摘要
目的探讨助产士引导的全程心理干预对初产妇的影响。方法选取我院2014年2月~2016年11月期间住院的120例初产妇为研究对象,按照随机数字表法分为观察组(常规护理联合助产士引导的全程心理干预)与对照组(常规护理),比较两组产妇焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、产程时间、产后2h出血量和分娩方式以及产后1~2周VAS评分、新生儿Apgar评分。结果观察组SAS评分、SDS评分显著低于对照组,差异具有统计学意义(P<0.05);观察组第一产程、第二产程时间显著短于对照组(P<0.05),第三产程时间比较无显著差异(P>0.05);观察组术后2h出血量显著少于对照组(P<0.05);观察组自然分娩率(91.67%)显著高于对照组(70.00%),差异具有统计学意义(P<0.05);观察组产妇产后1~2周VAS评分显著低于对照组(P<0.05);观察组新生儿Apgar评分显著高于对照组(P<0.05)。结论助产士引导的全程心理干预可以有效调节产妇不良情绪,缩短产程时间,减少术后2h出血量,降低分娩风险,提高自然分娩率和分娩质量。
Objective To explore the effect of whole-course psychological intervention guided by midwives on primipara. Methods 120 primipara who were hospitalized in our hospital from February 2014 to November 2016 were selected as research objects and they were divided into the observation group and the control group, according to random number table method. The observation group was given routine nursing combined with whole-course psychological intervention guided by midwives while the control group was given routine nursing. Self-rating Anxiety Scale （SAS） score, Self-rating Depression Scale （SDS） score, duration of labor, blood loss of postpartum 2h, mode of delivery, Visual Analogue Scale （VAS） score and neonatal Apgar score of primipara in two groups were compared. Results The SAS score and SDS score of observation group were significantly lower than those of the control group and the difference was statistical significant （P 〈 0.05）. Time of the first and second stage of labor of the observation group was significantly shorter than that of control group （P〈0.05） but there was no significant difference in time of the third stage of labor （P 〉 0.05）. Blood loss of postpartum 2h of observation group was significantly less than that that of control group （P 〈 0.05）. The rate of natural delivery of the observation group was 91.67%, significantly higher than that of the control group 70.00%. The difference was statistical significant （P 〈 0.05）. VAS scores of postpartum 1 week and 2 weeks of the observation group were significantly lower than those of the control group （P 〈 0.05）. Neonatal Apgar score of the observation group was significantly higher than that of the control group （P 〈 0.05）. Conclusion Whole-course psychological intervention guided by midwives can effectively regulate the negative emotions of Primipara, shorten duration of labor, reduce blood loss of postpartum 2h and the risk of delivery, improve the rate of natural delivery and the quality of delivery.
出处
《中国医药科学》
2017年第8期182-184,共3页
China Medicine And Pharmacy
关键词
助产士
心理干预
初产妇
分娩
Midwife
Psychological intervention
Primipara
Delivery
