温馨助产服务联合全程导乐助产护理在自然分娩助产护理中的应用

Application of Warm Midwifery Service Combined with Whole-process Guided Midwifery Care in Natural Delivery Midwifery Nursing

目的探讨自然分娩助产护理中采用温馨助产服务联合全程导乐助产护理的效果。方法选取2021年9月至2022年8月在许昌市妇幼保健院进行自然分娩的产妇共计130例,根据随机数字表法分为干预组与对照组,各65例。对照组实行常规助产护理,干预组实行温馨助产服务联合全程导乐助产护理,对两组心理状态、舒适度、不良母婴结局以及护理满意度进行比较。结果干预后,两组患者的心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分均有所降低,且干预组低于对照组,差异有统计学意义(P<0.05)。干预后,两组患者简化舒适状况量表(GCQ)评分均有所提高,且干预组高于对照组,差异有统计学意义(P<0.05)。干预组不良母婴结局发生率(3.08%)低于对照组(16.92%),差异有统计学意义(P<0.05)。干预组的医院环境、医护态度、情感体验及医护技能评分高于对照组,差异有统计学意义(P<0.05)。结论温馨助产服务联合全程导乐助产护理应用于自然分娩助产护理中,可改善心理状态,提高舒适度,减少不良母婴结局发生,提高护理满意度。

Objective To explore the effect of warm midwifery service combined with whole-process guided midwifery care in natural delivery midwifery nursing.Methods A total of 130 pregnant women who were delivered naturally in Xuchang Maternal and Child Health Hospital from September 2021 to August 2022 were selected,and randomly divided into an intervention group and a control group,with 65 cases in each group,using a random number table method.The control group received routine midwifery care,while the intervention group received warm midwifery services combined with full process guided midwifery care.The psychological status,comfort,adverse maternal and infant outcomes and nursing satisfaction of the two groups were compared.Results After intervention,the psychological state[Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)scores]in both groups were decreased,and in comparision of the control group,the intervention group was lower,with a statistically significant difference(P<0.05).After intervention,the scores of General Comfort Questionnaire(GCQ)in both groups were increased,and in comparision of the control group,the intervention group was higher,with a statistically significant difference(P<0.05).In the incidence of adverse maternal and infant outcomes,in comparision of the control group(16.92%),the intervention group(3.08%)was lower,with a statistically significant difference(P<0.05).In the scores of hospital environment,medical attitude,emotional experience and medical skills,in comparision of the control group,the intervention group were higher,with a statistically significant difference(P<0.05).Conclusion The application of warm midwifery service combined with whole-process Doula midwifery nursing in natural delivery midwifery nursing can improve psychological state,improve comfort,reduce adverse maternal and infant outcomes,and improve nursing satisfaction.