摘要
目的探讨三线放松法对初产妇产前分娩恐惧和妊娠结局的干预效果,旨在寻找一种有效减轻初产妇分娩恐惧的方法。方法将2017年6月至2018年6月在山东省日照市妇幼保健院进行孕期产检的94例初产妇按照随机数字表法分为试验组和对照组各47例。对照组给予常规产前护理,试验组实施以拉玛泽呼吸分娩法为基础三线放松法。分别与干预前、干预第4周、分娩前采用Wijma分娩预期问卷(W-DEQ-A)评价孕妇分娩恐惧程度,妊娠相关焦虑量表(PAQ)评价孕妇焦虑水平,并比较2组妊娠和新生儿结局。结果干预第4周、分娩前试验组W-DEQ-A得分分别为(74.73±7.48)、(80.32±9.25)分,低于对照组的(83.11±12.19)、(87.11±10.22)分;PAQ得分分别为(20.79±4.04)、(18.68±4.09)分,低于对照组的(24.74±4.69)、(23.22±4.11)分,2组比较差异有统计学意义(t值为3.301~5.246,P<0.01)。试验组孕妇产程时间和剖宫产率分别为(11.66±3.71)h、6.82%(3/44),对照组为(15.39±4.27)h、21.74%(10/46),2组比较差异有统计学意义(t值为4.417,χ2值为4.051,P<0.01或0.05)。结论以拉玛泽呼吸分娩法为基础的三线放松法能显著降低初产妇分娩恐惧和焦虑水平,有助于改善妊娠结局,值得推广应用。
Objective To investigate the effect of three-line relaxation method on the fear of childbirth and pregnancy outcome in primipara,to explore the useful method to prevent childbirth fear of primipara.Methods A total of 94 cases of primipara who had regular prenatal care at Rizhao Maternal and Child Health Care Hospital from June 2017 to June 2018 were divided into study group and control group with 47 cases each by random number table method.Participants in the control group received routine nursing,while the study group carried out Lamaze respiratory delivery-based three-line relaxation method.The fear of childbirth was investigated by Wijma Delivery Expectancy Questionnaire(W-DEQ-A)before intervention,4 weeks of intervention and before delivery,the anxiety was assessed by Pregnancy-Related Anxiety Questionnaire(PAQ).Meanwhile,the pregnancy and neonatal outcome was also compared between two groups.Results After 4 weeks of intervention and before delivery,the W-DEQ-A scores were(74.73±7.48)and(80.32±9.25)points in the study group,lower than in the control group(83.11±12.19)and(87.11±10.22)pionts;the PAQ scores were(20.79±4.04)and(18.68±4.09)points,also lower than in the control group(24.74±4.69)and(23.22±4.11)points,the difference was statistically significant(t value was 3.301-5.246,P<0.01).The duration of labor and the rate of caesarean section were(11.66±3.71)h,6.82%(3/44)and(15.39±4.27)h,21.74%(10/46)in the study group and control group,respectively,the difference was statistically significant(t value was 4.417,χ2 value was 4.051,P<0.01 or 0.05).Conclusions Lamaze respiratory delivery-based three-line relaxation method can reduce anxiety and childbirth fear and improve pregnancy outcome of primipara,which is worthy of popularization and application.
作者
申家美
Shen Jiamei(Department of Operating Room,Rizhao Maternal and Child Health Care Center,Rizhao 276825,China)
出处
《中国实用护理杂志》
2020年第10期741-746,共6页
Chinese Journal of Practical Nursing
关键词
三线放松法
拉玛泽呼吸分娩法
分娩恐惧
妊娠结局
初产妇
Three-line relaxation method
Lamaze respiratory care
Fear of childbirth
Pregnancy outcome
Primipara
