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产前放松训练在初产妇中的应用效果

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目的:观察产前放松训练在初产妇中的应用效果.方法:选取 2018-2022 年于该院分娩的 70 名初产妇进行前瞻性研究,按照随机数字表法分为观察组与对照组各 35 名.对照组采用常规产前护理,观察组在对照组基础上采用产前放松训练,比较两组分娩恐惧量表(CAQ)评分、积极心理问卷(PPQ)评分、第一产程Wong-Baker面部表情疼痛量表评分、产程时间、分娩方式.结果:护理后,两组CAQ评分低于护理前,且观察组低于对照组,两组PPQ评分高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05);观察组第一产程Wong-Baker面部表情疼痛量表评分明显低于对照组,差异有统计学意义(P<0.05);观察组第一、第二、第三产程时间以及总产程均短于对照组,差异有统计学意义(P<0.05);观察组自然分娩率为 60.00%,高于对照组的 31.43%,差异有统计学意义(P<0.05);观察组剖宫产率为 5.71%,低于对照组的 31.43%,差异有统计学意义(P<0.05).结论:在常规产前护理基础上采用产前放松训练可提高初产妇PPQ评分和自然分娩率,缩短产程时间,降低CAQ评分、第一产Wong-Baker面部表情疼痛量表评分和剖宫产率,效果优于单纯常规产前护理.
Effects of prenatal relaxation training for primiparas
Objective:To observe effects of prenatal relaxation training for primiparas.Methods:A prospective study was conducted on 70 primiparas who gave birth in the hospital from 2018 to 2022.According to the random number table method,they were divided into observation group and control group,35 cases in each group.The control group was given routine prenatal nursing,while the observation group was given the prenatal relaxation training on the basis of that of the control group.The childbirth attitudes questionnaire(CAQ)score,the positive psychological questionnaire(PPQ)score,the Wong-Baker faces pain scale score in the first stage of labor,the labor time,and the delivery mode were compared between the two groups.Results:After the nursing,the CAQ scores of the two groups were lower than those before the nursing,and that in the observation group was lower than that in the control group;the PPQ scores of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group;and the differences were statistically significant(P<0.05).The Wong-Baker faces pain scale score in the first stage of labor in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The first,second,third stage of labor and total stage of labor in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The natural delivery rate of the observation group was 60.00%,which was higher than 31.43%of the control group,and the difference was statistically significant(P<0.05).Further,the cesarean section rate of the observation group was 5.71%,which was lower than 31.43%of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine prenatal nursing,the prenatal relaxation training can improve the PPQ scores and the natural delivery rate of the primiparas,shorten the duration of labor,and reduce the CAQ scores,the Wong-Baker faces pain scale scores in the first stage of labor and the cesarean section rate.Moreover,it is superior to simple routine prenatal nursing.

PrenatalRelaxation trainingPrimiparaStage of laborNatural deliveryCesarean section

王海莉

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商丘市第五人民医院妇产科,河南 商丘 476000

产前 放松训练 初产妇 产程 自然分娩 剖宫产

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(19)
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