导乐陪伴分娩在初产妇分娩中的护理效果分析

Analysis on the Nursing Effect of Dole Accompanied Delivery in the Delivery

目的分析导乐陪伴分娩在初产妇分娩中的护理效果。方法研究时间段:2019年5—12月;研究对象:医院接诊的76例初产妇,根据入院时间的不同进行分组,研究组、对照组各38例,研究组产妇给予导乐陪伴分娩,对照组产妇给予常规护理分娩,干预后评价临床干预效果、自然分娩率、剖宫产率、疼痛程度及产妇心理状况。结果总产程时长[研究组(258.97±168.00)min<对照组(336.78±152.93)min](P<0.05);疼痛程度:干预后[研究组(4.79±0.89)分<对照组(6.31±1.37)分](P<0.05);护理后心理状况:SAS[研究组(20.13±2.74)分<对照组(24.01±4.03)分]、SDS[研究组(20.32±2.53)分<对照组(23.69±5.04)分](P<0.05)。此外,研究组产后出血量和自然分娩率均低于对照组,但差异无统计学意义(P>0.05)。结论导乐陪伴分娩对初产妇具有显著的临床干预效果,既能提高自然分娩率,降低剖宫产率,又能缩短产妇产程,减少产后出血量,同时还能有效缓解产妇疼痛,改善产妇心理状况。

Objective To analyze the nursing effect of Dole accompanied delivery to promote natural vaginal delivery of primipara and reduce cesarean section rate.Methods Research period:May to December 2019;research object:76 primiparas in our hospital were divided into study group and control group according to different admission time,38 cases in each group.The study group was given doula accompany delivery,while the control group was given routine nursing delivery.After intervention,the clinical intervention effect,natural delivery rate,cesarean section rate,pain degree and maternal psychological status were evaluated.Results Total duration of labor[study group(258.97±168.00)min<control group(336.78±152.93)min](P<0.05);pain level:after intervention[study group(4.79±0.89)points<control group(6.31±1.37)points](P<0.05);psychological status after nursing:SAS[study group(20.13±2.74)points<control group(24.01±4.03)points],SDS[study group(20.32±2.53)points<control group(23.69±5.04)points](P<0.05).In addition,the postpartum hemorrhage volume and natural delivery rate in the study group were lower than those in the control group,but there was no significant difference,P>0.05.Conclusion Dole accompanied delivery has a significant clinical intervention effect on primiparous women.It can not only increase the natural delivery rate,reduce the cesarean section rate,but also shorten the delivery period of the mother,reduce the amount of postpartum hemorrhage,and can also effectively relieve the pain of the mother and improve the mother.