配偶陪同式健康教育在非药物性分娩镇痛中的应用效果

Application effects of health education accompanied by the spouse on non-drug delivery analgesia

目的 探讨配偶陪同式健康教育模式在非药物性分娩镇痛产妇中的应用效果.方法 选取2013年6月—2016年5月在浙江萧山医院自然分娩的产妇224人为研究对象,按照随机数字表法分为观察组和对照组,各112人,对照组脱落3人,最终观察组纳入112人、对照组纳入109人.观察组实施配偶陪同式健康教育进行非药物性分娩镇痛护理干预;对照组实施常规健康教育进行非药物性分娩镇痛护理干预.比较两组产妇分娩时间、产后24 h阴道出血量、分娩时镇痛评分、镇痛效果和护理满意度.结果 观察组产妇的分娩时间、产后24 h阴道出血量和疼痛评分均低于对照组,两组比较差异均有统计学意义（P〈0.01）.观察组产妇Ⅰ级及以下疼痛程度的共有102人,有效镇痛率为91.07％;对照组产妇有37人,有效镇痛率为33.94％,观察组有效镇痛率高于对照组,差异有统计学意义（Z=114.110,P〈0.001）.观察组产妇对健康教育、服务态度、病区管理、沟通关爱及工作能力的满意度均高于对照组,差异均有统计学意义（χ2值分别为8.010、6.884、13.622、8.039、11.334;P〈0.01）.结论 配偶陪同式健康教育可提高非药物性分娩镇痛产妇的有效镇痛率,缩短分娩时间,减少产后出血量,提高产妇对护理的满意度.

Objective To discuss the application effects of health education accompanied by the spouse on non-drug delivery analgesia.Methods A total of 224 cases of natural childbirth in Zhejiang Xiaoshan Hospital from June 2013 to May 2016 were randomly divided into the observation group and the control group, 112 cases respectively. There were three cases lost in the control group so that 109 cases were included. During the non-drug delivery analgesia, patients in the observation group received health education accompanied by the spouse, while patients in the control group received routine health education. The maternal labor time, postpartum hemorrhage amount for 24 h, labor analgesia score, analgesic effect and nursing satisfaction were compared between the two groups.Results The maternal labor time, postpartum hemorrhage amount for 24 h and pain scores in the observation group were lower than those in the control group. The differences between the two groups were statistically significant （P〈0.01）. There were 102 cases of maternal with grade I and below in the pain degree in the observation group, and the effective analgesia rate was 91.07％. In the control group, 37 cases of maternal with grade I and below in the pain degree were observed, and the effective rate of analgesia was 33.94％. The effective rate of analgesia in the observation group was significantly higher than that in the control group （Z=114.110,P〈0.001）. The satisfaction with health education, service attitude, ward management, care and communication ability of patients in the observation group were higher than those in the control group, and the differences were statistically significant （χ2=8.010, 6.884, 13.622, 8.039, 11.334;P〈0.01）.Conclusions The health education accompanied by the spouse can increase the effective analgesia rate, shorten the delivery time, reduce the amount of postpartum hemorrhage, and improve the satisfaction rate of nursing.