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助产士为主导的伙伴式陪伴分娩对初产妇心理应激反应及分娩结局的影响 被引量:12

Effects of midwife-led companionship delivery on the psychological stress response and delivery outcomes of primipara
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摘要 目的探讨助产士为主导的伙伴式陪伴分娩对初产妇心理应激反应及分娩结局的影响。方法选取2019年3月至2020年3月接收的160例初产妇作为研究对象,以随机数字法将其分为对照组和观察组,各80例。对照组采用常规助产护理干预,观察组采用助产士为主导的伙伴式陪伴分娩干预。比较两组初产妇的心理应激反应、分娩结局及满意度情况。结果产后,观察组的HAMA、HAMD评分均低于对照组,差异具有统计学意义(P<0.05);观察组剖宫产、会阴裂伤、会阴侧切、产后出血、胎儿窘迫及新生儿窒息发生率均明显低于对照组,差异具有统计学意义(P<0.05);观察组的满意度为97.50%,高于对照组的86.25%,差异具有统计学意义(P<0.05)。结论临床对初产妇实施助产士为主导的伙伴式陪伴分娩护理,能够有效减轻其心理应激反应,改善分娩结局,也能提高产妇对护理的满意度,值得推广。 Objective To explore the effects of midwife-led companionship delivery on the psychological stress response and delivery outcomes of primipara.Methods A total of 160 primiparas admitted from March 2019 to March 2020 were selected as the research objects and divided into control group and observation group by the random number method,with 80 cases in each group.The control group was given routine midwifery nursing intervention,and the observation group was given midwifery-led companion delivery intervention.The psychological stress response,delivery outcome and satisfaction of the two groups of primiparas were compared.Results After delivery,HAMA and HAMD scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05);the incidences of cesarean section,perineal laceration,episiotomy,postpartum hemorrhage,fetal distress and neonatal asphyxia in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05);the satisfaction of the observation group was 97.50%,which was higher than 86.25%of the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical implementation of midwife-led companionship delivery for primiparas can effectively reduce psychological stress response,improve the delivery outcome and the nursing satisfaction,which is worthy of promotion.
作者 李冬 刘莉 LI Dong;LIU Li(Xianyang Hospital of Yan'an University,Xianyang 712000,China)
出处 《临床医学研究与实践》 2021年第4期159-161,共3页 Clinical Research and Practice
关键词 助产士 伙伴式陪伴分娩 初产妇 心理应激反应 分娩结局 满意度 midwife companionship delivery primipara psychological stress response delivery outcome satisfaction
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