责任助产模式护理对无痛分娩孕妇心理状况及母婴结局的影响

Effect of responsible midwifery mode nursing on psychological status and maternal and infant outcomes of pregnant women in painless delivery

目的探讨责任助产模式护理在无痛分娩孕妇中的应用价值。方法选取2021年3月至2023年3月于抚州市第一人民医院接受无痛分娩的94例孕妇为研究对象,采用随机数字表法分为对照组和观察组,每组47例。对照组采取常规护理,观察组实行责任助产模式护理,两组均持续护理至分娩结束。比较两组产妇的心理状况、分娩自我效能、临床指标、不良母婴结局发生情况及满意度。结果观察组的正性负性情绪量表(PANAS)中积极情感层面评分高于对照组,消极情感层面评分低于对照组,差异有统计学意义(P<0.05);观察组护理后简化版分娩自我效能量表(CBSEI-C32)中遵医行为、日常生活、健康行为以及治疗效果评分均高于对照组,差异有统计学意义(P<0.05);观察组产后2 h出血量少于对照组,总产程、产后住院时间均短于对照组,差异有统计学意义(P<0.05);观察组的不良母婴结局总发生率低于对照组,差异有统计学意义(P<0.05);观察组的护理方式、服务态度、舒适度、心理护理满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论责任助产模式护理可缓解无痛分娩孕妇消极心理,有效提升孕妇分娩自我效能,产程时间更短,不良母婴结局较少,进而提升孕妇满意度。

Objective To explore the application value of responsible midwifery mode nursing in painless delivery of preg-nant women.Methods A total of 94 pregnant women who received painless delivery in the First People's Hospital of Fuzhou from March 2021 to March 2023 were selected as the study objects,and divided into control group and observation group by random number table method,with 47 cases in each group.The control group received routine nursing,the observation group received responsible midwifery mode nursing,and both groups continued nursing until the end of labor.The psychological status,self-efficacy,clinical indicators,adverse maternal and infant outcomes and satisfaction of the two groups were com-pared.Results The positive and negative affect scale(PANAS)scores in the observation group were higher than those in the control group,while the negative emotion scale scores were lower than those in the control group,the differences were statis-tically significant(P<0.05).The observation group had higher scores for compliance behavior,daily life,health behavior,and treatment effectiveness in the childbirth self-efficacy inventory(CBSEI-C32)compared to the control group,the differ-ences were statistically significant(P<0.05).The observation group had less postpartum bleeding at 2 hours compared to the control group,and the total labor process and postpartum hospitalization time were shorter than those of the control group,the differences were statistically significant(P<0.05).The adverse maternal and infant outcomes such as neonatal asphyxia,fetal distress,postpartum hemorrhage and urinary retention in the observation group were less than those in the control group,the differences were statistically significant(P<0.05).The nursing satisfaction scores of the observation group were higher than those of the control group,the difference was statistically significant(P<0.05).Conclusion Responsible mid-wifery mode nursing can alleviate the negative psychology of pregnant women undergoing painless delivery,effectively im-prove their self-efficacy in delivery,shorten the delivery process,reduce adverse maternal and infant outcomes,and thus improve maternal satisfaction.