助产士全程积极共情干预及家属配合对初产妇分娩结局影响  

Effects of the active empathic intervention of the midwifes combined with the cooperation of the family members throughout the whole process of delivery for primiparas on their delivery outcomes

作　　者：刘凤 甘泉 魏林洁 LIU Feng;GAN Quan;WEI Linjie(First Affiliated Hospital of Anhui University of Science and Technology,Huainan,Anhui Province,232007;Anhui Zhongke Gengjiu Hospital,Hefei,Anhui Province)

机构地区：[1]安徽理工大学第一附属医院,淮南232007 [2]安徽中科庚玖医院

出　　处：《中国计划生育学杂志》2025年第4期857-860,865,共5页Chinese Journal of Family Planning

基　　金：2022年度安徽省科研编制计划项目(2022AH050803)。

摘　　要：目的:探讨助产士全程积极共情干预及家属配合分娩对初产妇分娩结局的影响。方法:纳入2021年1月-2024年8月本院接收的初产妇106例,随机数字表法分为观察组及常规组各53例,常规组给予常规分娩护理干预,观察组在常规分娩护理基础上开展助产士全程积极共情干预及家属配合分娩干预,比较两组分娩方式、产程、会阴撕裂率及会阴侧切率、产后产妇视觉模拟评分(VAS)、产妇恢复状况指标、产后分娩体验问卷(CEQ)评分情况。结果:观察组自然分娩率(96.2%)高于常规组(84.9%),各产程均短于常规组,会阴撕裂率(0)及会阴侧切率(7.6%)均低于常规组(13.2%、24.5%),产后2h、12h、24hVAS评分低于常规组,下床活动时间(5.85±0.12h)、泌乳时间(12.65±1.52h)及住院时间(1.94±0.26d)均短于常规组(8.23±0.52h、19.24±2.34h、2.12±0.14d),CEQ各项评分均高于常规组(均P<0.05)。结论:助产士全程积极共情干预及家属配合可改善初产妇分娩结局,提升自然分娩率,缩短产程,减轻产后疼痛,降低会阴撕裂率及会阴侧切率,产后恢复更快,分娩体验更好。Objective:To explore the effects of the active empathic intervention of the midwifes combined with the cooperation of the family members throughout the whole process of delivery for primiparas on their delivery outcomes.Methods:106 primiparas who admitted to the hospital for delivery were selected and were divided into two groups(53 cases in each group)by random number table method from January 2021 to August 2024.The primiparas in the two groups were given the routine delivery nursing intervention,and the primiparas in the observation group were given the active empathic intervention of the midwifes combined with the cooperation of the family members throughout the whole process of delivery additionally.The delivery mode,the stage of labor,the rates of the perineal tear and episiotomy,the maternal postpartum visual analogue scale(VAS)score,the maternal recovery status indexes values and the postpartum delivery experience questionnaire(DEQ)score of the primiparas were compared between the two groups.Results:The natural delivery rate(96.2%)of the primiparas in the observation group was significantly higher than that(84.9%)of the primiparas in the control group.The durations of the different labor stages of the primiparas in the observation group were significantly shorter than those of the primiparas in the control group.The perineal tear rate(0)and the episiotomy rate(7.6%)of the primiparas in the observation group were significantly lower than those(13.2%and 24.5%)of the primiparas in the control group.The VAS scores of the primiparas in the observation group at 2,12 and 24 hours after delivery were significantly lower than those of the primiparas in the control group.The time of getting out of bed for activity(5.85±0.12h),the lactation time(12.65±1.52h)and the hospitalization time(1.94±0.26d)of the primiparas in the observation group were significantly shorter than those(8.23±0.52h,19.24±2.34h and 2.12±0.14d)of the primiparas in the control group.The DEQ score of the primiparas in the observation group wa

关 键 词：初产妇 助产士全程积极共情干预 家属配合分娩 分娩结局 产程 自然分娩率 产后恢复 

分 类 号：R473.71[医药卫生—护理学]