摘要
目的探讨自由体位结合自主屏气用力在初产妇分娩应对中的应用效果。方法选取660例2019年12月至2020年12月产科收治的初产妇作为研究对象,以随机数字表法分为对照组和试验组,每组330例。对照组给予常规产科自然分娩护理,试验组给予自由体位结合自主屏气用力分娩护理,2组均持续干预至分娩结束。比较2组干预期间的分娩方式,分娩时间,第一、第二产程的疼痛情况、入产房时、第二产程的焦虑情况,干预后的母婴不良事件发生情况及护理满意度。结果干预期间,试验组自然分娩率为93.94%,高于对照组的88.48%(P<0.05)。试验组第一、第二、第三产程及总产程时间均短于对照组(P<0.05)。与第一产程比较,第二产程2组视觉模拟评分法(VAS)评分均升高,但试验组第一、第二产程的VAS评分均低于对照组(P<0.05);与入产房时比较,第二产程试验组焦虑自评量表(SAS)评分降低,且试验组入产房时、第二产程的SAS评分均低于对照组(P<0.05)。干预后,试验组产后出血率、新生儿窒息率均低于对照组(P<0.05);而试验组护理满意率高于对照组(P<0.05)。结论自由体位结合自主屏气用力分娩护理可缓解初产妇疼痛、焦虑情况,缩短产程,增加自然分娩率,并可减少母婴不良事件的发生,进而有利于提高护理满意度。
Objective To investigate the application effects of free posture combined with independent breath-holding force in coping with delivery of primipara.Methods A total of 660 primipara who were admitted to our hospital from December 2019 to December 2020 were enrooled in thestudy,who were randomly divided into control group and experimental group,with 330 cases in each group.The primipara in control group were given routine spontaneous delivery nursing,however,those in experimental group were given free posture combined with independent breath-holding force delivery nursing,until the end of delivery.The delivery mode during intervention,delivery time,and the pain in the first and second stage of labor,the anxiety status when entering the delivery room and the second stage of labor,and the incidence of maternal and infant adverse events as well as nursing satisfaction degree were observed and compared between the two groups.Results During intervention,the natural delivery rate in experimental group was significantly higher than that in control group(93.94%vs 88.48%,P<0.05).The time of first,second,third stage of labor and the total labor time of in experimental group were significantly shorter than those in control group(P<0.05).And the VAS scores of the first and second stages of labor in experimental group were significantly lower than those in control group(P<0.05).As compared with those when entering the delivery room,the scores of self-rating anxiety scale(SAS)in experimental group were significantly decreased,moreover,which in experimental group were significantly lower than those in control group(P<0.05).After intervention,the rates of postpartum hemorrhage and neonatal asphyxia in experimental group significantly lower than those in control group(P<0.05),however,nursing satisfaction degree in experimental group was significantly higher than that in control group(P<0.05).Conclusion The free posture combined with independent breath-holding force delivery nursing can relieve the pain and anxiety of primiparas,shorten the delivery stage,increase the natural delivery rate,and reduce the occurrence of maternal and infant adverse events,thereby improving the nursing satisfaction degree.
作者
刘菲
LIU Fei(The First Hospital Affiliated to Hebei North College,Hebei,Zhangjiakou 075000,China)
出处
《河北医药》
CAS
2022年第7期1108-1110,1114,共4页
Hebei Medical Journal
关键词
初产妇
分娩
自由体位
自主屏气用力
效果
primipara
delivery
free posture
independent breath-holding force
effect
