摘要
目的探讨正念减压疗法对孕产妇产时疼痛、心理状况、产程及妊娠结局的影响。方法选择2018年7月-2019年7月于此院预行分娩的60例初产妇纳入研究,按随机数表法分成研究组、对照组,各30例。对照组孕产妇接受常规孕期干预管理,研究组孕产妇在常规管理基础上接受正念减压疗法进行干预。比较两组孕产妇产时的疼痛程度、心理状况、产程以及妊娠结局情况。结果研究组孕产妇第一产程、第二产程、第三产程的疼痛VAS评分均比对照组低,差异有统计学意义(P<0.05);相较于干预前,两组孕产妇干预后的HAMA、HAMD评分均降低,研究组低于对照组,差异均有统计学意义(P <0.05);研究组孕产妇第一产程、第二产程、第三产程时间均短于对照组,差异有统计学意义(P<0.05);研究组顺产转剖、早产、产后出血发生率均比对照组低,差异均有统计学意义(P<0.05);研究组新生儿窒息发生率略低于对照组,但差异无统计学意义(P>0.05)。结论正念减压疗法能有效缓解孕产妇产时疼痛程度,提高孕产妇心理健康水平,缩短产程,减少不良妊娠结局发生风险,值得临床积极推广。
Objective To investigate the effects of mindfulness decompression therapy on maternal pain,psychological condition,labor process and pregnancy outcomes. Methods 60 primiparous women who had premature delivery in our hospital from July 2018 to July 2019 were selected as the subjects of this study. All pregnant women were divided into study group and control group according to the random number table method,with 30 cases in each group. The pregnant women in the control group were received routine pregnancy intervention management,and the pregnant women in the study group were received mindful decompression therapy on the basis of routine management. The pregnant women of the two groups were compared for the degree of pain, psychological status, labor, and pregnancy outcomes. Results The pain VAS scores of the first,second,and third stages of labor in the study group were lower than those in the control group (P<0. 05);Compared with before intervention,the HAMA and HMD scores of the two groups decreased after the intervention,and the study group was lower than in the control group (P< 0. 05);The first,second,and third births of the study group were shorter than those in the control group (P < 0. 05);The incidence of cesarean section,premature delivery,and postpartum hemorrhage in the study group were lower than those in the control group (P<0. 05);The incidence of neonatal asphyxia in the study group was slightly lower than that in the control group,but the difference was not statistically significant (P> 0. 05). Conclusion Mindfulness decompression therapy can effectively alleviate maternal pain during pregnancy,improve maternal mental health,shorten the labor process,and reduce the risk of adverse pregnancy outcomes,which deserves active clinical promotion.
作者
潘意明
林爱宝
陈亚儿
杜巧霞
曾小医
PAN Yi-Ming;LIN Ai-Bao;CHEN Ya-Er(Department of obstetrics,Ningbo Yinzhou People's Hospital,Ningbo,Zhejiang 315000,China)
出处
《中国妇幼保健》
CAS
2020年第23期4426-4429,共4页
Maternal and Child Health Care of China
基金
浙江省医药卫生科技计划项目(2018KY751)。
关键词
正念减压疗法
产时疼痛
心理状况
产程
妊娠结局
Mindfulness decompression therapy
Pain during delivery
Psychological status
Labor process
Pregnancy outcome
