首页|配偶+助产士导乐式陪伴结合五维音乐呼吸法对初产妇分娩控制感及心理应激的影响

配偶+助产士导乐式陪伴结合五维音乐呼吸法对初产妇分娩控制感及心理应激的影响

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目的 探讨配偶+助产士导乐式陪伴结合五维音乐呼吸法对初产妇分娩控制感及心理应激的影响。方法 随机抽取 2019 年 1 月至 2022 年 12 月孕满 37 周的 80 例初产妇为研究对象,随机将其分为对照组和干预组,各 40例。对照组给予助产士导乐式陪伴护理,干预组给予配偶+助产士导乐式陪伴结合五维音乐呼吸法护理。比较两组的护理效果。结果 干预组的总产程时间短于对照组,宫口开 2~3 cm、9~10 cm的视觉模拟评分法(VAS)评分低于对照组,5 min Apgar评分高于对照组(P<0。05)。干预组的不良母婴结局总发生率低于对照组(P<0。05)。护理后,两组的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HRSD)评分均低于护理前,且干预组低于对照组(P<0。05)。干预组的分娩控制量表(LAS)、分娩体验问卷(CEQ2。0)、产妇配偶陪伴分娩体验问卷评分高于对照组(P<0。05)。结论 配偶+助产士导乐式陪伴结合五维音乐呼吸法能有效降低初产妇分娩过程中的疼痛感,改善母婴结局,消除或缓解焦虑、抑郁情绪,提高分娩控制感。
Effects of spouse+midwife doula accompany combined with five-dimensional music breathing method on delivery control and psychological stress of primipara
Objective To explore the effects of spouse+midwife doula accompany combined with five-dimensional music breathing method on delivery control and psychological stress of primipara.Methods A total of 80 primiparas who were 37 weeks pregnant from January 2019 to December 2022 were randomly selected as the research objects and randomly divided into control group and intervention group,with 40 cases in each group.The control group was given midwife doula accompany nursing,and the intervention group was given spouse+midwife doula accompany combined with five-dimensional music breathing method nursing.The nursing effects of the two groups were compared.Results The total labor time of the intervention group was shorter than that of the control group,the Visual Analogue Score(VAS)score of 2-3 cm and 9-10 cm of the cervix were lower than those of the control group,and the 5 min Apgar score was higher than that of the control group(P<0.05).The total incidence of adverse maternal and infant outcomes in the intervention group was lower than that in the control group(P<0.05).After nursing,the scores of Hamilton Anxiety Scale(HAMA)and Hamilton Rating Scale for Depression(HRSD)in the two groupswerelowerthan those before nursing,and those in the intervention group were lower than the control group(P<0.05).The scores of Labour Agentry Scale(LAS),Childbirth Experience Questionnaire(CEQ2.0)and maternal spouse accompanying delivery experience questionnaire in the intervention group were higher than those in the control group(P<0.05).Conclusion Spouse+midwife doula accompany combined with five-dimensional music breathing method can effectively reduce the pain of primipara during delivery,improve maternal and infant outcomes,eliminate or alleviate anxiety and depression,and improve the sense of delivery control.

spouse+midwife doula accompanyfive-dimensional music breathing methodprimiparapsychological stress

张亚娜、李彩虹、韩雯、毛陇萍

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西安医学院附属宝鸡医院产科,陕西 宝鸡,721006

宝鸡市妇幼保健院产科,陕西 宝鸡,721004

配偶+助产士导乐式陪伴 五维音乐呼吸法 初产妇 心理应激

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(26)