摘要
目的:探讨静观分娩训练法在产妇负性情绪个性化护理管理方案中的应用价值,旨在改善产妇情绪,保障母婴安全。方法:选择2018年1月12日—2019年1月23日于杭州市妇产科医院产检的120名孕妇为研究对象,按照随机数字表法分为对照组与试验组各60名,研究期间脱落10名,最终纳入研究者为110名,对照组56名,试验组54名。对照组孕妇接受常规产前检查,采用课程形式进行干预;试验组在对照组干预基础上实施静观分娩训练法。采用抑郁-焦虑-压力量表中文版(DASS-21)评价产妇干预前后抑郁-焦虑-压力状况,采用VAS评价其疼痛程度,并记录两组分娩结局。结果:试验组产妇干预1个月后DASS-21量表中压力、焦虑、抑郁评分均低于对照组,第一产程时间短于对照组,顺产率高于对照组,差异均有统计学意义(P<0.01);试验组产后1 h VAS评分低于对照组,差异有统计学意义(P<0.01)。结论:静观分娩训练法应用于产妇负性情绪个性化护理管理中可有助于改善产妇情绪,缓解疼痛感,缩短第一产程时间,提高顺产率。
Objective To explore the application value of mindful delivery exercise method in the personalized nursing management program of negative emotions of primipara,so as to improve maternal emotion and ensure the safety of mothers and children.Methods From January 12,2018 to January 23,2019,a total of 120 pregnant women who underwent antenatal examination in Hangzhou Obstetrics and Gynecology Hospital were selected as research objects.According to the random number table method,the patients were divided into the control group and the experimental group.During the study period,10 cases were dropped,and 110 cases were eventually included in the study.Finally,there were 56 cases in the control group and 54 cases in the experimental group.Pregnant women in the control group received routine prenatal check-ups,and interventions were conducted in the form of courses.The experimental group implemented a mindful delivery exercise method based on the intervention of the control group.The Chinese version of Depression-Anxiety-Stress Scale(DASS-21)was used to evaluate the maternal depression-anxiety-stress status before and after intervention,the pain degree was evaluated by VAS,and the delivery outcomes of two groups were recorded.Results The scores of stress,anxiety and depression in the DASS-21 of the experimental group one month after intervention were lower than those of the control group,the time of the first stage of labor was shorter than that of the control group,and the spontaneous labor rate was higher than that of the control group.The differences were statistically significant(P<0.01).The VAS score of 1 hour after delivery of the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.01).Conclusions The application of mindful delivery exercise in the personalized nursing management of negative emotions of parturient women can help improve maternal mood,relieve pain,shorten the first stage of labor and improve the rate of spontaneous delivery.
作者
金珊
徐萌艳
吴映瑛
应音
Jin Shan;Xu Mengyan;Wu Yingying;Ying Yin(Department of Obstetrics,Hangzhou Obstetrics and Gynecology Hospital,Hangzhou 310008,China;Department of Nursing,Hangzhou Obstetrics and Gynecology Hospital,Hangzhou 310008,China)
出处
《中华现代护理杂志》
2020年第30期4209-4213,共5页
Chinese Journal of Modern Nursing
基金
浙江省医药卫生科技计划项目(2019KY140)。
关键词
疼痛
初产妇
静观分娩训练法
分娩结局
Pain
Primipara
Mindful delivery exercise
Delivery outcome
