个性化背景音乐+改良式拉玛泽呼吸法在经阴道分娩足月头位初产妇中的应用

Application of Personalized Background Music+Modified Ramaze Breathing Method in Vaginal Delivery of Term Cephalic Primipara

目的:探讨个性化背景音乐+改良式拉玛泽呼吸法在经阴道分娩足月头位初产妇中的应用价值。方法:选取商丘市妇幼保健院2019年1月—2020年1月收治的100例经阴道分娩足月头位初产妇作为研究对象。常规组50例(2019年1—7月)接受常规护理,实验组50例(2019年8月—2020年1月)采用个性化背景音乐+改良式拉玛泽呼吸法。对比两组产妇干预前后汉密尔顿抑郁量表(HAMD)评分和汉密尔顿焦虑量表(HAMA)评分,潜伏期、活跃期、第二产程视觉模拟量表(VAS)评分及血压差、心率差、活跃期时间。结果:干预后,两组产妇HAMD评分、HAMA评分均明显低于干预前,且实验组HAMD评分、HAMA评分较常规组明显降低,差异有统计学意义(t=6.305、5.530,P<0.05)。实验组潜伏期、活跃期、第二产程VAS评分均明显低于常规组,差异有统计学意义(t=8.314、11.128、4.775,P<0.05)。实验组舒张压差、收缩压差、心率差明显小于常规组,实验组活跃期时间明显短于常规组,差异有统计学意义(t=4.090、3.344、3.620、3.578,P<0.05)。结论:个性化背景音乐+改良式拉玛泽呼吸法应用于经阴道分娩足月头位初产妇中,有利于减轻产妇抑郁、焦虑情绪,有效缓解其分娩疼痛,稳定心率和血压,缩短活跃期。

Objective:To explore the application value of personalized background music+Modified Lamaze breathing method in vaginal delivery of full-term primiparas.Methods:A total of 100 full-term primipara who were admitted to the hospital from January 2019 to January 2020 were selected as the research objects.Fifty patients in the routine group(from January to July 2019)received routine care,and 50 patients in the experimental group(from August 2019 to January 2020)received personalized background music+modified Ramaze breathing method.The Hamilton Depression Scale(HAMD)score,Hamilton Anxiety Scale(HAMA)score,latency period,active period,Visual Analog Scale(VAS)score of the second stage of labor,blood pressure difference,heart rate difference,and active period time were compared between the two groups before and after intervention.Results:After the intervention,the HAMD scores and HAMA scores of the two groups were significantly lower than those before the intervention,and the HAMD scores and HAMA scores of the experimental group were significantly lower than those of the conventional group,with statistically significant differences(t=6.305,5.530,P<0.05).The VAS scores of the latent period,active period and second stage of labor in the experimental group were significantly lower than those in the conventional group,and the differences were statistically significant(t=8.314,11.128,4.775,P<0.05).The diastolic pressure difference,systolic pressure difference,and heart rate difference of the experimental group were significantly smaller than those of the conventional group,and the active period time of the experimental group was significantly shorter than that of the conventional group,and the differences were statistically significant(t=4.090,3.344,3.620,3.578,P<0.05).Conclusion:Personalized background music+improved Ramaze breathing method applied to term cephalic primiparous women during vaginal delivery can help reduce maternal depression and anxiety,effectively relieve labor pain,stabilize heart rate and blood pressure,and shorten active period.