责任制陪产对初产妇心理状态及产程进展的影响

The Effect of Responsibility System on the Psychological State of Primipara and the Progress of Labor

目的:探讨责任制陪产对初产妇心理状态及产程进展的影响。方法:选择2018年6月-2019年6月于本院生产的初产妇100例为研究对象,采用随机数字表法将其分为对照组和观察组,各50例。对照组接受常规生产护理,观察组接受责任制陪产模式。比较两组各产程的时间、母婴结局及焦虑和抑郁情况。结果:观察组的第一产程、第二产程、第三产程和总产程时间均短于对照组,差异均有统计学意义(P<0.05);观察组母婴不良结局发生率为2.00%,低于对照组的12.00%,差异有统计学意义(P<0.05)。陪产前,两组的SAS和SDS评分比较,差异均无统计学意义(P>0.05);陪产后,观察组的SAS和SDS评分均低于对照组,差异均有统计学意义(P<0.05)。结论:责任制陪产能够有效缩短初产妇的产程,减少母婴不良结局的发生率,减少产妇的焦虑和抑郁情绪,有助于母婴身心健康。

Objective: To explore the effect of responsibility system on the psychological status and labor progress of primipara. Method: A total of 100 cases of primiparas born in our hospital from June 2018 to June 2019 were selected as the research object. Using the random number table method, they were divided into the control group and the observation group, 50 cases in each group. The control group received routine birth care, the observation group accepted the responsibility paternity model. The duration of labor, maternal and infant outcomes, and anxiety and depression were compared between the two groups. Result: The first stage of labor, the second stage of labor, the third stage of labor and the total stage of labor in the observation group were all shorter than those in the control group, with statistically significant differences(P<0.05). The incidence of maternal and infant adverse outcomes in the observation group was 2.00%, which was lower than 12.00% in the control group, and the difference was statistically significant(P<0.05). Before delivery, SAS and SDS scores of the two groups were compared, the differences were not statistically significant(P>0.05). After paternity, SAS and SDS scores of the observation group were lower than those of the control group, with statistically significant differences(P<0.05). Conclusion: Responsibility system can effectively shorten the labor process of primipara, reduce the incidence of adverse maternal and infant outcomes, reduce maternal anxiety and depression, and contribute to maternal and infant physical and mental health.