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观看虚拟现实视频与咀嚼口香糖对分娩阶段和产妇分娩满意度影响的比较:一项随机对照试验。

Comparisons of the Effects of Watching Virtual Reality Videos and Chewing Gum on the Length of Delivery Stages and Maternal Childbirth Satisfaction: A Randomized Controlled Trial.

机构信息

Department of Midwifery, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.

Student Research Committee, Gonabad University of Medical Sciences, Gonabad, Iran.

出版信息

Iran J Med Sci. 2021 Jan;46(1):15-22. doi: 10.30476/ijms.2019.82782.1119.


DOI:10.30476/ijms.2019.82782.1119
PMID:33487788
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7812498/
Abstract

BACKGROUND: Maternal childbirth satisfaction is one of the important indicators of the quality of the care provided. The use of non-pharmacological therapies can make the childbirth process a pleasurable event for the mother. This study aimed to compare the effects of watching virtual reality videos and chewing gum on the length of delivery stages and maternal satisfaction. METHODS: This clinical trial study was performed on 93 women with first and second pregnancies, who were referred to Allameh Bohlool Hospital in Gonabad and Sajjadieh Hospital in Torbat-e-Jam, Iran, for childbirth between 2018 and 2019. Pregnant women were randomly assigned to three groups of chewing gum, virtual reality, and control. Interventions were performed twice: in the active (dilation of 4-5 cm) and second (dilation of 7-8 cm) phases of parturition for 20 minutes each. Data were collected using data-gathering forms, including a demographic characteristics form, a midwifery characteristics form, and the Mackey Childbirth Satisfaction Rating Scale. The data were analyzed using SPSS, version 22, via the Chi square tests, ANOVA, Kruskal-Wallis, and Tukey's tests. RESULTS: The difference in the mean maternal childbirth satisfaction score between the two intervention groups of virtual reality and chewing gum was not statistically significant (P=0.339), but the mean score in the intervention groups was higher than that of the control group (P<0.001(. There was no significant difference in the mean length of the active and second phases of parturition between the two intervention groups, but this value in the intervention groups was significantly lower than that of the control group. CONCLUSION: The thought divergence interventions of chewing gum and watching virtual reality videos enhanced childbirth satisfaction, and curtailed parturition stages in our sample of pregnant women. IRCT20181214041963N1.

摘要

背景:产妇分娩满意度是护理质量的重要指标之一。使用非药物疗法可以使分娩过程成为母亲愉悦的事件。本研究旨在比较观看虚拟现实视频和咀嚼口香糖对分娩阶段和产妇满意度的影响。

方法:本临床试验研究于 2018 年至 2019 年在伊朗贡巴德和托巴特-杰姆的阿拉美博洛勒医院对 93 名初产妇和经产妇进行,将产妇随机分为咀嚼口香糖组、虚拟现实组和对照组。干预措施分两次进行:在分娩的活跃期(4-5 厘米扩张)和第二期(7-8 厘米扩张),每次 20 分钟。使用数据收集表收集数据,包括人口统计学特征表、助产特征表和麦基分娩满意度评分量表。使用 SPSS 版本 22 通过卡方检验、方差分析、克鲁斯卡尔-沃利斯检验和图基检验对数据进行分析。

结果:虚拟现实和咀嚼口香糖两组干预组产妇分娩满意度评分的平均值差异无统计学意义(P=0.339),但干预组的平均值评分高于对照组(P<0.001)。两组干预组活跃期和第二期分娩的平均长度无显著差异,但干预组的这一数值明显低于对照组。

结论:咀嚼口香糖和观看虚拟现实视频的思维发散干预增强了分娩满意度,并缩短了我们的孕妇样本的分娩阶段。IRCT20181214041963N1。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4e0/7812498/2eba3941a242/IJMS-46-15-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4e0/7812498/2eba3941a242/IJMS-46-15-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4e0/7812498/2eba3941a242/IJMS-46-15-g001.jpg

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[5]
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[6]
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[8]
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本文引用的文献

[1]
Virtual Reality Analgesia in Labor: The VRAIL Pilot Study-A Preliminary Randomized Controlled Trial Suggesting Benefit of Immersive Virtual Reality Analgesia in Unmedicated Laboring Women.

Anesth Analg. 2019-6

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Virtual reality and augmented reality applications and simulation in vascular access management with three-dimensional visualization.

J Vasc Access. 2019-5

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Clin J Pain. 2018-9

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Chewing gum alleviates negative mood and reduces cortisol during acute laboratory psychological stress.

Physiol Behav. 2009-6-22

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Am J Obstet Gynecol. 2002-5

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