首页|基于循证干预实践对初产妇分娩结局及分娩体验的影响

基于循证干预实践对初产妇分娩结局及分娩体验的影响

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目的:基于循证干预为初产妇制定合适的自然分娩干预方案并观察其运用效果.方法:检索关于自然分娩干预的国内外干预证据,为初产妇制定自然分娩循证干预方案.选择本院2023年7月定期产前检查的初产妇82例分为干预组42例、对照组40例.干预组接受循证干预方案,对照组采用常规干预方案,比较两组分娩结局及初产妇分娩体验.结果:干预组自然分娩率(90.5%)与对照组(82.5%)无差异(P>0.05),产后24h出血量(158±7.2ml)少于对照组(167±7.6ml),分娩体验问卷总分(74.67±6.22分)及情感体验(15.47±1.14分)、身体体验(14.52±1.01分)、分娩过程(15.47±1.32 分)维度评分均高于对照组(70.05±10.20 分、14.05±1.24 分、13.12±1.22 分、14.05±1.52 分)(均P<0.05).结论:循证干预实践有利于促进初产妇产后恢复,提高其分娩体验.
Impact of the evidence-based intervention practice for primiparas on their delivery outcomes and delivery experience
Objective:To develop an appropriate evidence-based intervention plan for the natural childbirth of primipa-ras,and to observe the application effect of the plan.Methods:The literatures search was conducted to gather the in-tervention evidences on the natural childbirth of the primiparas at home and abroad,and an evidence-based natural childbirth intervention program for the primiparas was developed.A total of 82 primiparas who attended the regular prenatal check-ups in the hospital were selected and were divided into intervention group(42 cases)and control group(40 cases)in July 2023.The primiparas in the intervention group were given the evidence-based intervention program,while the primiparas in the control group were given the standard intervention.The delivery outcomes and the delivery experience of the primiparas were compared between the two groups.Results:There was no significant difference in the natural delivery rate(90.5%vs.82.5%)of the primiparas between the two groups(P>0.05).The amount of the postpartum bleeding(158±7.2ml)of the primiparas in the intervention group in postpartum 24h was significantly less than that(167±7.6ml)of the primiparas in the control group.The total score of delivery experience questionnaire(74.67±6.22 points),the emotional experience score(15.47±1.14 points),the physical experience score(14.52±1.01 points)and the delivery process score(15.47±1.32 points)of the primiparas in the intervention group were sig-nificantly higher than those(70.05±10.20 points,14.05±1.24 points,13.12±1.22 points and 14.05±1.52 points)of the primiparas in the control group(all P<0.05).Conclusion:Evidence-based intervention practices for the primiparas are beneficial for improving their postpartum recovery and their childbirth experience.

PrimiparasEvidence-based interventionChildbirth experiencePostpartum bleedingDelivery model

朱鸿燕、施子晔、冯栋婷

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浙江省湖州市妇幼保健院(313002)

初产妇 循证干预 分娩体验 产后出血 分娩方式

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(12)