围产期生育舞蹈对产妇分娩控制感、分娩结局及心理状态的影响

The effects of perinatal fertility dance on puerperant sense of labour control,birth outcomes and psychological state

目的 观察分析围产期生育舞蹈对产妇分娩控制感、分娩结局及心理状态的影响。方法 以2020年5—8月医院产科收取的40例产妇作对照组,围产期予以常规护理;以2021年9—12月医院产科收取的40例产妇作观察组,围产期予以生育舞蹈训练,比较两组产妇的分娩控制感、分娩恐惧程度、分娩结局、心理状态。结果 开展围产期生育舞蹈护理后,观察组产妇分娩支持及控制量表(SCIB)中的控制能力主题评分为76.08±6.95分,高于对照组的58.48±8.48分(P<0.05);观察组产妇的分娩恐惧量表(CAQ)评分为26.20±3.86分,低于对照组的29.64±4.28分(P<0.05);观察组产妇的自然分娩率高于对照组,而剖宫产率则低于对照组(P<0.05),且观察组中自然分娩产妇的第一产程与总产程时间均短于对照组(P<0.05);观察组产妇的抑郁自测量表(SDS)评分43.15±6.77分,焦虑自测量表(SAS)评分38.80±6.73分,低于对照组的53.66±7.53分与51.26±8.10分(P<0.05)。结论 围产期生育舞蹈干预方案在产妇中的应用,可增强其分娩控制感,缓解分娩恐惧程度,改善分娩结局,而且还能进一步改善产妇的心理状态。

Objective To observe and analyse the eff ects of perinatal birth dance on maternal sense of labour control,birth outcomes and psychological state.Methods 40 cases of puerperant admitted to the Hospital from May to August 2020 were selected as the control group,they were given routine care during the perinatal period.40 cases of puerperant admitted to the Hospital from September to December 2021 were used as the observation group,they were given training in perinatal fertility dance.The two groups were compared in terms of labour control,labour fear,labour outcome and psychological status.Results After the perinatal birth dance care,the control ability theme score in the SCIB of the observation group was 76.08±6.95 points,higher than that of the control group,which was 58.48±8.48 points(P<0.05);the score of the CAQ of the observation group was 26.20±3.86 points,lower than that of the control group,which was 29.64±4.28 points(P<0.05);and the score of the CAQ of the observation group was 26.20±3.86 points,lower than that of the control group,which was 29.64±4.28 points(P<0.05).4.28 points(P<0.05);the rate of spontaneous delivery in the observation group was higher than that of the control group,while the rate of caesarean section was lower than that of the control group(P<0.05),and the duration of the first stage of labour and the total duration of labour of the women who had spontaneous deliveries in the observation group were shorter than that of the control group(P<0.05).The scores of the Self-rating Depression Scale(SDS)and the Self-rating Anxiety Scale(SAS)were 43.15±6.77 points and 38.80±6.73 points,respectively in the observation group(P<0.05).Self-rating Anxiety Scale(SAS)which were lower than those of 53.66±7.53 points and 51.26±8.10 points in the control group(P<0.05).Conclusion The application of perinatal birth dance intervention programme in puerperant can enhance their sense of control over childbirth,alleviate the degree of fear of childbirth,improve the outcome of childbirth,and further improve the psychological state of mothers.