分娩球联合自由体位在初产妇助产护理中的干预效果

Intervention effect of delivery ball combined with free body position on midwifery nursing of primiparas

目的探讨分娩球联合自由体位在初产妇助产护理中的干预效果。方法选择2017年10月~2018年11月初产妇80例作为对象,随机数字表分为对照组(n=40)和观察组(n=40)。对照组给予常规护理,观察组在其基础上应用分娩球联合自由体位,比较分娩时产痛程度情况,对分娩前后心理情况评估,比较分娩方式与结局。结果观察组产妇0级疼痛、1级疼痛(χ2=9.172,P=0.012)、2级疼痛(χ2=7.551,P=0.018)、3级疼痛(χ2=4.249,P=0.024)的例数显著优于对照组,差异有统计学意义(P<0.05);分娩前两组产妇HAMD与HAMA评分比较,差异无统计学意义(P>0.05);观察组产妇在分娩之后HAMD与HAMA评分显著低于对照组,差异有统计学意义(P<0.05);观察组产妇要求并且进行剖宫产(χ2=8.218,P=0.013)、产后大出血(χ2=4.114,P=0.022)情况显著低于对照组,差异有统计学意义(P<0.05);观察组产妇进行阴道分娩(χ2=7.749,P=0.019)例数高于对照组,差异有统计学意义(P<0.05)。结论将分娩球联合自由体位用于初产妇助产护理中,有助于产妇分娩,值得推广应用。

Objective To explore the intervention effect of delivery ball combined with free body position on midwifery nursing of primiparas.Methods 80 primiparas from October 2017 to November 2018 were selected as the subjects and divided into the control group(n=40)and the observation group(n=40)through the random number table.The control group was given routine nursing,while the observation group was given delivery ball combined with free body position on the basis of routine nursing.The degree of labor pain during delivery was compared,the psychological status before and after delivery was evaluated,and the delivery mode and outcome were compared.Results The number of cases with grade 0 pain,grade 1 pain(χ2=9.172,P=0.012),grade 2 pain(χ2=7.551,P=0.018)and grade 3 pain(χ2=4.249,P=0.024)in the observation group was significantly better than that in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in HAMD and HAMA scores between the two groups before delivery(P>0.05).The scores of HAMD and HAMA of the primiparas in the observation group were significantly lower than those in the control group after delivery,with statistically significant differences(P<0.05).The cases of requiring cesarean section(χ2=8.218,P=0.013)and of postpartum hemorrhage(χ2=4.114,P=0.022)in the observation group were significantly fewer than those in the control group,and the difference was statistically significant(P<0.05).The number of vaginal delivery(χ2=7.749,P=0.019)in the observation group was larger than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The combination of delivery ball and free body position in midwifery nursing of primiparas is helpful for them to give birth and is worth popularization and application.