一对一导乐陪伴分娩对初产妇产后情绪状态及睡眠质量的影响分析

Analysis of the Influence of One-on-one Doula Accompanying Delivery on the Emotional State and Sleep Quality of Primiparas after Delivery

目的:探讨一对一导乐陪伴分娩对初产妇产后情绪状态及睡眠质量的影响。方法:选取2020年5月至2021年4月福建省福清市妇幼保健院收治的初产妇80例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组40例。对照组在分娩期间行常规干预,观察组在分娩期间行一对一导乐陪伴分娩。比较2组产妇的情绪状态、睡眠质量、产程时间、分娩结局、产妇产后状况。结果:干预前,2组产妇汉密尔顿焦虑评分(HAMA)及汉密尔顿抑郁评分(HAMD)比较,差异均无统计学意义(均P>0.05);干预后,观察组HAMA评分、HAMD评分均低于对照组,2组比较差异均有统计学意义(均P<0.05)。干预前,2组产妇睡眠时间、平均入睡时间、起夜次数比较,差异均无统计学意义(均P>0.05);干预后,观察组睡眠时间长于对照组,平均入院时间短于对照组,起夜次数少于对照组,2组比较差异均有统计学意义(均P<0.05)。观察组第一产程时间、第二产程时间短于对照组,观察组剖宫产、产后大出血等发生率低于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:一对一导乐陪伴分娩可显著改善初产妇的情绪状态,使其以更为轻松的心态面对分娩,因而可获得更理想的睡眠质量,缩短产程时间,并降低试产中转产妇的剖宫产率及产后不良事件的发生率。

Objective:To explore the effect of one-on-one Doula accompanied delivery on the emotional state and sleep quality of primiparas after delivery.Methods:A total of 80 primiparas admitted to Maternal and Child Health Hospital of Fuqing City from May 2020 to April 2021 were studied.The patients were divided into two groups with 40 cases in each group.The control group received routine intervention during delivery,and the observation group received one-on-one doula to accompany delivery during delivery.The emotional state,sleep quality,duration of labor,delivery outcome and postpartum condition of primiparas were compared between the two groups.Results:There was no significant difference in Hamilton anxiety score(HAMA) and Hamilton depression score(HAMD) between the two groups before intervention(P>0.05);The HAMA and HAMD scores of the observation group were lower than those of the control group(P<0.05).Before the intervention,there was no significant difference between the two groups in terms of sleep time,average sleep time and number of nights(P>0.05);After the intervention,the sleep time of the observation group was longer than that of the control group,the average hospital admission time was shorter than that of the control group,and the number of nights was less than that of the control group(P<0.05).The first stage of labor and the second stage of labor in the observation group were shorter than those in the control group(P<0.05).The incidence of cesarean section and postpartum hemorrhage in the observation group was lower than that in the control group(P<0.05).Conclusion:One-on-one doula accompanying delivery can improve the emotional state of primiparas,make them face delivery with a more relaxed attitude,so as to obtain a better sleep quality,shorten the duration of labor,and reduce the cesarean section rate and the incidence of postpartum adverse events of pregnant women who are transferred to trial delivery.