Leopold 手法腹部触诊护理干预方案对母婴依恋的影响。
Effect of nursing intervention program using abdominal palpation of Leopold's maneuvers on maternal-fetal attachment.
机构信息
Department of Nursing, Kyoto Koka Women's University, 38 Kadono-cho, Nishikyogoku, Kyoto, Ukyo-ku 615-0882, Japan.
出版信息
Reprod Health. 2013 Feb 19;10:12. doi: 10.1186/1742-4755-10-12.
BACKGROUND
The aim of this study was to investigate whether a nursing intervention program using abdominal palpation would improve maternal-fetal relationships of pregnant women.
METHODS
The subjects were Japanese women aged less than 40 years with singleton pregnancies. A nursing intervention involving abdominal palpations of Leopold's Maneuvers was performed for the intervention group (n = 35) in the 30th, 32nd, and 34th weeks' gestation, while ordinary health-related advice was provided to the control group (n = 73) in the corresponding period.
RESULTS
At the 30th (baseline) week, no intergroup differences were observed. However, the intervention group showed higher Prenatal Attachment Inventory (PAI) scores in the 34th (P < 0.01) and 36th weeks (P < 0.05) as well as a higher frequency of talking to the fetus in the 32nd (P < 0.01), 34th (P < 0.01), and 36th weeks (P < 0.05). Furthermore, Fetal position awareness score in the 32nd, the 34th, and the 36th weeks were higher in the intervention group than in the control group (P < 0.001).
CONCLUSIONS
The present findings have suggested that nursing interventions involving abdominal palpations can develop the maternal-fetal relationship. Further random controlled trials are warranted to ascertain this observation.
背景
本研究旨在探讨使用腹部触诊的护理干预方案是否会改善孕妇的母婴关系。
方法
研究对象为年龄小于 40 岁、单胎妊娠的日本女性。干预组（n=35）在 30、32 和 34 孕周进行腹部触诊的护理干预，而对照组（n=73）在同期仅接受常规健康相关建议。
结果
在 30 孕周（基线）时，两组间无差异。然而，干预组在 34 孕周（P<0.01）和 36 孕周（P<0.05）时的产前依恋量表（PAI）评分更高，在 32 孕周（P<0.01）、34 孕周（P<0.01）和 36 孕周（P<0.05）时与胎儿对话的频率更高。此外，干预组在 32、34 和 36 孕周时胎儿位置感知评分均高于对照组（P<0.001）。
结论
本研究结果表明，腹部触诊的护理干预可以促进母婴关系的发展。需要进一步的随机对照试验来确定这一观察结果。
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