导乐陪伴分娩对初产妇产程时间及生活质量的影响

Effects of Doula Accompaniment Delivery on Labor Time and Quality of Life in Primipara

目的 探究导乐陪伴分娩对初产妇自然分娩产程时间及产后生活质量的影响。方法 选取的80例产妇均为厦门市中医院2020年2月—2021年2月所收治,以随机数字表法将其分为观察组(导乐陪伴分娩)与对照组(常规护理)各40例,探讨实施不同护理对产程时间及产后生活质量的影响。结果 观察组第一产程时间(339.50±33.11)min、第二产程时间(18.73±1.85)min、第三产程时间(9.75±0.95)min及总产程时间(371.98±37.92)min均比对照组[(373.25±37.89)min、(26.89±2.52)min、(12.25±1.51)min、(412.30±41.86)min]短,差异有统计学意义(P <0.05);两组在镇痛前以及镇痛后15 min VAS得分对比,差异无统计学意义(P>0.05)。观察组在宫颈扩张7~8 cm时VAS得分(3.40±1.12)分显著低于对照组(5.06±1.30)分,差异有统计学意义(P <0.05);观察组产妇出院后8周、16周女性性功能指数量表(female sexual function index,FSFI)评分[(24.82±2.73)分、(25.73±2.52)分]显著高于对照组[(20.45±2.69)分、(21.89±2.86)分],差异有统计学意义(P <0.05);观察组产妇出院后8周、16周性苦恼量表(female sexual distress scale,FSDS-R)评分[(26.75±2.67)分、(22.07±1.37)分]低于对照组[(29.58±2.92)分、(26.12±1.51)分],差异有统计学意义(P <0.05)。结论 对自然分娩的初产妇采取导乐陪伴分娩后,可显著缩短产程时间,改善产后生活质量,此方法值得应用与推广。

Objective To explore the influence of Doula accompany delivery on the time of natural delivery and postpartum quality of life of primiparas. Methods A total of 80 parturients were admitted to Traditional Chinese Medicine Hospital of Xiamen from February 2020 to February 2021. They were divided into the observation group(with Doula accompany delivery) and the control group(routine care) with 40 cases each by random number table, and explore the implementation of different nursing care for the time of labor and postpartum quality of life. Results The time of the first stage of labor(339.50±33.11) min, the time of the second stage of labor(18.73±1.85) min, the time of the third stage of labor(9.75±0.95) min, and the time of the total stage of labor(371.98±37.92) min in the observation group were all shorter than those of the control group [(373.25±37.89) min,(26.89±2.52) min,(12.25±1.51) min,(412.30±41.86) min], and the difference was statistically significant(P < 0.05);there was no difference in VAS scores between the two groups before and 15 minutes after analgesia(P > 0.05). The VAS score(3.40±1.12) points when the cervix was dilated from 7 cm to 8 cm in the observation group was significantly lower than that of the control group(5.06±1.30) points, the difference was statistically significant(P < 0.05). The scores of female sexual function index(FSFI) [(24.82±2.73) points,(25.73±2.52) points] in the observation group were significantly higher than those in the control group at 8 and 16 weeks after discharge [(20.45±2.69) points,(21.89±2.86) points], the difference was statistically significant(P < 0.05);the female sexual distress scale(FSDS-R) scores of the puerperae in the observation group at 8 and 16 weeks after discharge from hospital [(26.75±2.67) points,(22.07±1.37) points] was lower than the control group [(29.58±2.92) points,(26.12±1.51) points], the difference was statistically significant(P < 0.05). Conclusion After giving birth with Doula accompanied by primiparas who have given birth naturally, the delivery time can be significantly shortened and the quality of life after delivery can be improved. This method is worthy of application and promotion.