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自由体位分娩护理对促进自然分娩的临床效果评价

Evaluation of clinical effect of free position delivery nursing on promoting natural childbirth
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摘要 目的:探究分析自由体位对初产妇分娩方式以及心理状态产生的影响,分析其临床应用效果。方法:将2020年1月至2020年9月作为研究时段,录入本院收治的初产妇216例作为研究对象,随机均分成两组,单组内纳入108例患者,分别记为研究组与对照组,对照组产妇选择常规护理进行配合,研究组产妇将自由体位方案应用于其中,分析患者的焦虑、抑郁评分,并探讨患者的分娩方式,同时记录所有产妇的产程时间,分析组间差异。结果:在本次研究结果中,显示研究组产妇剖宫产的应用率相较于对照组来说明显更低,研究组内大部分患者选择自然分娩方案,两组患者数据对比差异显著(P<0.05)。研究组患者在护理完成后的SDS、SAS评分相较于对照组来说明显更低,两组患者数据对比差异显著(P<0.05),提示研究组患者的心理状态更优。相较于对照组,研究组产妇的各个产程时间明显更短,并且总产程相较于对照组来说也更短,各项数据对比差异显著(P<0.05)。结论:开展初产妇的自由体位分娩护理,能够有助于降低剖宫产在临床上的应用率,并且还能缓解产妇的焦虑和抑郁情绪,在临床上具有较高的应用价值。 Objective:To explore and analyze the influence of free position on delivery mode and mental state of primipara,and analyze its clinical application effect.Methods:From January 2020 to September 2020 as the research period,216 cases of primipara in our hospital were selected as the research objects.The subjects were randomly divided into two groups.108 patients were included in the single group,and they were named as the experimental group and the control group respectively.The control group chose routine nursing care,and the experimental group applied the free position scheme to analyze the anxiety of patients Depression score comparison,and explore the mode of delivery of patients,at the same time record all maternal labor process time,analyze the difference between groups.Results:In the experimental results,the application rate of cesarean section in the experimental group was significantly lower than that in the control group,and most of the patients in the experimental group chose the natural delivery scheme,and the difference between the two groups was significant(P<0.05).Compared with the control group,the SDS and SAS scores of the experimental group were significantly lower than those of the control group,and the difference between the two groups was significant(P<0.05),indicating that the psychological state of the experimental group was better.In the experimental results showed that compared with the control group,the time of each stage of labor in the experimental group was significantly shorter,and the total labor process was also shorter than that of the control group,and the difference was significant(P<0.05).Conclusion:To carry out the free position of primipara can help to reduce the clinical application rate of cesarean section,and relieve the anxiety and depression of pregnant women.It has high application value in clinical practice.
作者 朱美芬 倪巧云 陈小丽 Zhu Meifen;Ni Qiaoyun;Chen Xiaoli(Delivery Room of Xinghua Maternal and Child Health Care Hospital, Xinghua Jiangsu, 225700, China)
出处 《中外女性健康研究》 2022年第9期52-53,76,共3页 Women's Health Research
关键词 自由体位 分娩方式 自然分娩 心理状态 Free position Mode of delivery Natural childbirth Mental state
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