首页|产房家庭协同护理对初产妇心理状况、分娩自我效能及母婴结局的影响

产房家庭协同护理对初产妇心理状况、分娩自我效能及母婴结局的影响

扫码查看
目的:探讨产房家庭协同护理对初产妇心理状况、分娩自我效能及母婴结局影响.方法:选取2020年5月-2021年12月在本院产检并分娩的初产妇为研究对象,按随机数字表法分为观察组和对照组各60例.对照组临产进入产房后常规护理与指导,观察组在对照组的基础上实施家庭成员协同护理.对比分析两组产妇干预前后SAS、SDS评分,分娩自我效能评分,分娩方式,产时VAS评分、产程时间及母婴结局之间的差异.结果:干预后观察组对象SAS评分、SDS评分下降显著,且低于对照组(P<0.05);结果效能、期望效能、自我效能总分提高,且高于对照组(均P<0.05);阴道分娩率显著高于对照组(91.7%比73.3%),中转剖宫产率低于对照组(8.3%比26.7%),差异有统计学意义(P<0.05).观察组经阴道分娩对象产时VAS评分、第一、二产程时间、产后2h出血量及新生儿Apgar评分均明显好于对照组(P<0.05).结论:产房家庭成员协同护理干预可有效改善初产妇心理状况,提高分娩自我效能,降低产时疼痛水平,缩短产程时间,促进阴道分娩,改善母婴结局.
Influence of the family cooperative care nursing in delivery room for primiparas on their psychological status,delivery self-efficacy and maternal and infant outcomes
Objective:To explore the influence of the family cooperative care nursing in delivery room for primiparas on their psychological status,delivery self-efficacy and maternal and infant outcomes.Methods:The primiparas who were examined and wanted delivery in hospital were selected and were divided into observation group and control group(60 cases in each group)according to the random number table method from May 2020 to December 2021.The primipara in the control group received the routine nursing intervention and guidance after entering the delivery room,while the primiparas in the observation group received cooperative nursing from family members except the treatment of the pri-miparas in the control group.The differences of the scores of SAS,SDS and delivery self-efficacy before and after the intervention,the delivery mode,the delivery VAS score,the delivery duration and the maternal and infant outcomes of the primiparas were analyzed and compared between two groups.Results:The scores of SAS and SDS of the primipa-ras in the observation group after intervention had decreased significantly,and which were significantly lower than those of the primiparas in the control group(P<0.05).The total scores of the outcome efficacy,the expectation effi-cacy and the self-efficacy of the primiparas in the observation group were significantly higher than those of the primipa-ras in the control group(all P<0.05).The rates of vaginal delivery(91.7%)and the transfer to cesarean delivery(8.3%)of the primiparas in the observation group were significantly higher than those(73.3%and 26.7%)of the pri-miparas in the control group(P<0.05).The VAS score during vaginal delivery,the durations of the first and the sec-ond stages of labor and the amount of bleeding in 2 hours after delivery of the primiparas,and the neonatal Apgar score in the observation group were significantly better than those in the control group(P<0.05).Conclusion:The cooperative nursing intervention of family members in the delivery room for the primiparas can effectively improve their psychological status,improve their delivery self-efficacy,reduce the degree of their labor pain,shorten their duration of labor,promote their vaginal delivery,and improve their maternal and infant outcomes.

PrimiparaFamily collaborative carePsychological statusDelivery self-efficacyMaternal and infant outcomes

曹慧、丁巧巧、马明月、汪亚君

展开 >

浙江省杭州市第一人民医院(310006)

初产妇 家庭协同护理 心理状况 分娩自我效能 母婴结局

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(1)
  • 12