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阶段性强化教育对产妇分娩配合度及产程的影响

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目的 探讨阶段性强化教育对产妇分娩配合度和产程的影响.方法 随机选取于2022年3月—2023年3月福建医科大学附属龙岩第一医院收治的100例产妇为研究对象,采用双盲法分为对照组和观察组,每组50例.对照组接受常规护理干预,观察组在对照组的基础上增加阶段性强化教育护理,比较两组产妇各产程用时、产后疼痛评分(Visual Analogue Scale,VAS)、分娩配合度、分娩方式、心理状态和睡眠情况.结果 干预后,观察组产妇的第1、2、3产程用时均比对照组短,差异有统计学意义(P均<0.05);观察组产后VAS评分为(2.84±0.35)分,低于对照组(3.11±0.54)分,差异有统计学意义(t=2.967,P=0.004);观察组的分娩配合度、自然分娩率均高于对照组,差异有统计学意义(P均<0.05);干预后,观察组产后焦虑自评量表(Self-rating Anxi-ety Scale,SAS)评分、抑郁自评量表(Self-Rating Depression Scale,SDS)评分均低于对照组;匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分低于对照组,差异有统计学意义(P均<0.05).结论 对产妇采用阶段性强化教育护理,有利于提升产妇分娩配合度,缩短产程,缓解产后疼痛程度和心理负性情绪,改善睡眠质量,对提升自然分娩成功率有积极意义.
Effect of Stage Intensive Education on Parturient Cooperation and Labor Process
Objective To explore the effect of stage intensive education on parturient cooperation and the labor pro-cess.Methods 100 cases of pregnant women admitted to Longyan First Hospital Affiliated to Fujian Medical Univer-sity from March 2022 to March 2023 were randomly selected as the samples of this study,and were divided into con-trol group and observation group by double-blind method,and each group with 50 cases.The control group received routine nursing intervention,and the observation group added stage intensive education and nursing on the basis of the control group.The duration of each labor stage,Visual Analogue Scale(VAS),labor coordination degree,the delivery mode,psychological state and sleep status were compared between the two groups.Results After intervention,the du-ration of the first,second and third stages of labor in the observation group was shorter than that in the control group,and the differences were statistically significant(all P<0.05).The postpartum VAS score of the observation group was(2.84±0.35)points,lower than that of the control group[(3.11±0.54)points],and the difference was statistically signifi-cant(t=2.967,P=0.004).The labor cooperation and the natural delivery rate of observation group were higher than that of control group,and the differences were statistically significant(both P<0.05).After the intervention,the post-partum Self-rating Anxiety Scale score and Self-Rating Depression Scale score of the observation group were lower than those of the control group,and the Pittsburgh Sleep Quality Index score was lower than that of the control group,and the differences were statistically significant(all P<0.05).Conclusion The use of stage intensive education and nursing for parturient is conducive to improving parturients'cooperation in childbirth,shortening labor,relieving post-partum pain and psychological negative emotions,and improving sleep quality,which has positive significance for im-proving the success rate of natural childbirth.

Stage intensive educationParturition compatibilityStages of laborDelivery mode

李丽杭、郑芃芃、汤丽丽

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福建医科大学附属龙岩第一医院产科,福建龙岩 364000

阶段性强化教育 分娩配合度 产程 分娩方式

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(8)
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