分娩镇痛导乐仪联合一对一全程导乐陪伴护理在高龄产妇中的应用效果分析

Analysis of the Application Effect of Labor Analgesia Doula Instrument Combined with One-to-one Full-course Doula Accompany in Elderly Parturients

目的:探讨分娩镇痛导乐仪联合一对一全程导乐陪伴护理在高龄产妇中的应用效果。方法:选取2018年5月―2020年9月莆田学院附属医院收治分娩的88例高龄产妇作为研究对象,按随机数表法分为对照组和观察组,每组各44例。对照组实施常规产科护理,观察组实施分娩镇痛导乐仪联合一对一全程导乐陪伴护理。比较两组产妇心理状态[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]、分娩疼痛、产程、护理满意度及顺转剖情况。结果:入院时,两组产妇SAS评分、SDS评分比较,差异无统计学意义(t=0.239、0.800,P>0.05),出院时,观察组SAS评分为(37.33±7.12)分、SDS评分为(35.51±7.56)分,均低于对照组的(45.54±6.19)分、(48.70±8.20)分,差异有统计学意义(t=5.772、7.845,P<0.05)。观察组分娩疼痛程度轻于对照组,差异有统计学意义(χ^(2)=2.656,P<0.05)。观察组第一产程时间为(7.33±1.52) h、第二产程时间为(0.82±0.19) h、第三产程时间为(0.15±0.04) h,短于对照组的(8.54±1.10) h、(1.29±0.45) h、(0.21±0.06) h,差异有统计学意义(t=4.278、6.383、5.519,P<0.05)。观察组总护理满意度为95.45%,高于对照组的79.55%,差异有统计学意义(χ^(2)=5.091,P<0.05)。观察组剖宫产率为4.55%(2/44),低于对照组的25.00%(11/44),差异有统计学意义(χ^(2)=7.311,P<0.05)。结论:分娩镇痛导乐仪联合一对一全程导乐陪伴应用于高龄产妇中,有利于改善高龄产妇的心理状态,减轻其分娩疼痛,有效加快分娩进程,降低剖宫产率,提高产妇护理满意度。

Objective: To explore the application effect of doula analgesia in childbirth combined with one-to-one full-course doula accompaniment in elderly women. Methods: A total of 88 elderly puerperae who were admitted to the hospital and gave birth from May 2018 to September 2020 were selected as the research objects, and divided into the control group and the observation group according to the random number table method, with 44 cases in each group. The control group was given routine obstetric nursing, and the observation group was given labor analgesia doula device combined with one-to-one full-course doula accompanying nursing. The maternal psychological status(self-rating anxiety scale [SAS] score, self-rating depression scale [SDS] score),labor pain, labor process, nursing satisfaction and anatomy were compared between the two groups. Results: On admission, there was no significant difference in SAS and SDS scores between the two groups(t=0.239, 0.800, P>0.05). At the time of discharge,the SAS score and SDS score of the observation group were(37.33±7.12) points and(35.51±7.56) points, which were lower than(45.54±6.19) points and(48.70±8.20) points of the control group, and the differences were statistically significant(t=5.772, 7.845,P<0.05). The pain degree of labor in the observation group was lighter than that in the control group, and the difference was statistically significant(χ^(2)=2.656, P<0.05). The time of the first stage of labor in the observation group was(7.33±1.52) h, the time of the second stage of labor was(0.82±0.19) h, and the time of the third stage of labor was(0.15±0.04) h, shorter than(8.54±1.10) h,(1.29±0.45) h,(0.21±0.06) h in the control group, the differences were statistically significant(t=4.278, 6.383, 5.519, P<0.05).The total nursing satisfaction in the observation group was 95.45%, which was higher than 79.55% in the control group, and the difference was statistically significant(χ^(2)=5.091, P<0.05). The cesarean section rate in the observation group was 4.55%(2/44),which was lower than 25.00%(11/44) in the control group, and the difference was statistically significant(χ^(2)=7.311, P<0.05). Conclusion: The application of the labor analgesia doula instrument combined with the one-to-one full-course doula accompaniment in elderly women is conducive to improving the psychological state of elderly women, alleviating their pain in labor, effectively speeding up the process of labor, reducing anatomy, and improving maternal nursing satisfaction.