摘要
目的:探讨家属陪伴分娩联合Watson关怀理论对合并妊娠疾病的初产妇产程及母婴结局的影响。方法:选取2023年6月-2024年6月在本院确诊的合并妊娠疾病的初产妇240例,根据不同干预方法分为联合组(n=118)和对照组(n=122),对照组采用常规护理,联合组采用家属陪伴分娩联合Watson关怀理论。比较两组分娩方式、产程时间、负性情绪、疼痛感知和母婴结局。结果:两组产妇均顺利分娩,未出现死亡病例。联合组自然分娩39例(33.1%)、剖宫产79例(67.0%),对照组自然分娩45例(36.9%)、剖宫产77例(63.1%),两组无差异(P>0.05)。联合组第一产程、第二产程、第三产程、总产程均短于对照组(P<0.05),在产后3 d,联合组的爱丁堡产后抑郁量表评分(6.28±2.02分)低于对照组(7.42±2.11分),分娩缝合、产后1 h、产后1 d、2 d视觉模拟评分(6.28±1.56分、4.84±1.24分、3.56±1.23分、3.15±0.97分)均低于对照组(6.76±1.71分、6.23±1.31分、4.18±1.50分、3.87±1.24分)(均P<0.05),母婴不良结局与对照组无差异(P>0.05)。结论:针对合并妊娠疾病的初产妇,采用家属陪伴分娩联合Watson关怀理论可有效缩短产程、改善产妇负性情绪和疼痛感知。
Objective:To explore the effects of the family companion delivery combined with Watson carc theory for primiparas with pregnancy diseases on their stages of labor and maternal and neonatal outcomes.Methods:A total of 240 primiparas with pregnancy diseases confirmed in the hospital were enrolled between June 2023 and June 2024.According to the different intervention methods,these primiparas were divided into control group(122 cases with the routine nursing)and study group(118 cases with the family companion delivery combined with Watson care theory).The delivery mode,the duration of stages of labor,the negative emotion,the pain perception and the maternal and neonatal outcomes of the primiparas were compared between the two groups.Results:All the primiparas in the two groups delivered successfully,and no any death occurred.There were 39(33.1%)cases with natural delivery and 79(67.0%)cases with cesarean section in the study group,and there were 15(36.9%)cases with natural delivery and 77(63.1%)cases with cesarean section in the control group,and which of the primiparas had no significant differences between the two groups(P>0.05).The durations of the first stage of labor,the second stage of labor,the third stage of labor and the total stage of labor of the primiparas in the study group were significantly shorter than those of the primiparas in the control group(P<0.05).In the 3rd day after delivery,the Edinburgh postnatal depression scale score(6.28±2.02 points)of the primiparas in the study group was significantly lower than that(7.42±2.11 points)of the primiparas in the control group.The delivery suture rate of the primiparas in the observation group was significantly lower than that of the primiparas in the control group.The visual analogue scale(VAS)scores of the primiparas in the observation group at postpartum lh,in postpartum 1d and in postpartum 2d(6.28±1.56 points,4.84±1.24 points,3.56±1.23 points and 3.15±0.97 points)were significantly lower than those(6.76±1.71 points,6.23±1.31 points,4.18±1.50 points and 3.87±1.24 points)of the primiparas in the control group(all P<0.05).There was no signifi-cant difference in the maternal and neonatal adverse outcomes between the two groups(P<0.05).Conclusion:The family companion delivery combined with Watson care theory for the primiparas with pregnancy diseases can effectively shorten their stages of labor and relive their negative emotions and pain perception.
作者
曾雅妮
杨洋
袁烽力
李小倩
ZENG Yani;YANG Yang;YUAN Fengli;LI Xiaoqian(Mianyang Maternal and Child Health Care Hospital,Sichuan Province,621000)
出处
《中国计划生育学杂志》
2025年第7期1593-1596,1601,共5页
Chinese Journal of Family Planning
