全程导乐助产护理干预对于减少产妇不良情绪与促进妊娠的效果研究

Study on the effect of whole course of Dole midwifery nursing intervention on reducing maternal bad mood and promoting pregnancy

目的:研究全程导乐助产护理干预对产妇不良情绪改善与促进妊娠的临床效果。方法:2017年1月-2018年1月收治分娩产妇200例,分为两组,各100例。A组实施常规助产护理;B组实施全程导乐助产护理。比较两组产妇心理状态与妊娠结局。结果:B组产妇产后焦虑与抑郁评分均明显低于A组,B组阴道分娩率明显高于A组,B组不良结局发生率、镇痛剂及硬膜外麻醉以及催产素使用率明显低于A组,差异均有统计学意义(P<0.05)。结论:全程导乐助产护理干预可有效改善产妇不良情绪,减少不良妊娠结局的发生。

Objective:To study the clinical effect of the nursing intervention of the whole process of Doula midwifery on the improvement of maternal bad mood and the promotion of pregnancy.Methods:From January 2017 to January 2018,200 lying-in women were enrolled,they were randomly divided into two groups with 100 cases in each group.A group carried out routine midwifery nursing;B group carried out whole-course of Doula midwifery nursing.The maternal mental state and pregnancy outcome of the two groups were compared.Results:The postpartum anxiety and depression scores in group B were significantly lower than in group A,the rate of vaginal delivery in group B was significantly higher than in group A,the incidence of adverse outcomes,the usage of analgesia,epidural anesthesia and oxytocin in group B were significantly lower than in group A,the differences were statistically significant(P<0.05).Conclusion:The whole process of Doula midwifery nursing intervention can effectively improve maternal bad mood and reduce the occurrence of adverse pregnancy outcome.