摘要
目的:探究拉玛泽呼吸减痛法联合虚拟现实(VR)技术对经阴道分娩产妇分娩结局的影响.方法:选取2019年1-6月本院收治的80例拟经阴道分娩的待产产妇.按随机数字表法分为观察组与对照组,各40例.对照组予以常规护理,观察组在对照组基础上给予拉玛泽呼吸减痛法联合VR技术干预.比较两组护理效果、分娩前后负面情绪、分娩疼痛程度、分娩结局及围产儿情况;比较两组阴道分娩产妇产程时间.结果:观察组护理总有效率高于对照组(P<0.05).分娩后,两组焦虑自评量表(SAS)与抑郁自评量表(SDS)评分均低于分娩前,且观察组均低于对照组(P<0.05).观察组第一、二产程疼痛程度均优于对照组(P<0.05).观察组产后出血量、会阴损伤程度及剖宫产率均明显优于对照组(P<0.05).观察组阴道分娩产妇各产程及总产程时间均明显短于对照组(P<0.05).观察组新生儿黄疸与窒息发生率均明显低于对照组,且新生儿1、5 min Apgar评分均高于对照组(P<0.05).结论:拉玛泽呼吸减痛法联合VR技术可缩短阴道分娩产程,降低分娩疼痛,有助于改善产妇负面情绪及分娩结局,值得临床推广.
Objective:To explore the effect of Lamaze’s respiratory pain relief method combined with virtual reality(VR)technology on the delivery outcome of vaginal delivery parturient.Method:From January to June 2019,80 expectant mothers planned to vaginal delivery were selected in our hospital.According to the random number table method,they were divided into observation group and control group,40 cases in each group.The control group was given routine nursing,and the observation group was given Lamaze’s respiratory pain relief method combined with VR technology intervention on the basis of the control group.The nursing effect,negative emotion before and after delivery,labor pain degree,delivery outcome and perinatal condition of the two groups were compared.The labor duration of vaginal delivery parturient in two groups was compared.Result:The total effective rate in the observation group was higher than that in the control group(P<0.05).After delivery,the scores of anxiety self-rating scale(SAS)and depression self-rating scale(SDS)in the two groups were lower than those before delivery,and those in the observation group were lower than those in the control group(P<0.05).The degree of pain in the first and second stages of labor in the observation group were better than those in the control group(P<0.05).The amount of postpartum bleeding,degree of perineal injury and cesarean section rate in the observation group were significantly better than those in the control group(P<0.05).The each and total labor duration of vaginal delivery parturient in the observation group were significantly lower than those in the control group(P<0.05).The incidence of jaundice and asphyxia of neonates in the observation group was significantly lower than those in the control group,and Apgar score of neonates at 1 and 5 min were higher than those in the control group(P<0.05).Conclusion:Lamaze’s respiratory pain relief method combined with VR technology can shorten the vaginal delivery process,reduce labor pain,and help improve maternal negative mood and delivery outcome,which is worthy of clinical promotion.
作者
刘李洁
尹月娥
黎志容
郭丽娇
LIU Lijie;YIN Yue’e;LI Zhirong;GUO Lijiao(Dongguan Houjie Hospital,Dongguan 523945,China)
出处
《中国医学创新》
CAS
2020年第20期86-90,共5页
Medical Innovation of China
基金
东莞市社会科技发展(一般)项目(20195071023519)。
关键词
拉玛泽呼吸减痛法
虚拟现实技术
分娩结局
Lamaze’s respiratory pain relief method
Virtual reality technology
Delivery outcome
