一对一导乐分娩护理对产妇分娩心理状况的改善作用研究

Effect of One-to-one Doula Childbirth Nursing on Maternal Psychological Status in Childbirth

目的:探讨一对一导乐分娩护理对产妇分娩心理状况的改善作用。方法:选择驻马店市中心医院妇女儿童医院2020年4月—2021年4月收治的118例产妇作为研究对象,按照随机数表法分为对照组和观察组,每组各59例。对照组给予常规助产及护理,观察组给予一对一导乐分娩护理,两组产妇均护理至产后1个月。比较两组产妇的分娩时间、分娩情况及护理前后焦虑自评量表(SAS)评分、爱丁堡产后抑郁量表(EPDS)评分。结果:观察组第一、第二、第三产程及总产程时间均短于对照组,差异有统计学意义(t=8.026、8.449、7.647、12.889,P<0.05)。观察组的顺产率高于对照组,观察组的会阴侧切率低于对照组,观察组的出血量少于对照组,观察组的住院时间短于对照组,差异有统计学意义(χ2=8.316、7.591,P<0.05;t=9.933、5.697,P<0.05)。护理前,两组产妇EPDS、SAS评分比较,差异无统计学意义(t=0.122、0.532,P>0.05)。护理后,观察组SAS、EPDS评分均低于对照组,差异有统计学意义(t=8.389、7.825,P<0.05)。结论:一对一导乐分娩护理应用于产妇分娩中,可明显缩短产妇分娩时间,提高顺产率,改善产妇的心理状况,有利于其产后康复。

Objective:To explore the effect of one-to-one doula delivery nursing on improving the psychological status of puerperae.Methods:118 maternal cases admitted to the hospital from April 2020 to April 2021 were selected as study subjects and divided into control and observation groups according to the random number table method,with 59 cases in each group.The control group was given conventional midwifery and care,while the observation group was given one-to-one doula delivery care,and both groups were cared for until 1 month after delivery.The duration of labor,delivery and pre-and post-care anxiety self-assessment scale(SAS)scores and Edinburgh Postpartum Depression Scale(EPDS)scores of the two groups were compared.Results:The first,second and third stage of labor and the total duration of labor were shorter in the observation group than in the control group,with statistically significant differences(t=8.026,8.449,7.647,12.889,P<0.05).The rate of normal delivery in the observation group was higher than that in the control group,the rate of episiotomy in the observation group was lower than that in the control group,the amount of bleeding in the observation group was less than that in the control group,and the hospital stay in the observation group was shorter than that in the control group,with statistically significant differences(χ2=8.316,7.591,P<0.05;t=9.933,5.697,P<0.05).Before care,there was no statistically significant difference in maternal EPDS and SAS scores between the two groups(t=0.122,0.532,P>0.05).After care,the SAS and EPDS scores of the two groups were lower than those before care,and the differences were statistically significant(t=3.042,10.433,19.275,25.488,P<0.05).After care,SAS and EPDS scores were lower in the observation group than in the control group,with statistically significant differences(t=8.389,7.825,P<0.05).Conclusion:The application of one-on-one doula delivery care in labor can significantly shorten the labor time,increase the rate of normal delivery,improve the psychological condition of mothers,and facilitate their postpartum recovery.