心理弹性支持联合全程音乐干预在阴道分娩初产妇助产护理中的应用价值  

Application Value of Psychological Resilience Support Combined with Full Process Music Intervention in Midwifery Nursing for Primiparous Women during Vaginal Delivery

作　　者：王萍 亓慧超 周文静 WANG Ping;QI Huichao;ZHOU Wenjing(Department of Obstetrics,Jinan Integrated Traditional Chinese and Western Medicine Hospital,Jinan,Shandong,271100,China)

机构地区：[1]济南市中西医结合医院产科,山东济南271100

出　　处：《中外医疗》2025年第3期85-88,97,共5页China & Foreign Medical Treatment

摘　　要：目的 探讨心理弹性支持联合全程音乐干预在阴道分娩初产妇助产护理中应用价值。方法 选取2021年4月—2023年8月济南市中西医结合医院产科收治的86例初产妇为研究对象,依据不同护理方法分为两组,对照组(43例)实施常规护理,观察组(43例)在对照组基础上实施心理弹性支持联合全程音乐干预。对比两组患者情绪状况[焦虑自评量表(Self-rating Anxiety Scale, SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)、分娩恐惧感量表(ChildbirthAttitudesQuestionnaire,CAQ)评分]、心理弹性[心理弹性量表(Connor-davidson Resilience Scale, CD-RISC)评分]、分娩疼痛[视觉模拟评分法(Visual Analogue Scale, VAS)评分]、产程进展。结果 干预后,观察组SAS评分(46.13±4.62)分、SDS评分(45.63±5.09)分、CAQ评分(26.75±4.43)分,均低于对照组的(50.33±4.79)分、(50.23±3.84)分、(32.57±4.68)分,差异均有统计学意义(t=4.139,4.731,5.592;P均<0.05)。干预后,观察组CD-RISC评分(68.06±5.38)分,高于对照组的(62.82±7.74)分,差异有统计学意义(t=3.645,P<0.05)。观察组宫口扩张8~10 cm时的VAS评分(7.89±0.68)分,低于对照组的(8.51±0.63)分,差异有统计学意义(t=4.386,P<0.05)。观察组第1、第2、第3产程时间均短于对照组,差异均有统计学意义(P均<0.05)。结论 心理弹性支持联合全程音乐干预在阴道分娩初产妇助产护理中应用价值高,利于减轻产妇焦虑、抑郁及恐惧情绪,提高心理弹性水平,减轻分娩疼痛,加快产程进展。Objective To explore the application value of psychological resilience support combined with full process music intervention in midwifery care for primiparous women undergoing vaginal delivery.Methods From April 2021 to August 2023,86 cases of primiparas admitted to the Department of Obstetrics in Jinan Integrated Traditional Chi-nese and Western Medicine Hospital were to select as the study objects,and divided into two groups according to dif-ferent nursing methods.The control group(43 cases)received routine nursing,and the observation group(43 cases)re-ceived psychological resilience support combined with full process music intervention on the basis of the control group.The emotional status[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Childbirth Attitudes Questionnaire(CAQ)score],psychological resilience[Connor-davidson Resilience Scale(CD-RISC)score],labor pain[Visual Analogue Scale(VAS)score]and labor progress of the two groups were compared.Results After intervention,SAS score(46.13±4.62)points,SDS score(45.63±5.09)points and CAQ score(26.75±4.43)points in the observation group were lower than those in the control group(50.33±4.79)points,(50.23±3.84)points and(32.57±4.68)points,the differences were statistically significant(t=4.139,4.731,5.592;all P<0.05).After intervention,the CD-RISC score in the observation group was(68.06±5.38)points,higher than that in the control group(62.82±7.74)points,and the dif-ference was statistically significant(t=3.645,P<0.05).The VAS score of the observation group was(7.89±0.68)points when the uterine opening was dilated 8-10 cm,which was lower than that of the control group(8.51±0.63)points,and the difference was statistically significant(t=4.386,P<0.05).The first,second and third stages of labor in the observa-tion group were shorter than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion The application value of mental resilience support combined with full process music intervention in mid-wifer

关 键 词：产妇 阴道分娩 心理弹性支持 全程音乐干预 不良情绪 分娩疼痛 产程 

分 类 号：R473.71[医药卫生—护理学]