首页|产前三联放松训练联合分娩球自由体位干预对阴道分娩初产妇分娩恐惧及产痛的影响

产前三联放松训练联合分娩球自由体位干预对阴道分娩初产妇分娩恐惧及产痛的影响

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目的 探究产前三联放松训练联合分娩球自由体位干预对阴道分娩初产妇分娩恐惧、产痛及分娩结局的影响.方法 选择 2020 年 5 月—2023 年5 月我院收治的 68 例阴道分娩初产妇为研究对象,按随机数字表法将其分为对照组和观察组,每组 34 例.对照组采用产前三联放松训练,观察组采用产前三联放松训练联合分娩球自由体位干预.比较两组的分娩恐惧程度、产痛、分娩控制感及分娩结局.结果 观察组分娩恐惧量表中胎儿安全恐惧评分、分娩疼痛恐惧评分、分娩失控恐惧评分、医院环境恐惧评分均低于对照组,第一产程、第二产程、第三产程的疼痛视觉模拟评分、疼痛分级指数评分均低于对照组,分娩控制感量表评分和分娩自我效能量表评分均高于对照组,组间差异有统计学意义(P<0.05);观察组产程时间短于对照组,产后 24h出血量少于对照组,新生儿Apgar评分高于对照组,组间差异有统计学意义(P<0.05).结论 产前三联放松训练联合分娩球自由体位干预可缓解阴道分娩初产妇对分娩的恐惧,减轻其产痛程度,提升其分娩控制感,可改善分娩结局.
The Effect of Prenatal Triple Relaxation Training Combined with Free Position Intervention of Birthing Ball on Fear of Delivery and Labor Pain in Primiparous Women Undergoing Vaginal Delivery
Objective To explore the effects of prenatal triple relaxation training combined with free position intervention of birthing ball on fear of labor,labor pain and labor outcome of parturients in vaginal delivery.Methods 68 primiparous women undergoing vaginal delivery admitted to our hospital from May 2020 to May 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group using a random number table method,with 34 cases in each group.The control group received the prenatal triple relaxation training,and the observation group received the prenatal triple relaxation training combined with the free position intervention of the birth ball.The degree of labor fear,labor pain,labor control and labor outcome were compared between the two groups.Results The observation group had lower scores of fetal safety fear,delivery pain fear,delivery loss of control fear,and hospital environment fear in the delivery fear scale compared to the control group,the pain Visual Analogue Scale and Pain Rating Index scores of the first,second,and third stages of labor were lower than those of the control group,the scores of the Labour Agentry Scale and the Birth Self Efficacy Scale in the control group were higher than those in the control group,the difference between groups were statistically significant(P<0.05).The observation group had lower labor process time was shorter than that in the control group,24-hour postpartum bleeding was less than that in the control group,and the newborn Apgar score was higher than the control group,the differences between groups were statistically significant(P<0.05).Conclusion Prenatal triple relaxation training combined with free position intervention can alleviate the fear of childbirth,reduce the degree of labor pain,enhance the sense of control of labor,and improve the outcome of labor.

Vaginal deliveryPrimiparous womenPrenatal triple relaxation trainingLabor pain

席秀云

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日照市东港区妇幼保健计划生育服务中心产科,山东日照 276800

阴道分娩 初产妇 产前三联放松训练 产痛

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(4)
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