King达标互动理论结合导乐陪伴分娩模式对不同产妇心理状态及分娩结局的影响

Impact of King’s Interaction Theory Combined with Doula Accompanied Delivery Mode on Maternal Psychological State and Delivery Outcomes

目的探讨King达标互动理论结合导乐陪伴分娩模式对不同产妇心理状态及分娩结局的影响。方法选取河南省人民医院2018年10月至2019年10月收治的产妇120例,按产次不同分为2组:对照组60例为初产妇,研究组60例为二胎产妇。2组均予以King达标互动理论结合导乐陪伴分娩模式。比较2组分娩结局、心理状态及新生儿结局。结果与对照组比较,研究组各产程时间均显著缩短,自然分娩率显著升高,分娩疼痛Ⅲ级百分率显著降低,差异有统计学意义(均P<0.05);与干预前比较,2组干预后HAMA评分均显著降低,且研究组降低更为明显,差异有统计学意义(均P<0.05);与对照组比较,研究组新生儿Apgar评分显著升高,新生儿窒息发生率显著降低,差异有统计学意义(均P<0.05)。结论King达标互动理论结合导乐陪伴分娩模式应用于二胎产妇相较于其在初产妇中的应用,改善产妇心理状态及分娩结局的效果更为明显。

Objective To explore the effects of King’s interaction theory combined with Doula accompanied delivery mode on maternal psychological state and delivery outcomes.Methods A total of 120 parturiens admitted to Henan Provincial People’s Hospital from October 2018 to October 2019 were divided into two groups:control group(60 primiparas)and study group(60 second-child puerperas).Both groups were treated with King’s interaction theory and Doula accompanied delivery mode.The childbirth outcomes,psychological state and neonatal outcomes were compared between the two groups.Results Compared with the control group,labor duration,percentage of gradeⅢlabor pain and incidence of neonatal asphyxia decreased,but natural delivery rate and neonatal Apgar score increased in the study group(P<0.05).After intervention,the HAMA score decreased in both groups,and the decrease in the study group was more obvious than that in the control group(P<0.05).Conclusion The efficacy of King’s interaction theory combined with Doula accompanied delivery mode in second-child puerperas is better than that in second-child puerperas for improving maternal psychological state and childbirth outcomes.