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多模式分层心理护理对无痛分娩产妇的影响

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目的:探讨多模式分层心理护理对无痛分娩产妇的影响。方法:选取 2023 年 1 月—2024 年 1 月厦门大学附属第一医院杏林分院收治的 103 例无痛分娩产妇。根据随机法将其分为对照组(n=51)和观察组(n=52)。对照组给予常规护理,观察组在对照组基础上给予多模式分层心理护理。比较两组产程时间,护理前后焦虑、抑郁及分娩恐惧,分娩结局。结果:观察组第一产程、第二产程、第三产程时间均短于对照组,差异有统计学意义(P<0。05)。护理后,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均降低,观察组SAS评分、SDS评分均低于对照组,差异有统计学意义(P<0。05)。护理后,两组胎儿健康、产痛伤害、自我控制、医疗护理评分均降低,观察组胎儿健康、产痛伤害、自我控制、医疗护理评分均低于对照组,差异有统计学意义(P<0。05)。观察组不良分娩结局发生率为 5。77%,低于对照组的 19。61%,差异有统计学意义(P<0。05)。结论:多模式分层心理护理能有效缩短无痛分娩产妇产程时间,改善其心理状态,且能降低不良分娩结局发生率。
Effect of Multimodal Stratified Psychological Nursing on Maternity with Painless Labor
Objective:To explore the effect of multimodal stratified psychological nursing on maternity with painless labor.Method:A total of 103 maternity with painless delivery admitted to Xinglin Branch,the First Affiliated Hospital of Xiamen University from January 2023 to January 2024 were selected.They were divided into control group(n=51)and observation group(n=52)according to random method.The control group was given routine nursing,and the observation group was given multimodal stratified psychological nursing on the basis of the control group.Labor process time,anxiety,depression and fear of labor before and after nursing,and labor outcome were compared between the two groups.Result:The first stage,second stage and third stage of labor in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were decreased in both groups,and the scores of SAS and SDS in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After nursing,the scores of fetal health,childbirth hurt,self-control and medical care in both groups were decreased,and the scores of fetal health,childbirth hurt,self-control and medical care in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of adverse delivery outcomes in the observation group was 5.77%,which was lower than 19.61%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Multimodal stratified psychological nursing can effectively shorten the labor time of maternity with painless labor,improve their psychological state,and reduce the incidence of adverse delivery outcomes.

Painless laborMultimodal stratified psychological nursingPsychological nursingMental stateChildbirth outcome

杨敏、钟琳

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厦门大学附属第一医院杏林分院 福建 厦门 361022

无痛分娩 多模式分层 心理护理 心理状态 分娩结局

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(26)