助产士强化沟通模式在初产妇分娩应激表现及母婴结局中的作用

The Role of Midwives’ Enhanced Communication Model in the Stress Performance and Maternal and Infant Outcome of Primipara

目的:探讨助产士强化沟通模式在初产妇分娩应激表现及母婴结局中的作用。方法:选取2018年10月-2019年10月于笔者所在医院产科分娩的初产妇53例,按照随机数字表法将其分为对照组(26例)和观察组(27例)。对照组采用助产士常规沟通模式,观察组采用助产士强化沟通模式。比较两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、妊娠结局、新生儿Apgar评分及产后并发症发生情况。结果:入待产室前观察组SAS及SDS评分均明显低于对照组,差异有统计学意义(P<0.05)。观察组自然分娩率为92.59%,明显高于对照组的65.38%,差异有统计学意义(P<0.05)。观察组新生儿出生后5、10 min Apgar评分均显著高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为7.41%,明显低于对照组的34.62%,差异有统计学意义(P<0.05)。结论:助产士强化沟通模式可明显降低初产妇分娩应激表现,减少产后并发症的发生,改善母婴结局。

Objective:To explore the role of midwives’ enhanced communication model in the stress performance and maternal and infant outcome of primipara.Method:Fifty-three cases of primiparas delivered in our hospital from October 2018 to October 2019 were selected and divided into the control group (26 cases) and the observation group (27 cases) according to the random number table method.The control group adopted midwives’ routine communication model,and the observation group adopted midwives’ enhanced communication model.The scores of SAS,SDS,pregnancy outcome,neonatal Apgar score and postpartum complications were compared between the two groups.Result:The SAS and SDS scores of the observation group before entering the labor room were significantly lower than those of the control group,the differences were statistically significant (P<0.05).The rate of natural delivery in the observation group was 92.59%,which was significantly higher than 65.38% in the control group,and the difference was statistically significant (P<0.05).The Apgar score at 5 and 10 minutes after birth of the observation group were significantly higher than those of the control group,the differences were statistically significant (P<0.05).The complication rate of the observation group was 7.41%,which was significantly lower than 34.62% of the control group,and the difference was statistically significant (P<0.05).Conclusion:The midwives’ enhanced communication model can significantly reduce the stress performance of primipara,reduce the occurrence of postpartum complications,and improve maternal and infant outcomes.