阶段性改变理论干预模式联合陪伴式分娩在孕产妇中的应用

Application of Staged Change Theory Intervention Model Combined with Accompanied Delivery in Pregnant Women

目的:分析阶段性改变理论干预模式联合陪伴式分娩在孕产妇中的应用价值。方法:选择瑞金市妇幼保健院2020年1—12月收治的120例孕妇,依照随机信封法分为观察组和对照组,每组60例;对照组给予陪伴式分娩模式干预,观察组采用阶段性改变理论干预模式联合陪伴式分娩模式干预;记录两组产妇的自然分娩率、会阴情况;观察两组产后出血率,第一产程、第二产程时间,新生儿体重及窒息发生率;分娩后出院时对产妇满意度进行评估,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、WHO的生存质量测定量表(QOL)、匹兹堡睡眠质量指数(PSQI)量表对产妇心理状态、生存质量、睡眠质量进行评估。结果:观察组产后出血及新生儿窒息发生率均明显低于对照组,产妇自然分娩率明显高于对照组(P<0.05);观察组产妇第一产程时间和第二产程时间均短于对照组,会阴侧切、Ⅰ+Ⅱ度裂伤发生率、SAS及SDS评分、PSQI评分均显著低于对照组(P<0.05);观察组QOL评分、产妇总满意率均显著高于对照组(P<0.05)。结论:阶段性改变理论干预模式联合陪伴式分娩可有效提升产妇的分娩质量和生活质量。

Objective:To analyze the application value of stage change theory intervention mode combined with accompanying delivery in pregnant women.Method:A total of 120 pregnant women who were admitted to Ruijin Maternal and Child Health Hospital from January to December 2020 were divided into the observation group and the control group according to random envelope method,with 60 cases each group.The control group was given the accompanying delivery mode intervention,while the observation group was given the stage change theory intervention mode combined with the accompanying delivery mode intervention.The natural delivery rate and perineal condition of the parturients in the two groups were recorded.The incidence of postpartum hemorrhage,time of first stage of labor,time of second stage of labor,neonatal body mass and incidence of asphyxia in the two groups were observed.After delivery,the satisfaction of parturients was assessed at the time of discharge.The psychological state,quality of life and sleep quality of parturients were assessed by self-rating anxiety scale(SAS),self-rating depression scale(SDS),quality of life scale(QOL)and Pittsburgh sleep quality index(PSQI).Result:The incidences of postpartum hemorrhage and neonatal asphyxia in the observation group were significantly lower than those in the control group,and the natural delivery rate of parturients in the observation group was significantly higher than that in the control group(P<0.05).The time of the first stage of labor and the second stage of labor were shorter than those in the control group,the incidences of lateral perineal incision andⅠ+Ⅱdegree laceration,SAS and SDS scores and PSQI scores in the observation group were significantly lower than those in the control group(P<0.05).The QOL score and maternal total satisfaction rate in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:The intervention mode of stage change theory combined with accompanying delivery can effectively improve the delivery quality and life quality of parturients.