SLK三联训练干预对初产妇产程时长和产后康复的效果观察

Observation of the effect of SLK triple training association intervention on the duration of labor and postpartum recovery of primipara

目的探讨联想分娩、拉玛泽呼吸法及Kegel运动(SLK)三联训练干预在初产妇中的应用效果。方法选取2020年2月—2022年2月医院待产的初产妇96例,按组间基本资料匹配原则分为对照组和观察组,各48例。对照组采取常规护理,观察组在常规护理基础上实施SLK三联训练干预,两组均持续干预至产后2个月。比较两组各产程时间、心理状态、盆底肌力、产后并发症、生活质量和产妇满意度。结果实施SLK三联训练干预后,观察组第一产程、第二产程、第三产程和总产程时间均短于对照组,差异有统计学意义(P<0.05);干预后观察组汉密尔顿焦虑量表(HAMA)评分、汉密顿抑郁量表(HAMD)评分均低于对照组,差异有统计学意义(P<0.05);观察组干预后盆底肌力分级优于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组干预后生活质量测定量表简表(QOL-BREF)中心理、生理、社会、环境评分高于对照组,差异有统计学意义(P<0.05);观察组产妇满意度中操作技术、沟通态度、健康指导和护理方式评分均高于对照组,差异有统计学意义(P<0.05)。结论SLK三联训练干预能够加快初产妇产程进展,减轻产妇消极情绪,降低产后并发症发生率,促进产妇盆底功能恢复,提高生活质量,从而提升护理满意度。

Objective To investigate the application effect of the triple association training intervention of associative delivery,Lamazer breathing method and Kegel exercise(SLK)in primiparas.Methods 96 expectant primiparas admitted in hospital from February 2020 to February 2022 were selected and divided into control group and observation group according to the basic data matching principle,48 cases in each group.The control group received routine nursing,and the observation group received SLK triple association training intervention on the basis of routine nursing.Both groups continued to intervene until 2 months after delivery.Labor time,mental state,pelvic floor muscle strength,postpartum complications,quality of life and maternal satisfaction were compared between the two groups.Results After SLK triple association training intervention,the fi rst stage of labor,second stage of labor,third stage of labor and total stage of labor in the observation group were shorter than the control group,the difference was statistically significant(P<0.05).After intervention,the Hamilton Anxiety Scale(HAMA)scores and Hamilton Depression Scale(HAMD)scores of the observation group were lower than the control group,with statistical significance(P<0.05).The grading of pelvic fl oor muscle strength in the observation group was better than the control group,and the dif ference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than the control group,and the dif ference was statistically significant(P<0.05).The scores of psychology,physiology,society and environment in Quality of LifeBREF(QOL-BREF)were higher in the observation group than the control group,the dif ference was statistically significant(P<0.05).The scores of operation technique,communication attitude,health guidance and nursing mode in the observation group were all higher than those in the control group,the dif ference was statistically significant(P<0.05).Conclusion SLK triple association training intervention could accelerate the progress of puerpera,reduce the negative mood of puerpera,reduce the incidence of postpartum complications,promote the recovery of pelvic fl oor function,improve the quality of life,so as to improve the satisfaction of nursing.