摘要
目的 探讨助产士主导伙伴式导乐陪伴结合信息-动机-行为技巧干预在初产妇中的应用效果。方法 选取2020年5月至2021年5月于我院产检并进行阴道分娩的180例初产妇作为研究对象,按照随机数字表法将其分为对照组与观察组,每组90例。对照组采用常规助产护理,观察组在对照组基础上加助产士主导伙伴式导乐陪伴结合信息-动机-行为技巧干预。比较两组的干预效果。结果 干预后,观察组的分娩恐惧量表(CAQ)各维度评分明显低于对照组(P<0.05)。干预后,观察组的应对方式问卷(CSQ)评分明显低于对照组,健康行为评分明显高于对照组(P<0.05)。观察组的产妇不良结局总发生率为26.67%,明显低于对照组的45.56%(P<0.05);观察组的新生儿不良结局总发生率为8.89%,明显低于对照组的21.11%(P<0.05)。结论 助产士主导伙伴式导乐陪伴结合信息-动机-行为技巧干预能减轻初产妇的分娩恐惧感,使其积极应对阴道分娩,改善妊娠结局,值得临床推广及应用。
Objective To explore the application effect of midwife-led partner-type doula accompaniment combined with information-motivation-behavioral skills intervention in primiparas.Methods A total of 180 primiparas who underwent prenatal examination and vaginal delivery in our hospital from May 2020 to May 2021 were selected as the research objects,and the primiparas were divided into control group and observation group according to the random number table method,with 90 cases in each group.The control group used routine midwifery nursing,while the observation group used midwife-led partner-type doula accompaniment combined with information-motivation-behavioral skills intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Childbirth Attitudes Questionnaire(CAQ)in the observation group were significantly lower than those in the control group(P<0.05).After intervention,the score of Coping Style Questionnaire(CSQ)in the observation group was significantly lower than that in the control group,and the score of health behavior was significantly higher than that in the control group(P<0.05).The total incidence of maternal adverse outcomes in the observation group was 26.67%,which was significantly lower than 45.56%in the control group(P<0.05);the total incidence of neonatal adverse outcomes in the observation group was 8.89%,which was significantly lower than 21.11%in the control group(P<0.05).Conclusion Midwife-led partner-type doula accompaniment combined with information-motivation-behavioral skills intervention can reduce the fear of childbirth of primiparas,make them actively respond to vaginal delivery,and improve pregnancy outcomes,which is worthy of clinical promotion and application.
作者
贠雯洁
赵小静
王静萍
YUN Wenjie;ZHAO Xiaojing;WANG Jingping(Gynecology and Obstetrics Department,Xi'an No.9 Hospital,Xi'an 710054,China)
出处
《临床医学研究与实践》
2023年第24期163-166,共4页
Clinical Research and Practice
关键词
助产士主导伙伴式导乐陪伴
信息-动机-行为技巧干预
初产妇
阴道分娩
恐惧感
应对方式
midwife-led partner-type doula accompaniment
information-motivation-behavioral skills intervention
primipara
vaginal delivery
fear
coping style
