以助产士为主导的体位干预联合人文关怀对初产妇分娩情况及负性情绪的影响分析

Effect of Midwife Led Postural Intervention Combined with Humanistic Care on Delivery and Negative Emotion of Primipara

目的探讨以助产士为主导的体位干预联合人文关怀对初产妇分娩情况及负性情绪的影响。方法选取2021年8月至2022年4月收治的80例初产妇作为研究对象,用随机数字表法将其分对照组和观察组,各40例,对照组接受以助产士为主导的体位干预,观察组接受以助产士为主导的体位干预联合人文关怀,比较两组产妇分娩结局和新生儿结局、负性情绪[汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)]、产程时间等。结果观察组钳产率(2.50%)、剖宫产率(17.50%)低于对照组的22.50%、40.00%,自然分娩率(80%)高于对照组的37.50%,差异有统计学意义(χ^(2)=7.3143、4.9428、14.9065,均P<0.05);观察组新生儿出生后1 min、3 min、10 min时Apgar评分均高于对照组,差异有统计学意义(t=32.4911、62.1623、21.1399,均P<0.05);两组患者护理前HAMD评分、HAMA评分比较,差异无统计学意义(t=0.1728、0.0333,均P>0.05);护理后,观察组HAMD评分、HAMA评分低于对照组,差异有统计学意义(t=12.8980、10.8979,均P<0.05);观察组第一产程时间、第二产程时间、第三产程时间短于对照组,差异有统计学意义(t=32.4125、45.3332、11.7199,P<0.05)。结论初产妇分娩时接受以助产士为主导的体位干预联合人文关怀,可使其分娩过程中保持良好的心情,利于缩短产程时间,改善产妇和新生儿分娩结局。

Objective To explore the effect of midwife led postural intervention combined with humanistic care on primipara's delivery and negative emotion.Methods 80 primiparas treated from August 2021 to April 2022 were selected as the research object.They were randomly divided into control group and observation group,with 40 cases in each group.The control group received midwife led postural intervention,and the observation group received midwife led postural intervention combined with humanistic care.The delivery outcomes and neonatal outcomes of the two groups were compared Negative emotions[Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA)],duration of labor,etc.Results The forceps rate(2.50%),cesarean section rate(17.50%)of the observation group,were lower than in the control group(22.50%,40.00%),and the natural delivery rate(80%)was higher than of the control group(37.50%)(χ^(2)=7.3143,4.9428,14.9065,all P<0.05).The Apgar scores of newborns in the observation group were significantly higher than those in the control group at 1 min,3 min and 10 min(t=32.4911,62.1623,21.1399,all P<0.05).There was no significant difference in HAMD score and HAMA score between the two groups before nursing(t=0.1728,0.0333,P>0.05);after nursing,HAMD score and HAMA score in the observation group were lower than those in the control group(t=12.8980,10.8979,P<0.05).The time of the first stage of labor,the second stage of labor and the third stage of labor in the observation group were shorter than those in the control group,and the difference was statistically significant(t=32.4125,45.3332,11.7199,P<0.05).Conclusion Primipara receiving midwife led postural intervention combined with humanistic care can keep them in a good mood during delivery,shorten the time of labor and improve the outcome of maternal and neonatal delivery.