Hur Myung-Haeng, Cheong NamYoun, Yun HyeSung, Lee MiKyoung, Song Youngshin
School of Nursing, Eulji University, Daejeon City, Korea.
Taehan Kanho Hakhoe Chi. 2005 Dec;35(7):1277-84. doi: 10.4040/jkan.2005.35.7.1277.
This study was designed to investigate the effect of delivery nursing care using essential oils on labor stress response, labor anxiety and postpartum status anxiety for primipara.
This study used nonequivalent control group pretest-posttest design. The subjects of this experiment consisted of forty eight primipara with single gestation, full term, & uncomplicated pregnancies. Twenty four primipra were in the experimental and control group each. Their mean age was 27.9 years old, their mean gestation period 279.9 days. As a treatment, delivery nursing care using essential oils was applied by nurses. Data collected epinephrine, norepinephrine, anxiety during labor. In the 24 hours after birth, the data for the postpartum mother's status anxiety was collected. Data was analyzed by t-test, repeated measures ANOVA, Mann-Whitney U test, & Wilcoxon signed ranks test with SPSS Program.
Plasma epinephrine, norepinephrine were significantly low in the experimental group (P=0.001, P=0.033, respectively). There was no significant difference between the two groups in anxiety during labor and postpartum mother's status anxiety.
These findings indicate that delivery nursing care using essential oils could be effective in decreasing plasma epinephrine, norepinephrine. But, that could not be verified in decreasing mother's anxiety.
本研究旨在探讨使用精油进行分娩护理对初产妇分娩应激反应、分娩焦虑及产后状态焦虑的影响。
本研究采用非等效对照组前后测设计。本实验的受试者包括48名单胎妊娠、足月且无并发症的初产妇。实验组和对照组各有24名初产妇。她们的平均年龄为27.9岁，平均妊娠期为279.9天。作为一种治疗方法，护士采用使用精油的分娩护理。收集的数据包括肾上腺素、去甲肾上腺素以及分娩期间的焦虑情况。在产后24小时，收集产后母亲状态焦虑的数据。使用SPSS软件通过t检验、重复测量方差分析、曼-惠特尼U检验和威尔科克森符号秩检验对数据进行分析。
实验组的血浆肾上腺素、去甲肾上腺素显著降低（分别为P = 0.001，P = 0.033）。两组在分娩期间的焦虑和产后母亲状态焦虑方面没有显著差异。
这些研究结果表明，使用精油进行分娩护理可能在降低血浆肾上腺素、去甲肾上腺素方面有效。但是，在减轻母亲焦虑方面未能得到证实。
