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分娩时使用分娩球对孕妇分娩满意度及疼痛的影响:一项随机对照试验

Effect of using a birth ball on birth satisfaction and pain in pregnant women during labor: a randomized controlled trial.

作者信息

Erkal Aksoy Yasemin, Dereli Yilmaz Sema, Çelimli Şerife

机构信息

The Midwifery Department of Health Sciences Faculty, Selcuk University, Konya, Türkiye.

Dr. Ali Kemal Belviranlı Maternity and Children's Hospital, Republic of Türkiye Ministry of Health, Konya, Türkiye.

出版信息

Arch Gynecol Obstet. 2024 Dec;310(6):2999-3007. doi: 10.1007/s00404-024-07825-3. Epub 2024 Nov 25.

Abstract

PURPOSE

This study was applied to evaluate the effect of birth ball use on birth satisfaction and pain levels of pregnant women during labor.

METHODS

The type of study is randomized controlled. The data of the study were collected in the delivery room of a state hospital in Konya/Türkiye between March 2020 and December 2021. The sample of the study consisted of 57 pregnant women for the intervention group and 54 pregnant women for the control group. During labor, intervention group was seated on the birth ball in an upright position; control group was laid on the bed in semi-fawler or lateral positions. In the study, Descriptive Information Form, Birth Process Follow-up Form, Visual Analog Scale and Birth Satisfaction Scale-Revised were used as data collection tools.

RESULTS

It was determined that the pain scores of the pregnant women in the intervention group were lower during the first and second follow-up than the control group. The duration of the active phase of labor in the intervention group was shorter than in the control group, and a statistically significant difference was found between them. It was found that the Birth Satisfaction Scale-Revised total score, the sub-dimensions of quality of care, women's attributes and stress experienced during labor of the pregnant women in the intervention group were higher than the control group.

CONCLUSION

According to the results of the study, the use of a birth ball during the active phase of labor reduces the pain level during labor and increases the level of birth satisfaction of pregnant women.

摘要

目的

本研究旨在评估分娩时使用分娩球对孕妇分娩满意度和疼痛程度的影响。

方法

本研究为随机对照研究。研究数据于2020年3月至2021年12月在土耳其科尼亚一家国立医院的产房收集。研究样本包括干预组的57名孕妇和对照组的54名孕妇。分娩期间,干预组孕妇以直立姿势坐在分娩球上;对照组孕妇以半 Fowler 位或侧卧位躺在床上。本研究使用描述性信息表、分娩过程随访表、视觉模拟量表和修订后的分娩满意度量表作为数据收集工具。

结果

确定干预组孕妇在第一次和第二次随访时的疼痛评分低于对照组。干预组分娩活跃期的持续时间短于对照组,且两者之间存在统计学显著差异。发现干预组孕妇修订后的分娩满意度量表总分、护理质量、女性特征和分娩期间经历的压力等子维度高于对照组。

结论

根据研究结果,在分娩活跃期使用分娩球可降低分娩时的疼痛程度,并提高孕妇的分娩满意度。

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