摘要
目的探究产妇家属支持系统对阵痛分娩初产妇产程、心理状态的影响。方法选取2019年5月—2020年4月就诊本院的82例经阴道分娩初产妇,按照预产期时间编号后随机分为对照组(41例,采用常规干预方案)、试验组(41例,在对照组基础上联用产妇家属支持系统),对比两组产妇产程时间、焦虑自评量表(self-rating anxiety scale,SAS)评分、产程中数字疼痛评估法(digital pain rating scale,NRS)评分、分娩态度问卷(childbirth attitude questionnaire,CAQ)中文版评分等情况。结果试验组第一、第二产程时间均显著短于对照组,差异有统计学意义(P<0.05),第三产程对比差异无统计学意义(P>0.05);两组入院时SAS比较差异无统计学意义(P>0.05),试验组宫口开大3 cm时、产后2 h时SAS评分均显著低于对照组(P<0.05);试验组第一、二、三产程NRS评分均显著低于对照组(P<0.05);两组入院时CAQ总分及个维度评分比较差异无统计学意义(P>0.05),试验组宫口开大3 cm时CAQ总分及各维度评分均显著低于对照组(P<0.05)。结论产妇家属支持系统可有效缓解阵痛分娩初产妇的不安焦虑情绪以及分娩疼痛度,可帮助其缩短产程时间,克服分娩时恐惧,顺利生产。
Objective To explore the effect of maternal family support system on labor process and mental state of primipara with labor pains.Methods A total of 82 primiparas with vaginal delivery from May 2019 to April 2020 in our hospital were selected and randomly divided into control group(41 cases,used routine intervention program)and experimental group(41 cases,combined with maternal family support system on the basis of the control group).The labor process time,self-rating anxiety scale(SAS)score,digital pain rating scale(NRS score)during labor,childbirth attitude questionnaire(CAQ)in Chinese version were compared between the two groups.Results The time of the first and second stages of labor in the experimental group were significantly shorter than those in the control group(P<0.05),but there was no significant difference in the third stage of labor(P>0.05).There was no significant difference in SAS between the two groups at admission(P>0.05).The SAS scores of the experimental group were significantly lower than those of the control group when the uterine opening was 3 cm and postpartum 2 h(P<0.05).The NRS scores of the first,second and third stages of labor in the experimental group were significantly lower than those in the control group(P<0.05).There were no significant differences between the two groups in the total score of CAQ and dimension scores at admission(P>0.05).The total score of CAQ and the score of each dimension in the experimental group were significantly lower than those in the control group when the uterine opening was 3 cm and postpartum 2 h(P<0.05).Conclusion Maternal family support system can effectively relieve the anxiety and pain of primipara in labor,shorten the labor process time,overcome the fear of delivery,and give birth smoothly.
作者
周新枚
王静娴
徐惠英
黎慧愉
ZHOU Xinmei;WANG Jingxian;XU Huiying;LI Huiyu(Department of Obstetrics and Gynecology,Dongguan Integrated Traditional Chinese and Western Medicine Hospital,Dongguan Guangdong 523819,China)
出处
《中国卫生标准管理》
2022年第4期164-168,共5页
China Health Standard Management
基金
东莞市社会科技发展(一般)项目(201950715042653)。
关键词
家属支持系统
初产妇
产程
心理状态
分娩态度
产程疼痛
family support system
primipara
labor process
mental state
labor attitude
labor pain