摘要
目的探讨导乐陪伴式护理联合按摩干预对顺产产妇产后疼痛程度及心理应激状态的影响。方法选取驻马店市中心医院妇女儿童医院2019年2月至2022年2月收治的120例顺产产妇,按随机数字表法分为对照组和观察组,各60例。对照组采用常规护理干预,观察组采用导乐陪伴式护理联合按摩干预。比较两组产程时间、产后情况、疼痛程度、心血管应激反应、心理状态以及分娩自我效能。结果观察组第1产程和第2产程时间短于对照组,产后2 h出血量少于对照组,产后第3 d泌乳量多于对照组,差异有统计学意义(P<0.05);观察组疼痛严重程度低于对照组,差异有统计学意义(P<0.05);与入待产室时比较,新生儿娩出时两组产妇平均动脉压、心率均增大,差异有统计学意义(P<0.05),出待产室时对照组平均动脉压、心率均增大,差异有统计学意义(P<0.05),新生儿娩出时和出待产室时观察组平均动脉压、心率均小于对照组,差异有统计学意义(P<0.05);干预后两组焦虑评分、抑郁评分均降低,观察组低于对照组,差异有统计学意义(P<0.05),分娩自我效能评分均升高,观察组高于对照,差异有统计学意义(P<0.05)。结论导乐陪伴式护理联合按摩干预可有效缩短顺产产妇产程,减轻产后疼痛,降低心理应激反应,提高自我效能。
Objective To explore the effects of doula accompanying nursing combined with massage intervention on postpartum pain and psychological stress state of parturient women.Methods A total of 120 cases of puerperia who were admitted to the Women and Children's Hospital of Zhumadian Central Hospital from February 2019 to February 2022 were selected and divided into a control group and an observation group according to the random number table method,with 60 cases in each group.The control group was treated with routine nursing intervention,and the observation group was treated with doula accompanying nursing combined with massage intervention.Labor time,postpartum situation,pain degree,cardiovascular stress response,psychological state,and delivery self-efficacy were compared between the two groups.Results The time of the first and second stages of labor in the observation group was shorter than that in the control group,the blood loss at 2 h after delivery was less than that in the control group,and the milk production at 3 d after delivery was more than that in the control group,the difference was statistically significant(P<0.05).The pain severity of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Compared with the expectant room,the mean arterial pressure and heart rate of the two groups were increased when the newborn was delivered,and the difference was statistically significant(P<0.05).The mean arterial pressure and heart rate of the control group increased when the newborn was leaving the waiting room,the difference was statistically significant(P<0.05).The mean arterial pressure and heart rate of the observation group were lower than that of the control group when the newborn was delivered and left the waiting room,the difference was statistically significant(P<0.05).After the intervention,anxiety scores and depression scores of both groups were decreased,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).The delivery self-efficacy scores were increased,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion Doula-accompanied nursing combined with massage intervention can effectively shorten the labor course,relieve postpartum pain,reduce psychological stress reactions,and improve self-efficacy.
作者
范淑华
孙淑玲
FAN Shuhua;SUN shuling(Family Delivery Room,Women's and Children's Hospital,Zhumadian Central Hospital,Zhumadian Henan 463000,China;Office of Head Nurse,Zhumadian Central Hospital,Zhumadian Henan 463000,China)
出处
《临床研究》
2023年第9期170-173,共4页
Clinical Research
关键词
顺产产妇
导乐陪伴式护理
按摩干预
疼痛程度
心理应激状态
parturient women
doula accompanying nursing
massage intervention
degree of pain
psychological stress state
作者简介
范淑华,女,主管护师,硕士研究生。研究方向:自然分娩;通讯作者:孙淑玲,主任护师,zxyyssl@163.com。
