首页|家属参与下的产前分娩预演对初产妇分娩结局影响

家属参与下的产前分娩预演对初产妇分娩结局影响

扫码查看
目的:观察家属参与下的产前分娩预演对初产妇分娩结局的影响.方法:纳入2020年1月—2023年6月本院产前检查并计划分娩的初产妇102例,随机数字表法分为对照组和观察组各51例,均对产妇常规护理,观察组行家属参与下的产前分娩预演干预.观察产程进展、分娩前分娩恐惧量表(CAQ)评分、抑郁自评量表(SDS)评分与焦虑自评量表(SAS)评分,分娩方式、产妇和新生儿不良结局、新生儿1min、5min Apgar评分、产妇护理满意度.结果:观察组各产程时间均短于对照组,分娩前CAQ评分(24.12±2.76分)、SDS评分(42.16±7.65分)、SAS评分(38.75±6.21分)均低于对照组(26.73±4.21分、49.65±8.62分、45.86±7.23分),自然分娩率(96.1%)高于对照组(84.3%),产妇分娩不良结局(0)与新生儿不良结局率(0)均低于对照组(9.8%、7.8%),新生儿1min Apgar评分(8.89±0.47分)、5min Apgar评分(9.93±0.05分)均高于对照组(8.23±0.61分、9.82±0.08分),产妇护理满意率(98.0%)高于对照组(84.3%)(均P<0.05).结论:家属参与下的产前分娩预演可改善产妇分娩前不良心理状态,缩短产程,改善妊娠结局,提升初产妇分娩护理满意度.
Effects of the prenatal delivery rehearsal with the participation of family member for primiparas on their delivery outcomes
Objective:To observe the effects of the prenatal delivery rehearsal with the participation of family member for primiparas on their delivery outcomes.Methods:A total of 102 primiparas who had been antenatal examination in hospital and wanted planning delivery were included and were divided into control group and observation group(51 ca-ses in each group)by random number table method from January 2020 to June 2023.The primiparas in the two groups were given routine nursing intervention,and the primiparas in the observation group were given the prenatal delivery rehearsal intervention with the participation of family member additionally.The labor progress,the scores of the pre-delivery evaluated by Fear of Labor Scale(CAQ),Self-rating Depression Scale(SDS)and self-rating Anxiety Scale(SAS),the delivery mode,the maternal and neonatal adverse outcomes,the neonatal Apgar score at 1min and 5min after born and the maternal satisfaction of the nursing of the primiparas in the two groups were observed.Results:The durations of different stages of the labor of the primiparas in the observation group were significantly shorter than those of the primiparas in the control group.The scores of CAQ(24.12±2.76 points),SDS(42.16±7.65 points)and SAS(38.75±6.21 points)of the primiparas in the observation group before delivery were significantly lower than those(26.73±4.21 points,49.65±8.62 points and 45.86±7.23 points)of the primiparas in the control group.The rate of natural delivery(96.1%)of the primiparas in the observation group was significantly higher than that(84.3%)of the primiparas in the control group.The rates of the maternal and neonatal adverse outcomes(0 and 0)in the observation group were significantly lower than those(9.8%and 7.8%)in the control group.The neonatal Apgar score at 1 min(8.89±0.47 points)and at 5 min(9.93±0.05 points)in the observation group were significantly higher than those(8.23±0.61 points and 9.82±0.08 points)in the control group.The maternal nursing satisfaction rate(98.0%)in the observation group was significantly higher than that(84.3%)in the control group(all P<0.05).Conclusion:The pre-delivery rehearsal with the participation of family members for the primiparas can improve their adverse psychological reaction before delivery,shorten their labor process,improve their pregnancy outcomes,and increase their satisfaction rate.

PrimiparaDelivery nursingPrenatal delivery rehearsal with the participation of family memberPro-gress of laborPregnancy outcomesNeonateSatisfaction degree

肖红燕、欧阳平、李丽娟

展开 >

安徽省阜阳市妇女儿童医院(236001)

安徽省阜阳市人民医院

初产妇 分娩护理 家属参与产前分娩预演 产程进展 妊娠结局 新生儿 满意度

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(3)
  • 24