心理护理与分娩镇痛效果的Meta分析

A Meta-analysis of Psychological nursing for labour analgesia

目的:了解心理护理对分娩疼痛的影响。方法:应运Meta分析方法对国内8篇有关心理护理与分娩镇痛效果关系的文章进行了定量综合分析,比较心理治疗组与对照组在第一、第二产程中不同级别疼痛的发生率。结果:(1)在第一、第二产程中总疼痛发生率,心理治疗组与对照组两组比较无显著差异,第一产程中入选的文献RR值均为1(检验不显著),第二产程合并RR值略<1,但可信区间包括1,且总检验校能Z值对应的P值>0.05;(2)在第一、第二产程中重度疼痛发生率,心理治疗组与对照组两组比较有显著差异,第一产程合并RR值=0.25(0.18,0.35),总检验校能Z值对应的P值<0.05。第二产程合并RR值=0.26(0.19,0.37),总检验校能Z值对应的P值<0.05。结论:心理护理对减轻分娩过程中重度疼痛效果显著。

Objective：To evaluate the effectiveness of psychological care to reduce labour analgesia in labouring woman. Methods：RevMan 4.2.2 software was used for statistical analysis for eight articles searched from CNKI, wanfangdata, google. Results：（1） The result showed that there was not a significant difference between the total pain rate in the psychological sfipport group and in the control group（ in the first stage of labour RR = 1 and the second stage of labour RR 〈 1 ） ; （2）The serious pain rate of the psychological support group was lower than that of the control group in two stages in the first stage of labour RR = 0.25 （0. 18,0.35 ） ,P 〈 0.05 and in the second stage of labour RR =0.26 （0. 19,0.37） ,P 〈 0.05. Conclusion：This study indicated that providing psychological support to the parturients may reduce the serious pain during delivery.