摘要
目的探讨在初产妇第一及第二产程的护理中运用心理干预的临床价值。方法现对于该院分娩的产妇展开研究,随机选取其中200名初产妇为研究样本,产妇的分娩时间在2019年1—6月间,采用分层抽样分组的方式将200名初产妇分为常规组和干预组,每组100名,在所有初产妇第一及第二产程的护理中给予常规产程护理,干预组在此基础上加强心理干预,比较两组在产程时长、产妇疼痛情况以及分娩结局方面的差异。结果干预组第一、第二产程所耗费的时长均短于常规组,对比差异有统计学意义(t=8.223、8.172,P<0.05);干预组第一、第二产程时的宫缩疼痛评分均低于常规组,对比差异有统计学意义(t=16.396、21.160,P<0.05);干预组自然分娩、阴道助产和剖宫产占比率为95.00%、3.00%和2.00%,常规组为84.00%、8.00%和8.00%,两组自然分娩占比差异有统计学意义(χ^(2)=6.438,P<0.05);干预组总满意度96.00%明显高于83.00%,对比差异有统计学意义(χ^(2)=8.992,P<0.05)。结论加强初产妇第一和第二产程的心理干预有助于缩短初产妇的分娩时长,减缓产妇的疼痛症状,改善初产妇的分娩结局,为初产妇提供更加优质的护理服务,促进其护理满意度的提升,临床应用效果显著。
Objective To explore the clinical value of psychological intervention in the nursing of primiparas during the first and second stages of labor.Methods A study was conducting on the parturients who gave birth in the hospital.Among them,200 primiparas were randomly selected as the research sample.The delivery time of the puerpera was between January and June 2019.The 200 primiparas were divided into groups using stratified sampling:the routine group and the intervention group,each with 100 cases.All primiparas were given routine nursing during the first and second stages of labor.The intervention group strengthened psychological intervention on this basis,and compared the duration of labor and the pain of the mother’s situation and the outcome of childbirth between the two groups.Results The time spent in the first and second stages of labor in the intervention group was shorter than that in the conventional group,the difference was statistically significant(t=8.223,8.172,P<0.05);the pain scores of contractions in the first and second stages of labor in the intervention group were both lower than the conventional group,the difference was statistically significant(t=16.396,21.160,P<0.05);the intervention group's natural delivery,vaginal delivery and cesarean section accounted for 95.00%,3.00% and 2.00%,and the conventional group were 84.00%,8.00%and 8.00%,there was statistically significant difference in the proportion of natural childbirth between the two groups(χ^(2)=6.438,P<0.05);the total satisfaction of the intervention group was 96.00%significantly higher than 83.00%,and the difference was statistically significant(χ^(2)=8.992,P<0.05).Conclusion Strengthening psychological interventions in the first and second stages of labor of primiparas can help shorten the delivery time of primiparas,alleviate the pain symptoms of the primiparas,improve the delivery outcome of the primiparas,provide more quality nursing services for the primiparas,and promote their nursing satisfaction improvement of the degree,the clinical application effect is remarkable.
作者
杨碧凤
YANG Bi-feng(Department of Obstetrics,Women and Children's Hospital Affiliated to Xiamen University,Xiamen,Fujian Province,361001 China)
出处
《中外医疗》
2021年第8期151-153,166,共4页
China & Foreign Medical Treatment
关键词
第一产程
第二产程
心理干预
分娩结局
产程时长
疼痛评价
First stage of labor
Second stage of labor
Psychological intervention
Outcome of childbirth
Duration of labor
Pain evaluation
