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双向反馈多维度干预对自然分娩初产妇疼痛及结局的影响

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目的:探讨双向反馈多维度干预对自然分娩初产妇疼痛及结局的影响。方法:选取 216例自然分娩的初产妇,随机均分为观察组和对照组,对比干预前后两组疼痛感知,分娩结局和并发症。结果:观察组的各产程均短于对照组,总产程为(11。71±1。14)h短于对照组的(12。98±1。23)h(P<0。05)。产后 1、3、7 天,观察组的EPDS评分、分娩缝合、产后 3h、6h的VAS评分均低于对照组(P<0。05)。两组在会阴损伤、胎儿窘迫、尿潴留、产褥感染、产后抑郁方面无明显差异(P>0。05)。结论:分娩镇痛联合双向反馈多维度干预可缓解初产妇分娩恐惧和疼痛,对分娩结局无影响。
Effects of bidirectional feedback and multidimensional intervention on pain and outcomes in first-time mothers undergoing natural delivery
Objective:Explore the impact of multi-dimensional interventions with bidirectional feedback on pain and outcomes in primiparous women undergoing natural childbirth.Method:216 primiparous women who gave birth naturally were randomly divided into an observation group and a control group.The pain perception,delivery outcomes,and complications of the two groups were compared before and after intervention.Results:All stages of labor in the observation group were shorter than those in the control group,with a total stage of labor of(11.71±1.14)hours shorter(12.98±1.23)hours(P<0.05).On the 1st,3rd,and 7th day postpartum,the EPDS scores,delivery sutures,and VAS scores at 3h and 6h postpartum in the observation group were lower(P<0.05).There was no significant difference between the two groups in perineum injury,fetal distress,urinary retention,puerperal infection and postpartum depression(P>0.05).Conclusion:The combination of delivery analgesia and multi-dimensional intervention with bidirectional feedback can alleviate the fear and pain of primiparous women during childbirth,and has no effect on delivery outcomes.

Bidirectional feedbackMultidimensional interventionNatural childbirthPrimiparous womenPainDelivery outcome

陈郝菊、程璐、李红、陈筠

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合肥市妇幼保健院产科,安徽合肥 230001

安徽医科大学临床医学院附属华安脑科医院神经外科,安徽合肥 230001

淮南市朝阳医院老年病科,安徽合肥 230001

双向反馈 多维度干预 自然分娩 初产妇 疼痛 分娩结局

2024

现代科学仪器
中国分析测试协会

现代科学仪器

CSTPCD
影响因子:0.329
ISSN:1003-8892
年,卷(期):2024.41(3)