剖宫产术后阴道试产产妇应用椎管内分娩镇痛体验的质性研究

The analgesic experience of intraspinal labor analgesia for parturient with trial of labor after cesarean section:A qualitative study

目的深入分析剖宫产术后阴道试产产妇应用椎管内分娩镇痛体验,为改善产妇分娩体验提供参考。方法采用目的抽样法,对2021年10月1日至12月30日在贵州省人民医院产科接受椎管内分娩镇痛的14例剖宫产术后阴道试产产妇进行半结构式访谈,运用Colaizzi 7步分析法对资料进行编码、归纳、提炼主题。结果剖宫产术后阴道试产产妇椎管内分娩镇痛体验可归纳为分娩镇痛的心理调适、分娩镇痛后的正负反馈、信息获取受限3个主题。结论剖宫产术后阴道试产产妇对椎管内分娩镇痛存在认知偏差、负性情绪和迫切的外部支持需求。医护人员需重视产妇的心理变化,加强外部支持,多渠道提供专业信息,促进产妇身心健康。

Objective To deeply dissect experience of intraspinal labor analgesia for parturient with trial of labor after cesarean section,and provide reference for improving parturient labor experience.Methods A total of 14 parturient with trial of labor after cesarean section who applied intraspinal labor analgesia in Department of Obstetrics,Guizhou Provincial People’s Hospital from October 1 to December 30,2021 were selected by the objective sampling method to conduct semi-structured interviews,the data were coded,summarized,and themes were refined by the method of Colaizzi 7-step analysis.Results The analgesic experience of intraspinal labor analgesia in parturient with trial of labor after cesarean section could be summarized into three themes,included psychological adjustment of labor analgesia,positive and negative feedback after labor analgesia and limited access to information.Conclusion Parturient with trial of labor after cesarean section who receive intraspinal labor analgesia have cognitive bias,negative emotions and urgent need for external support.Medical staff need to pay attention to the psychological changes of parturient,strengthen external support,provide professional information through multiple channels,and promote the physical and mental health of parturient.