助产士心理护理干预对初产妇分娩方式的影响

Influence of Midwife's Psychological Nursing Intervention on Delivery Mode of Primipara

目的探究并分析助产士心理护理干预对初产妇分娩方式的影响。方法选取160例于2019年2月至2020年2月在本院进行分娩的初产妇,通过随机数字表法对产妇进行分组,分为常规组(80例,行常规护理)和研究组(80例,在行常规护理的同时配合心理护理共同干预),对比两组初产妇围生期采用不同的护理干预方法后,焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、不同产程时间、分娩方式的选择以及新生儿Apgar评分。结果研究组产妇SAS评分、SDS评分均低于常规组,第一、二产程时间相比较于常规组明显更短,组间数据差异有统计学意义,P<0.05。研究组产妇剖宫产率为11.25%,低于常规组的32.50%,差异有统计学意义(P<0.05);研究组产妇新生儿Apgar评分相比较于常规组明显更高,组间数据差异有统计学意义,P<0.05。结论采用助产士心理护理干预初产妇整个围生期的护理中,对于初产妇选择剖宫产分娩的概率有显著降低的作用,并改善产妇的不良情绪,缩短产程时间,还能促使新生儿更为健康。

Objective To explore and analyze the influence of midwives'psychological nursing intervention on the mode of delivery of primipara.Methods A total of 160 primiparas who delivered in our hospital from February 2019 to February 2020 were divided into routine group(80 cases,routine nursing)and research group(80 cases,routine nursing combined with psychological nursing intervention).The scores of self rating anxiety scale(SAS),self rating depression scale(SDS)and the choice of different stages of labor,delivery methods and neonatal Apgar score.Results The SAS score and SDS score of pregnant women in the study group were lower than those in the routine group.The time of the first and second stage of labor was significantly shorter than that in the routine group,and the data difference between the groups was significant(P<0.05).The cesarean section rate in the study group was 11.25%,lower than 32.50% in the routine group(P<0.05).The Apgar score of pregnant women and newborns in the study group was significantly higher than that in the routine group,and the data difference between the groups was significant(P<0.05).Conclusion The analysis shows that the midwife psychological nursing intervention can significantly reduce the probability of cesarean section in the whole perinatal nursing of primipara,improve the bad mood of primipara,shorten the time of labor,and promote the health of newborns.