改良体位辅以分娩球介入工具对产妇分娩控制水平及情绪特质的影响剖析

Analysis on the effect of improved position supplemented with delivery ball intervention on delivery control level and emotional characteristics of puerpera

目的探讨产妇引入改良体位辅以分娩球介入工具对其分娩控制水平以及情感特质的影响,并为这类特殊群体的优质诊疗积累循证经验。方法选取我院产科于2015年10月~2017年6月接收的84例产妇作为研究对象,采取随机数字表作为分组依据,将所有符合纳入标准的研究对象划分为研究组与对照组,各42例。其中对照组实施传统的护理照护,而研究组则在对照组基础上开展改良体位辅以分娩球介入工具的措施。两组产妇均在干预后接受Mc Gill疼痛问卷(SF-MPQ)测评;记录两组产妇各产程时间及总产程情况;两组产妇在分娩前和分娩后第2天均接受由Zung编制的SAS和SDS量表测评;利用分娩控制量表(DCS)对两组产妇的分娩控制力进行比较。结果研究组患者的VAS、VRS、PPI和DCS评分分别为(5.9±1.2)分、(18.8±2.9)分、(2.6±0.5)分、(167.8±5.6)分,均低于对照组的(8.6±1.9)分、(27.9±4.7)分、(3.6±0.8)分、(119.8±3.2)分,差异有统计学意义(P<0.05)。两组患者干预前的SAS和SDS评分差异无统计学意义(P>0.05);干预后,研究组患者的SAS和SDS评分分别为(52.8±3.6)分、(52.3±3.1)分,均低于对照组的(57.9+±4.4)分、(59.1±4.6)分,差异有统计学意义(P<0.05)。研究组患者产后2 h出血量低于对照组,第一产程时间、第二产程时间、第三产程时间及总产程时间均短于对照组,差异有统计学意义(P<0.05)。结论对于即将分娩的产妇而言,引入改良体位辅以分娩球介入工具,能有效提高其分娩控制水平,且能改善其情绪特质,值得在临床上进一步推广。

Objective To explore the effect of modified body position supplemented with delivery ball intervention on the delivery control level and emotional characteristics, and to accumulate evidence-based experience for the quality diagnosis and treatment of thee special group. Methods 84 puerpera who were admitted to the Department of Obstetrics in our hospital from October 2015 to June 2017 were selected as study subjects. The random number table was selected as the basis for grouping. All subjects who met the inclusion criteria were divided into study group and control group, with 42 cases in each group. The control group was given traditional nursing care, and the study group was given im- proved body position supplemented with delivery ball intervention measures on the basis of the control group. Both groups were given McGill Pain Questionnaire （SF-MPQ） after intervention; the labor duration and total labor of the two groups were recorded; the two groups of puerpera were given SAS and SDS scales developed by Zung before delivery and 2 days after delivery. The delivery control scale （DCS） was used to compare the delivery control ability between the two groups. Results The VAS, VRS, PPI and DCS scores in the study group were （5.9±1.2）, （18.8±2.9）, （2.6±0.5）, and （167.8±5.6） respectively, which were lower than those of （8.6_±1.9）, （27.9±4.7）, （3.6±0.8） and （119.8±3.2） in the control group. The differences were statistically significant（P〈0.05）. There was no statistically significant difference in SAS and SDS scores between the two groups before intervention（P〉0.05）; after intervention, the SAS and SDS scores in the study group were （52.8±3.6） and （52.3±3.1）, which were both lower than those of （57.9±4.4）, （59.1±4.6） in the control group. The difference was statistically significant（P〈0.05）. The bleeding volume in the study group 2 h after delivery was lower than that in the control group, and the duration of the first stage of labor, the duration of the second stage of labor, the duration of the third stage of labor and the total duration of labor were all shorter than those in the control group. The differences were statistically significant （P〈0.05）. Conclusion For the puerpera who are about to give birth, the introduction of improved body position supplemented with delivery ball intervention can effectively improve the level of delivery control, and can improve their emotional characteristics, which is worthy of further clinical promotion.