孕期情景模拟访视对初产妇焦虑及分娩结局的影响

Effects of individualized situational simulation visits on the anxiety and perinatal outcomes of primiparas

目的探讨孕期情景模拟访视对初产妇焦虑及分娩结局的影响。方法选择妇产科定期产检的正常初产妇,分为干预组107例和对照组113例,对照组进行常规产前门诊健康教育,干预组在对照组基础上,接受助产士提供的6个主题的情景模拟访视。结果分娩前干预组初产妇焦虑情绪低于对照组(P<0.01);干预组初产妇自然分娩率、分娩依从性高于对照组(P<0.01),产程与产后2 h出血量均低于对照组(P<0.01或P<0.05)。结论孕期助产士提供情景模拟访视可以降低初产妇的焦虑程度,提高自然分娩率和分娩依从性,减少产后出血量。

Objective To evaluate the effects of midwives＇individualized situational simulation visits on primiparas＇ anxiety and perinatal outcomes. Methods Totally,220 primiparas who had made registration and regular antenatal examination in an maternity hospital, were randomly divided into two groups. The women in the control group（ 113 cases） received routine antenatal clinic service. In addition,the women in the experimental group（ 107 cases） received six subject situational simulation visits provided by midwives. Results The score of anxiety in the experimental group was significantly lower than that of the control group （P 〈 0, 01 ）. The rate of natural delivery and childbirth compliance in the experimental group were higher than that of the control group （P 〈 0.01 ）. The stages of labor and volume of bleeding 2 hours postpartum in the experimental group were significantly lower than that of the control group（P 〈0. O1 or P 〈0. 05 ）. Conclusion The midwives＂ situational simulation visits can reduce primiparas＇anxiety,increase the natrnal delivery rate and childbirth compliance, and re- duce postpartum bleeding.