积极心理护理联合自由体位对单胎顺产初产妇预后的影响
Effects of Positive Psychological Nursing Combined with Free Posture on the Prognosis of Primipara with Singleton Spontaneous Delivery.
作者信息
Zhao Xuefei, He Jianjun, Liu Jue
机构信息
The Second Affiliated Hospital, Department of Obstetrics and Gynecology, Hengyang Medical School, University of South China, Hengyang, Hunan 421001, China.
出版信息
Evid Based Complement Alternat Med. 2022 Aug 28;2022:6393050. doi: 10.1155/2022/6393050. eCollection 2022.
OBJECTIVE
To explore the effects of positive psychological nursing combined with free posture on the prognosis of primipara with singleton spontaneous delivery.
METHODS
106 cases of primipara with singleton spontaneous delivery who were admitted to the obstetrics department of our hospital from January 2017 to December 2019 were selected as the research subjects and they were divided into the observation group and control group according to the random number table method and maternal willingness, with 53 cases in each group. The control group received routine nursing, and the observation group was given positive psychological nursing combined with free posture on the basis of the control group. The stress degree during delivery (Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD)), the time of first stage of labor, the time of second stage of labor, the time of third stage of labor, pain level during the active period of the first stage of labor, and delivery outcomes were observed and compared between the two groups.
RESULTS
The degree of anxiety and depression during childbirth in the observation group was significantly lower than that in the control group ( < 0.05). The time of first stage of labor and the time of second stage of labor in the observation group were shorter than those in the control group ( < 0.05), and there was no significant difference in the time of the third stage of labor ( > 0.05). The pain degree in the active stage of the first stage of labor in the observation group was lower than that in the control group ( < 0.05). The pain degree in the active stage of the first stage of labor in the observation group was lower than that in the control group ( < 0.05).
CONCLUSION
Positive psychological nursing combined with free posture for primipara with singleton spontaneous delivery can shorten the stages of labor, reduce the pain, relieve psychological stress, and improve the delivery outcomes.
目的
探讨积极心理护理联合自由体位对单胎顺产初产妇预后的影响。
方法
选取2017年1月至2019年12月在我院产科住院分娩的单胎顺产初产妇106例作为研究对象，按照随机数字表法并结合产妇意愿分为观察组和对照组，每组53例。对照组给予常规护理，观察组在对照组基础上给予积极心理护理联合自由体位。观察比较两组产妇分娩时的应激程度（汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD））、第一产程时间、第二产程时间、第三产程时间、第一产程活跃期疼痛程度及分娩结局。
结果
观察组分娩时的焦虑、抑郁程度明显低于对照组（P<0.05）。观察组第一产程时间和第二产程时间短于对照组（P<0.05），第三产程时间比较差异无统计学意义（P>0.05）。观察组第一产程活跃期疼痛程度低于对照组（P<0.05）。
结论
积极心理护理联合自由体位应用于单胎顺产初产妇，可缩短产程，减轻疼痛，缓解心理应激，改善分娩结局。
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