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围产期温柔分娩照护在初产妇护理中的应用效果

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目的:探讨围产期温柔分娩照护在初产妇护理中的应用效果.方法:选取 2020 年 3 月—2022 年 2 月在厦门大学附属妇女儿童医院建档行孕期保健检查并愿意在院分娩的 120 例初产妇作为研究对象,以随机数表法将患者分为对照组和观察组,各 60 例.对照组给予围产期常规护理,观察组在对照组基础上给予温柔分娩照护.比较两组负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、分娩自我效能[简化中文版分娩自我效能量表(CBSEI-C32)]、不良分娩结局及产程.结果:入组时,两组SDS评分、SAS评分比较,差异无统计学意义(P>0.05);干预后,两组SDS评分、SAS评分较入组时降低,且观察组低于对照组,差异有统计学意义(P<0.05).入组时,两组CBSEI-C32 评分比较,差异无统计学意义(P>0.05);干预后,两组结果期望、自我效能期望及CBSEI-C32 总评分较入组时升高,且观察组高于对照组,差异有统计学意义(P<0.05).观察组不良分娩结局率低于对照组,差异有统计学意义(P<0.05).观察组第一、二产程短于对照组,差异有统计学意义(P<0.05);但两组第三产程比较,差异无统计学意义(P>0.05).结论:温柔分娩照护可有效提升初产妇围产期分娩自我效能,缓解产妇不良心理情绪,促进分娩顺利进行,降低不良分娩结局率.
Application Effect of Perinatal Gentle Delivery Care in Nursing of Primiparas
Objective:To explore the application effect of perinatal gentle delivery care in nursing of primiparas.Method:A total of 120 primiparas who filed for pregnancy health examination and willing to give birth in Women and Children's Hospital of Xiamen University from March 2020 to February 2022 were selected as the research objects,the patients were divided into the control group and the observation group by random number table method,60 cases in each group.The control group was given routine perinatal care,and the observation group was given perinatal gentle delivery care on the basis of the control group.The negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],childbirth self-efficacy[simplified Chinese version of childbirth self-efficacy scale(CBSEI-C32)],adverse delivery outcomes and labor were compared between two groups.Result:At the time of enrollment,there were no significant differences in SDS score and SAS score between two groups(P>0.05);after intervention,the scores of SDS and SAS in two groups were lower than those at the time of enrollment,and which in the observation group were lower than the control group,the differences were statistically significant(P<0.05).At the time of enrollment,there were no significant differences in CBSEI-C32 score between two groups(P>0.05);after intervention,the results expectation,self-efficacy expectation and CBSEI-C32 total score of two groups were higher than those at the time of enrollment,and which in the observation group were higher than than those in the control group,the differences were statistically significant(P<0.05).The adverse delivery outcome rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The first and second stages of labor in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05);however,there was no significant difference in the third stage of labor between two groups(P>0.05).Conclusion:Perinatal gentle delivery care can effectively improve the perinatal delivery self-efficacy of primiparas,alleviate the adverse psychological emotions of primiparas,promote the smooth delivery,and reduce the rate of adverse delivery outcomes.

PrimiparaGentle delivery carePsychological emotionDelivery outcomeDelivery self-efficacyLabor process

林巧丽

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厦门大学附属妇女儿童医院 福建 厦门 361000

初产妇 温柔分娩照护 心理情绪 分娩结局 分娩自我效能 产程

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(1)
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