影响产妇分娩疼痛程度的相关因素分析及综合护理干预体会

Analysis of related factors influencing the pain of maternal childbirth and the experience of comprehensive nursing intervention

目的分析影响产妇分娩疼痛程度的相关因素及实施综合护理干预的临床效果。方法选取2015年4月至2017年6月于太和县人民医院分娩的正常单胎头位产妇82例。采取视觉模拟评分法对产妇潜伏期、活跃期疼痛程度进行评定,经单因素及多因素Logistic回归分析,分析影响产妇分娩疼痛程度的相关因素,并实施综合护理干预,比较干预前后产妇分娩疼痛缓解情况。结果潜伏期:轻度疼痛36例,中度疼痛46例,其中年龄、孕次、分娩认知、夫妻关系与产妇潜伏期分娩疼痛程度有关(P <0. 05);活跃期:中度疼痛37例,重度疼痛45例,其中紧张焦虑情绪、对自然分娩的信心与产妇活跃期分娩疼痛程度有关(P <0. 05)。经多因素Logistic回归分析,发现高龄、孕次、分娩认知、夫妻关系是产妇潜伏期分娩疼痛程度的独立危险因素,而紧张焦虑情绪、对自然分娩缺乏信心是活跃期独立危险因素。实施综合护理干预后,产妇潜伏期、活跃期分娩疼痛程度较干预前明显缓解(P <0. 05)。结论针对影响产妇分娩疼痛程度的因素,给予综合护理干预,有利于缓解分娩疼痛。

Objective To analyze the related factors influencing the pain of maternal childbirth and the clinical effect of comprehensive nursing intervention. Methods A total of 82 normal single fetal head maternal enrolled in Taihe People's Hospital from April 2015 to June 2017 were selected. The Visual Analogue Scale( VAS) was used to assess the degree of pain in latency and active period,and the single and multivariate Logistic regression analysis was used to analyze the related factors affecting the degree of delivery pain,and the comprehensive nursing intervention was carried out. The relief of delivery pain before and after intervention was compared. Results Latency period: 36 cases of mild pain and 46 cases of moderate pain,among which the age,gestational age,childbirth cognition,relationship between husband and wife were influential factors of delivery pain in latency period( P < 0. 05);Active period: 37 cases of moderate pain and 45 cases of severe pain,among which the anxiety,the confidence of natural childbirth were influential factors of labor pain( P < 0. 05);Multivariate logistic regression analysis showed that the age,childbirth cognition and marital relationship were independent risk factors of the labor pain in maternal lantency period,and the anxiety and confidence of spontaneous delivery were independent risk factors during active childbirth. After comprehensive nursing intervention,the labor pain of maternal in the latency and active period was significantly relieved before intervention( P < 0. 05). Conclusion For the factors that affect the degree of labor pain,give comprehensive nursing intervention helps ease the pain of childbirth.