Karaman Nergis, Ceylantekin Yeşim
Akşehir State Hospital, Nursing, Akşehir- Konya/ Turkey.
Afyonkarahisar Health Sciences University, Faculty of Health Sciences, Turkey.
Afr J Reprod Health. 2021 Dec;25(6):110-120. doi: 10.29063/ajrh2021/v25i6.12.
Nurses support pregnant women in coping with their labor pain. The aim of the quasi-experimental correlational design study was to identify the effect of the nursing support provided on labor pain and birth expectations to primiparous pregnant women. This study was carried out with an intervention (n=51) and control group (n=51) of primiparous women who were in their 37-41 weeks of pregnancy. In the first stage of labor (latent phase-active phase) (3-7 cm dilatation), the following procedures were applied respectively. Focusing, imagery, massage, sacral pressure, and breathing-relaxation-pushing exercises were explained to the pregnant women in the intervention group by the researcher and the exercises were practised one-on-one with them. The control group only received standard care in the ward without any intervention. The population of the study consisted of 102 pregnant women aged 18 years and above who had a vaginal delivery between February 15- August 15, 2018.The data of the study were collected using the Pregnancy Diagnosis Form, the Visual Analog Scale (VAS) (labor VAS1, post-natal VAS2) to determine the pain level of the participants, and WIJMA Labor Expectancy/Experience Questionnaire Version B to determine their expectations. SPSS 22.0 for Windows was used for the data analysis while frequency and percentage distribution, arithmetic means were calculated. Mann-Whitney U test, Kruskal- Wallis test, Spearman correlation analysis were performed. The statistical significance level was accepted as p <0.05. The socio-demographic and obstetric characteristics of the pregnant women in the study were similar. VAS1 was 6.0 1.3 in the intervention group and 6.4 .1 in the control group. VAS2 was 0.9 0,8 in the intervention group and 1.31 1,029 in the control group. Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) Version B was found to be7.3 14.9 in the intervention group and 117.1 23.9 in the control group. The study results showed that the pregnant women in the intervention group described their labor more positively, that the postpartum perceived pain, fear levels of pregnant women who received nursing support were lowerthanthosewhoreceivedstandardcare.
护士帮助孕妇应对分娩疼痛。这项准实验相关性设计研究的目的是确定为初产妇提供的护理支持对分娩疼痛和分娩期望的影响。本研究对怀孕37 - 41周的初产妇进行了干预组（n = 51）和对照组（n = 51）的研究。在分娩的第一阶段（潜伏期 - 活跃期）（宫口扩张3 - 7厘米），分别采用了以下程序。研究人员向干预组的孕妇讲解了集中注意力、意象、按摩、骶部按压以及呼吸 - 放松 - 用力练习，并与她们一对一地进行练习。对照组仅在病房接受标准护理，未进行任何干预。该研究的人群包括2018年2月15日至8月15日期间进行阴道分娩的102名18岁及以上的孕妇。研究数据通过妊娠诊断表、视觉模拟量表（VAS）（分娩时VAS1、产后VAS2）来确定参与者的疼痛程度，以及WIJMA分娩期望/体验问卷B版来确定她们的期望。使用Windows版SPSS 22.0进行数据分析，计算频率和百分比分布、算术平均值。进行了曼 - 惠特尼U检验、克鲁斯卡尔 - 沃利斯检验、斯皮尔曼相关性分析。统计学显著性水平设定为p < 0.05。研究中孕妇的社会人口统计学和产科特征相似。干预组的VAS1为6.0±1.3，对照组为6.4±1.1。干预组的VAS2为0.9±0.8，对照组为1.31±1.029。干预组的Wijma分娩期望/体验问卷（W - DEQ）B版为7.3±14.9，对照组为117.1±23.9。研究结果表明，干预组的孕妇对分娩的描述更为积极，接受护理支持的孕妇产后的疼痛感知、恐惧水平低于接受标准护理的孕妇。
