摘要
目的:分析问候-自我介绍-过程-解释-感谢沟通模式(AIDET)联合强化疼痛管理在选择自然分娩初产妇中的应用效果。方法:选取2021年3月-2022年2月电子科技大学医学院附属绵阳医院自然分娩初产妇94例为观察对象,按照入院时间分为观察组、对照组,各47例。对照组实施强化疼痛管理,观察组在对照组基础上实施AIDET沟通。对比两组宫口开3指、宫口全开、产后3 d视觉模拟评分法评分(VAS)、护理前后汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、自我效能感量表(GSES)评分、分娩结局。结果:护理后,观察组宫口开3指、宫口全开、产后3 d时VAS评分低于对照组,差异有统计学意义(P<0.05);护理后,观察组HAMA评分、HAMD评分低于对照组,差异有统计学意义(P<0.05);护理后,两组GSES评分较护理前高,观察组高于对照组,差异有统计学意义(P<0.05);观察组自然分娩率高于对照组,差异有统计学意义(P<0.05)。结论:对选择自然分娩初产妇实施AIDET沟通联合强化疼痛管理,可以增强镇痛效果,疏导初产妇负性情绪,提高自我效能,改善分娩结局。
Objective: To analyze the application effect of acknowledge-introduce-duration-explanation-thank you (AIDET) communication mode combined with intensive pain management in the selection of primipara with natural delivery. Methods: A total of 94 primiparas in Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China from March 2021 to February 2022 were selected as the observation objects. They were divided into observation group and control group according to the time of admission, with 47 cases in each group. The control group implemented intensive pain management, and the observation group implemented AIDET communication on the basis of control group. The 3-finger dilated cervix, fully dilated cervix, 3-day postpartum visual analog scale (VAS) score, Hamilton Anxiety Scale (HAMA) score, Hamilton Depression Scale (HAMD) score, General Self-Efficacy Scale (GSES) score before and after nursing, and delivery outcomes were compared between the two groups. Results: After nursing, the 3-finger dilated cervix, fully dilated cervix, 3-day postpartum VAS score of the observation group were lower than those of the control group, and the difference was statistically significant (P<0.05). After nursing, the HAMA score and HAMD score of the observation group were lower than those of the control group, and the difference was statistically significant (P<0.05). After nursing, the GSES scores of the two groups were higher than those before nursing, the observation group was higher than the control group, and the difference was statistically significant (P<0.05);the natural delivery rate of the observation group was higher than of the control group, and the difference was statistically significant (P <0.05). Conclusion: For primiparas who choose natural delivery, AIDET communication combined with intensive pain management can enhance the analgesic effect, ease the negative emotions of primiparas, and improve self-efficacy and delivery outcomes.
作者
杜葱
Du Cong(Mianyang Central Hospital,School of Medicine,University of Electronic Science and Technology of China,Mianyang 621000,Sichuan Province,China)
出处
《中外医药研究》
2022年第3期123-125,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
自然分娩
初产妇
沟通模式
分娩结局
Natural delivery
Primipara
Communication mode
Delivery outcome
