心理弹性支持联合自由体位助产对无痛分娩初产妇产程进展和情绪的影响  

Effect of psychological resilience support combined with free position midwifery on labor progress and emotion of primiparous women undergoing painless delivery

作　　者：叶娜娜 折思梅 YE Nana;ZHE Simei(Department of Obstetrics and Gynecology,Hanzhong Nanzheng District People’s Hospital,Shaanxi Province,Hanzhong 723100,China)

机构地区：[1]陕西省汉中市南郑区人民医院妇产科,陕西汉中723100

出　　处：《妇儿健康导刊》2025年第6期141-144,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的 探讨心理弹性支持联合自由体位助产对无痛分娩初产妇产程进展和情绪的影响。方法 选取2020年1月至2022年1月在汉中市南郑区人民医院妇产科行无痛分娩的初产妇383例,应用随机数字表法分为两组,对照组(n=191)行传统护理,观察组(n=192)加用心理弹性支持联合自由体位助产。比较两组产程、妊娠结局、情绪状况及母婴结局。结果 观察组各产程及总产程相对于对照组降低(P <0.05);观察组自然分娩率相对于对照组升高(P <0.05);护理后观察组焦虑、抑郁、压力3个维度评分及总分相对于对照组更低(P <0.05);观察组不良母婴结局总发生率相对于对照组降低(P <0.05)。结论 心理弹性支持联合自由体位助产应用于无痛分娩初产妇中,可缩短产程,提高自然分娩率,改善心理状态,减少不良母婴结局的发生。Objective To explore the effect of psychological resilience support combined with free position midwifery on labor progress and emotion of primiparous women undergoing painless delivery.Methods From January 2020 to January 2022,383 primiparous women admitted to the Department of Obstetrics and Gynecology,Hanzhong Nanzheng District People's Hospital were selected and divided into two groups by random number table method.The control group(n=191) was given traditional care,and the observation group(n=192) added psychological resilience support combined with free position midwifery.The labor progress,pregnancy outcomes,emotional status and maternal and infant outcomes were compared between the two groups.Results Each labor progress and the total labor progress in the observation group were lower than those in the control group(P < 0.05).After nursing,the three dimension scores of anxiety,depression and pressure,and total score in the observation group were lower than those in the control group(P < 0.05).The total incidence of adverse maternal and infant outcomes in the observation group was lower than that in the control group(P < 0.05).Conclusion The application of psychological resilience support combined with free position midwifery in primiparous women of painless delivery can shorten the labor process,improve the natural delivery rate and psychological state,and reduce the occurrence of adverse maternal and infant outcomes.

关 键 词：心理弹性支持 自由体位助产 无痛分娩 初产妇 产程 情绪 

分 类 号：R473.71[医药卫生—护理学]