摘要
目的:探究对初产妇应用分娩球联合自由体位的护理效果。方法:选取于笔者所在医院分娩的初产妇60例,将其按照护理方法的不同分为两组,每组30例。将采取常规护理的初产妇设为常规护理组(对照组),将在对照组基础上采用分娩球联合自由体位护理的初产妇设为分娩球联合自由体位组(试验组)。比较两组产妇焦虑情况、产程时间、产后2 h出血量。结果:护理前,两组HAMA评分比较差异无统计学意义(P>0.05);护理后,两组HAMA评分均降低,差异有统计学意义(P<0.05),且试验组显著低于对照组,差异有统计学意义(P<0.05)。对照组产妇各产程时间分别为(510.37±26.94)、(51.07±9.67)、(14.37±2.31)min,试验组产妇各产程时间分别为(403.68±18.27)、(34.12±8.45)、(6.47±1.58)min,试验组产妇各产程时间均短于对照组,差异有统计学意义(P<0.05)。试验组产妇产后2 h出血量为(168.28±27.01)ml,少于对照组的(304.27±42.68)ml,差异有统计学意义(P<0.05)。结论:分娩球联合自由体位的护理方法能够显著改善产妇焦虑情况,对初产妇的护理效果较佳。
Objective: To explore the nursing effect of applying birthing ball combined with free body position for primipara. Method: A total of 60 primiparas for delivery in our hospital were selected and divided into two groups according to different nursing methods, 30 case in each group. The primipara who took routine nursing was set as the routine nursing group (control group), and the primiparas who added birthing ball combined with free body position nursing on the basis of the control group was set as the birthing ball combined with free body position group (experimental group). The anxiety, labor time, and blood loss at 2 h postpartum were compared between the two groups. Result: Before nursing, there was no significant difference in HAMA score between the two groups (P>0.05). After nursing, HAMA score in both groups were decreased, the differences were statistically significant (P<0.05). And experimental group was significantly lower than control group, the difference was statistically significant (P<0.05). The labor time of the control group were (510.37±26.94), (51.07±9.67), (14.37±2.31) min, respectively, and the labor time of the experimental group were (403.68±18.27), (34.12±8.45), (6.47±1.58) min. The labor time of experimental group were shorter than those of the control group, the differences were statistically significant (P<0.05). The blood loss at 2 h postpartum in experimental group was (168.28±27.01) ml, which was less than (304.27±42.68) ml in the control group, the difference was statistically significant (P<0.05). Conclusion: The nursing method of birthing ball combined with free body position can significantly improve the anxiety of puerpera, and the nursing effect of the primipara is better.
作者
何晓娟
HE Xiaojuan(Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China)
出处
《中外医学研究》
2020年第1期75-77,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
江苏省卫生职业院校文化建设项目（项目编号：JCZ201525）
关键词
初产妇
护理
助产
自由体位
分娩球
Primipara
Nursing
Midwifery
Free body position
Birthing ball
