减痛分娩护理对初产妇分娩方式及产程疼痛的影响

Effect of pain relief delivery nursing on the delivery mode and labor pain of primipara

目的分析减痛分娩护理对初产妇分娩方式及产程疼痛的影响。方法本研究所选对象为2015年3月~2016年1月在我院分娩的初产妇200例,按照入院先后顺序将全部初产妇分成两组,对照组和观察组均为100例。对照组初产妇选择给予常规护理干预,观察组初产妇则给予减痛分娩护理,对两组初产妇的分娩方式以及产程疼痛进行观察比较。结果在产程疼痛视觉模拟评分法(VAS)、现实疼痛强度量表(PPI)以及语言反应量表(VRS)评分方面,观察组显著低于对照组(P<0.05);除第三产程外,观察组其他各产程所用时间均显著短于对照组(P<0.05);在阴道分娩率方面,观察组显著高于对照组(P<0.05)。结论为初产妇提供减痛分娩护理,能让初产妇分娩期间的需求得以有效满足,让产程疼痛有效减轻,让阴道分娩率提高,同时让产程时间缩短,具有临床应用和推广价值。

Objective To analyze the effect of pain relief delivery nursing on the delivery mode and labor pain of prim- ipara. Methods Altogether 200 cases of primiparas who gave childbirth in our hospital from March 2015 to January 2016 were selected as the objects of this research and divided into two groups（control group and observation group） according to the order of admission, with 100 cases in each group;control group was given routine nursing intervention; while observation group was given pain relief delivery nursing;the delivery mode and labor pain of two groups were observed and compared. Results The labor pain visual analogue scale （VAS）,present pain intensity （PPI） and verbal rating scale（VAS） scores of observation group were significantly lower than those of control group （P〈0.05）; in addition to the third stage of labor, each stage of labor of observation group was significantly shorter than that of control group （P〈0.05）; the vaginal deliveryrate of observation group was significantly higher than that of control group （P〈0.05）. Conclusion Pain relief delivery nursing for primiparas can effectively meet the demand of primiparas during childbirth, reduce the labor pain, shorten the labor timeand increase the vaginal delivery rate, which is of great significance in clinical application and popularization.