared between the two groups.The comfort(general comfort questionnaire[GCQ]),pain(visual analogue scale[VAS]),psychological health(childbirth attitude questionnaire[CAQ],pregnancy-related anxiety questionnaire[PAQ],Edinburgh postnatal depression scale[EPDS])and nursing satisfaction were evaluated.Results The first and second stages of labor in the observation group were shorter than those in the control group([7.14±1.05]h vs[8.18±1.12]h,[1.05±0.14]h vs[1.22±0.16]h,P<0.05),but there was no significant difference in the third stage of labor between the two groups(P>0.05).After intervention,GCQ scores in the observation group were higher than those in control group,while VAS,CAQ,PAQ and EPDS scores in the observation group were lower than those in control group(P<0.05).The nursing satisfaction rate in the observation group was higher than that in the control group(86.00%vs 75.00%,P<0.05).Conclusion Family delivery room service combined with staged psychological intervention can alleviate negative emotions and pain during delivery,accelerate labor progress and improve comfort level in primiparas undergoing painless delivery.

关 键 词：初产妇 无痛分娩 家庭产房 分期心理干预 产程 

分 类 号：R473.71[医药卫生—护理学]