一对一全程导乐分娩护理对产妇分娩产程时间及产后恢复的影响

A doula childbirth nursing effect on maternal postpartum recovery time of birth process and postpartum recovery

目的探讨一对一全程导乐分娩护理对产妇分娩产程时间及产后恢复的影响。方法选择2016年1月-2017年1月南京医科大学附属无锡第二医院妇产科收治的产妇120例,按随机数字表法分为观察组和对照组,各60例。对照组给予常规的护理及助产,观察组给予一对一全程导乐分娩护理,观察2组产妇的分娩时间、分娩情况以及心理状况的差异。结果观察组的第一、第二、第三以及总产程时间与对照组相比,均明显缩短,差异有统计学意义(P<0.05)。观察组的顺产率(93.85%)显著高于对照组(81.53%)(P<0.05);观察组的出血量明显少于对照组,住院时间也较对照组缩短,差异有统计学意义(P<0.05);对照组的会阴感染、裂伤、水肿率(20.00%)显著高于观察组(7.69%),差异有统计学意义(P<0.05)。经护理后,2组产妇的焦虑抑郁情绪均明显好转,EPDS和SAS评分较产前明显下降(P<0.05),且观察组产妇经护理后的EPDS和SAS评分显著低于对照组,差异有统计学意义(P<0.05)。结论一对一全程导乐分娩护理可显著缩短产妇的产程,减少出血量,增加顺产率,减少并发症的发生,同时降低了产后产妇的抑郁、焦虑,可在临床护理中广泛使用。

Objective To investigate the effect of a doula delivery care on delivery time of labor and postpartum recovery. Methods 120 cases of maternal in our hospital from January 2016 to January 2017 were randomly selected and divided into observation group and control group according to random number table, 60 cases in each group. The control group was given routine nursing, and the observation group was given one to one course guidance delivery nursing, and the time of delivery, delivery and psychological status of the two groups were observed. Results The first, second, third and total duration of labor in the observation group were significantly shorter than those in the control group(P<0.05). The spontaneous rate of the observation group(93.85%) was significantly higher than that of the control group(81.53%)(P<0.05);the bleeding volume of the observation group was significantly less than that of the control group, and the hospitalization time was shorter than that of the control group(P<0.05);the perineal infection, laceration and edema rate of the control group(20.00%) was significantly higher than that of the observation group(7.69%) and the difference was statistically significant(P<0.05). After nursing, the anxiety and depression of the two groups were significantly improved, EPDS and SAS scores were significantly lower than those of the prenatal group(P<0.05), and the EPDS and SAS scores of the observation group were significantly lower than those of the control group(P<0.05). Conclusion A doula delivery care can significantly shorten the birth process of parturient, reduce the amount of bleeding, increase the rate of delivery, reduce the incidence of complications, and reduce the depression and anxiety of postpartum women, which can be widely used in clinical nursing.