摘要
目的:研究对无痛分娩产妇开展健康行为干预的护理方法及对分娩结局的影响。方法:将于我院产科行无痛分娩的产妇共60例,设计对照性研究路径,YB组30例产妇于无痛分娩中开展常规性护理,JK组30例产妇则开展健康行为干预护理(主要包括赋权健康管理、炎症反应抑制、应激刺激保护等)。对比YB组、JK组产妇分娩前后的机体炎症反应指标(hs-CRP、IL-1β、IL-6)和应激反应指标(NA、NE、COR),并记录分娩结局。结果:分娩后,JK组产妇血清hs-CRP、IL-1β、IL-6指标和NA、NE、COR指标均低于YB组(P<0.05),且JK组会阴撕裂率、产后出血率依次为26.67%、0,低于YB组的46.67%、10%(P<0.05)。结论:健康行为干预通过对无痛分娩产妇认知体系的完善、生理状态的调节、炎症反应的抑制及应激刺激的保护,可有效减轻产妇机体炎症反应、应激反应程度,改善分娩结局。
Objective: To study the nursing method of health behavior intervention for puerpera with painless delivery and its influence on delivery outcome. Methods: A total of 60 puerpera who underwent painless delivery in the obstetrics department of our hospital were included in this study. A controlled study path was designed. In YB group, 30puerpera were given routine nursing during painless delivery, while in JK group, 30 puerpera were given health behavior intervention nursing(mainly including education and guidance related to health behavior, reducing the activation of inflammatory signaling pathway, avoiding traumatic stress stimulation, etc.). The body inflammatory response indicators(hs-CRP, IL-1β, IL-6) and stress response indicators(NA, NE, COR) before and after delivery were compared between YB group and JK group, and the delivery outcome was recorded. Results: After delivery, the serum levels of hs-CRP,IL-1β, IL-6, NA, NE and COR in JK group were lower than those in YB group(P<0.05), and the perineal tear rate and postpartum hemorrhage rate in JK group were 26.67% and 0, respectively, which were lower than those in YB group(46.67% and 10%, P<0.05). Conclusion: The health behavior intervention can effectively reduce the degree of maternal inflammation and stress response and improve the delivery outcome by improving the cognitive system, regulating the physiological state, inhibiting the inflammatory response and protecting the stress stimulus.
作者
刘瑞芬
Liu Ruifen(Central Hospital of Dongling Town,Huian County,Quanzhou,362100)
出处
《数理医药学杂志》
CAS
2022年第11期1707-1710,共4页
Journal of Mathematical Medicine
关键词
无痛分娩
健康行为干预
炎症反应
应激反应
分娩结局
Painless delivery
Health behavior intervention
Inflammatory reaction
Stress response
Birth outcomes
