正性暗示联合家属陪产对初产妇产程及心血管应激反应的影响

Influence of Positive Suggestion Combined with Family Whole-course Accompany on Stages of Labor and Cardiovascular Stress Response of Primiparas

目的探讨初产妇采用正性暗示联合家属全程陪产的方法对其产程及心血管应激反应的影响。方法以我科进行正性暗示护理的时间(2019年4月)为截点,选取2018年10月至2019年3月我科自然分娩足月单胎头位初产妇作为对照组(n=62,家属全程陪产),2019年4月至2019年10月我科自然分娩足月单胎头位初产妇作为观察组(n=63,家属全程陪产联合正性暗示),观察两组初产妇产程时间、心血管应激反应、心理状态。结果观察组产妇各产程和总产程时间小于对照组(P<0.05)。入待产室(T0)时,两组产妇心率(HR)、平均动脉血压(MAP)比较差异无统计学意义(P>0.05),与T0时比较,新生儿娩出(T1)时两组产妇HR、MAP均增大(P<0.05),出待产室(T2)时对照组产妇HR、MAP增大(P<0.05),T2时观察组产妇HR、MAP增大(P>0.05),T1、T2时,观察组产妇HR、MAP小于对照组(P<0.05)。T0时,两组产妇焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较差异无统计学意义(P>0.05),T2时,两组产妇SAS、SDS评分均降低(P<0.05),且观察组产妇SAS、SDS评分小于对照组(P<0.05)。结论自然分娩足月单胎头位初产妇采用正性暗示联合家属全程陪产的方法可满足产妇心理需求,提高产妇心理舒适度,增加分娩信心,从而减轻其负性心理状态,缩短产程时间,抑制心血管应激反应。

Objective To investigate the influence of positive suggestion combined with family whole-course accompany on stages of labor and cardiovascular stress response of primiparas.Methods Taking the time of positive suggestion nursing adopted in our department(April 2019)as the cut-off point,primiparas of spontaneous delivery with full-term and singleton head position in the department between October 2018 and March 2019 were selected as the control group(n=62,family whole-course accompany),and primiparas of spontaneous delivery with full-term and singleton head position between April 2019 and October 2019 were enrolled as the observation group(n=63,family whole-course accompany combined with positive suggestion).Stages of labor,cardiovascular stress response and psychological status were observed in the two groups.Results The duration of each stage of labor and total labor duration in the observation group were shorter than those in the control group(P<0.05).When entering the labor room(T0),there were no significant differences in maternal heart rate(HR)and mean arterial pressure(MAP)between the two groups(P>0.05);The maternal HR and MAP in the two groups increased at neonatal delivery(T1)compared with those at T0(P<0.05),and the HR and MAP in the control group increased when leaving the labor room(T2)(P<0.05);The two indicators also increased in the observation group at T2(P>0.05),and the HR and MAP at T1 and T2 were lower in the observation group than those in the control group(P<0.05).At T0,there were no statistical differences in the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)between the two groups(P>0.05).At T2,the scores of SAS and SDS in the two groups both reduced(P<0.05),and the scores of SAS and SDS in the observation group were lower than those in the control group(P<0.05).Conclusion Positive suggestion combined with family whole-course accompany can meet the maternal psychological needs,improve the maternal psychological comfort and increase their confidence in childbirth,thus relieving their negative psychological status,shortening the stages of labor and inhibiting the cardiovascular stress response.