正念训练联合渐进性肌肉放松训练在初产妇中的应用效果

目的:应用正念训练+渐进性肌肉放松训练后,评价两种方法联合应用在初产妇中的临床实际价值。方法:将我院2021年12月~2022年12月孕晚期规律在我院产检,并且足月时收治入院的初孕妇纳入本研究,病例数为156例。纳入初孕妇分为观察组与对照组,分组方法为随机数字表法,对照组(n=78例)应用围产期常规孕期保健检查、健康宣教、适当的心理疏导干预,观察组(n=78例)在对照组的基础上开展正念训练+渐进性肌肉放松训练干预。评价两组初产妇的疼痛情况、泌乳情况,统计两组妊娠结局。并在训练干预前后,对两组初产妇焦虑状态(SAS)及抑郁状态(SDS)给予评价。结果:观察组干预后的SAS、SDS评分显著低于对照组(P<0.05)。观察组初产妇在产后VAS评分与首次泌乳时间方面均低于对照组,48h内泌乳成功高于对照组(P<0.05);观察组产后出血率、会阴侧切率、中转剖宫产率及均低于对照组(P<0.05)。结论:对初产妇应用正念训练+渐进性肌肉放松练习能改善其心理状态,减轻产后疼痛,缩短首次泌乳时间,提高48h泌乳成功率,且减少妊娠不良结局。

Objective To evaluate the clinical practical value of the two methods in primipara after applying mindfulness training and progressive muscle relaxation training.Methods The primary pregnant women who were regularly examined in our hospital from December 2021 to December 2022,and admitted at term were included in this study,and the number of cases was 156.The primary pregnant women were divided into observation group and control group.The grouping method was random number table method.In the control group(n=78 cases),routine perinatal pregnancy health care examination,health education and appropriate psychological counseling intervention were applied.The observation group(n=78 cases)carried out mindfulness training+progressive muscle relaxation training intervention on the basis of the control group.Eevaluated the pain and lactation of the two groups,and counted the pregnancy outcomes of the two groups.And evaluated the anxiety status(SAS)and depression status(SDS)before and after the training intervention.Results The SAS and SDS scores of the observation group were significantly lower than the control group(P<0.05).The observation group was lower than the control group,and the 48h lactation success was higher than the control group(P<0.05);The postpartum bleeding rate,lateral perineal resection rate,transit cesarean section rate of the observation group were all lower than that of the control group(P<0.05).Conclusion The application of mindfulness training+progressive muscle relaxation exercise can improve their psychological state,reduce postpartum pain,shorten the time of first lactation,improve the success rate of lactation at 48h,and reduce the adverse outcome of pregnancy.