摘要
目的 探讨助产士主导伙伴式导乐陪伴在初产妇分娩护理中的应用价值。方法 回顾性分析176例分娩初产妇临床资料,根据干预方法分为观察组80例和对照组96例。观察组予以助产士主导伙伴式导乐陪伴干预,对照组行常规干预。比较2组分娩产程时间、分娩结局,评估总体分娩疼痛及焦虑感、分娩控制感。结果 观察组第一产程、第二产程及总产程时间均短于对照组(P<0.05);观察组产后出血量、会阴侧切率、会阴裂伤率均低于对照组(P<0.05),2组新生儿apgar评分<8分率对比差异无统计学意义(P>0.05);观察组疼痛视觉模拟评分法(VAS)及视觉模拟焦虑量表(VAS-A)得分均低于对照组(P<0.05);观察组分娩控制感量表(LAS)得分高于对照组(P<0.05)。结论 助产士主导伙伴式导乐陪伴能产生良好镇痛和缓解焦虑效果,促进产程加快和分娩结局改善。
Objective To explore the application value of midwife-led partnership-based Doula delivery in the childbirth nursing of primiparas. Methods The clinical materials of 176 primiparas were retrospectively analyzed. According to the intervention methods, they were divided into observation group ( n =80) and control group ( n =96). Observation group was given midwife-led partnership-based Doula delivery, and control group was given routine intervention. The labor delivery time and delivery outcomes were compared between the two groups, and the overall labor pain [pain visual analogue scale (VAS)], anxiety [visual analogue scale-anxiety (VAS-A)] and childbirth control sense [labour agentry scale (LAS)] were evaluated. Results The first stage of labor, second stage of labor and total labor time in observation group were significantly shorter than those in control group ( P <0.05). The postpartum hemorrhage, lateral episiotomy rate and perineal laceration rate in observation group were significantly lower than those in control group ( P <0.05), and there was no significant difference in the rate of neonatal apgar score<8 points between the two groups ( P >0.05). The scores of VAS and VAS-A in observation group were significantly lower than those in control group ( P <0.05). The LAS score in observation group was significantly higher than that in control group ( P <0.05). Conclusions Midwife-led partnership-based Doula delivery can produce good analgesia and anxiety relief effect, and promote the acceleration of labor and improve the delivery outcomes.
作者
明振叶
李红丽
MING Zhenye;LI Hongli(Department of Gynecology and Obstetrics,Baoji Material and Child Health Care Hospital,Baoji,Shaanxi,721000;Department of Gynecology and Obstetrics,Baoji People′s Hospital,Baoji,Shaanxi,721000)
出处
《实用临床医药杂志》
CAS
2019年第9期112-114,118,共4页
Journal of Clinical Medicine in Practice
关键词
初产妇
分娩
助产士
伙伴式导乐分娩
primiparas
delivery
midwife
partnership-based Doula delivery
