身心照护助产护理模式对负性情绪状态下初产妇应用效果的研究

Study on the effect of physical and nursing model on birth of maternal birth in negative emotional state

目的:探讨负性情绪状态下初产妇身心照护助产护理模式的应用效果。方法:选取82例经焦虑自评量表(SAS)和抑郁自评量表(SDS)评分评定为负性情绪状态下的拟行阴道自然分娩的初产妇,依据入院时间均分为观察组和对照组各41例。对照组在入院后待产及分娩过程给予常规护理,观察组在对照组常规护理基础上实施身心照护助产护理模式。比较两组产妇入院时和分娩结束时的焦虑抑郁自评评分、产程进展、分娩结局和质量。结果:两组产妇入院时的焦虑和抑郁评分比较无差异,无统计学意义(P>0.05)。对照组分娩结束时焦虑和抑郁评分明显低于入院时,观察组分娩结束时焦虑和抑郁评分显著低于入院时且明显低于对照组,观察组经阴道自然分娩率明显高于对照组,观察组第一、第二及总产程平均时间均低于对照组,观察组新生儿出生后1分钟Apgar平均评分明显高于对照组,以上差异均有统计学意义(P<0.05)。结论:身心照护助产护理模式能显著缓解初产妇焦虑、抑郁情绪,有效提高产妇自然分娩率,明显缩短总产程,保证产妇和新生儿的分娩安全和质量。

ObjectiveTo explore the effect of nursing model of maternity care and midwifery in negative emotional state. Meth-ods： A total of 82 pregnant women were randomly divided into observation group and control group according to the time of ad-mission The patients were randomly divided into observation group and control group according to the time of admission Group of 41 cases. In the control group, routine nursing was given to the patients during the hospitalization and delivery. The observation group carried out the physical and psychological care model on the basis of routine nursing care in the control group. Comparison of the two groups of maternal admission and childbirth at the end of the anxiety and depression self-rating score,labor progress,delivery outcome and quality. Result： There was no significant difference in anxiety and depression scores between the two groups （ P 〉0. 05）. The anxiety and depression scores of the control group were significantly lower than those of the control group at the end of the delivery group. The observation group had significantly lower vaginal delivery rate than the control group. The average score of the first, second and total labor groups was lower than that of the control group. The average score of Apgar in the observation group was significantly higher than that in the control group at 1 minute after birth（P 〈 0. 05）. Conclusion： Physical and psychological care of midwifery care model can significantly alleviate the initial maternal anxiety, depression,effectively improve the maternal natural delivery rate, significantly shorten the total labor to en-sure that maternal and neonatal childbirth safety and quality.