健康意识理论联合导乐陪伴在初产妇分娩中的应用效果

Application effect of health consciousness theory combined with doula accompanying in primipara delivery

目的探讨健康意识理论联合导乐陪伴在初产妇分娩中的应用价值。方法以2021年6月至2022年3月于福建省妇幼保健院分娩的100名初产妇为研究对象,其中,拒绝接受导乐陪伴分娩的产妇为对照组,自愿选择导乐陪伴分娩的产妇为观察组,各50名。对照组初产妇给予常规护理结合健康意识理论干预,观察组初产妇在对照组干预方式的基础上联合导乐陪伴干预。比较2组初产妇的心理状况、分娩方式、疼痛程度、新生儿Apgar评分以及分娩结局。结果分娩2 h后2组初产妇的焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分均较入院时降低,且观察组的SAS评分和SDS评分均低于对照组,差异均有统计学意义(P均<0.05)。观察组初产妇的剖宫产比例低于对照组(P<0.05)。观察组中,经阴道分娩初产妇在第一产程、第二产程和第三产程的数字疼痛评分量表(NRS)评分均低于对照组(P均<0.05)。观察组新生儿在皮肤颜色、心搏速率和呼吸3个方面的评分以及Apgar总分均高于对照组(P均<0.05)。观察组初产妇产后出血、会阴侧切、宫颈裂伤以及新生儿窒息的总发生率低于对照组(P均<0.05)。结论健康意识理论联合导乐陪伴有助于减轻初产妇的分娩疼痛及负性情绪,改善分娩结局。

Objective To explore the application value of health consciousness theory combined with doula accompanying in the primipara delivery.Methods One hundred primiparas who gave birth at Fujian Maternity and Child Health Hospital from June 2021 to March 2022 were selected as research subjects.The women who refused delivery of doula accompanying were set as the control group,and the women who voluntarily chose delivery of doula accompanying were set as the observation group.Both groups contained 50 women.The control group was given routine nursing combined with intervention of health consciousness theory,and the observation group was given intervention of doula accompanying in addition to the intervention method of the control group.The psychological status,delivery mode,pain intensity,Apgar scores,and delivery outcomes were compared between the two groups.Results At 2 hrs after delivery,the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores of the two groups were decreased compared with those at admission,and the SAS and SDS scores of the observation group were lower than those of the control group.The differences were statistically significant(all P<0.05).The proportion of cesarean section in the observation group was lower than that in the control group(P<0.05).In the observation group,the Numerical Rating Scale(NRS)scores in the first,second,and third stages of labor were lower than those in the control group(all P<0.05).The scores of skin color,heart rate,respiration and the total Apgar score in the observation group were higher than those in the control group(all P<0.05).The total incidence of postpartum hemorrhage,episiotomy,laceration of cervix,and neonatal asphyxia in the observation group was lower than that in the control group(P<0.05).Conclusion Health consciousness theory combined with doula accompanying can help reduce the delivery pain and negative emotions of primiparas and improve the delivery outcomes.