助产士导乐陪伴分娩护理在自然分娩初产妇中的应用效果

Application effects of midwife doula accompany delivery nursing in primiparas with natural childbirth

目的:观察助产士导乐陪伴分娩护理在自然分娩初产妇中的应用效果。方法:选取2020年1月至2021年6月该院收治的106例自然分娩初产妇进行前瞻性研究,采用随机数字表法将其分为观察组与对照组各53例。对照组采用常规助产护理,观察组采用助产士导乐陪伴分娩护理。比较两组各产程时间、宫缩疼痛程度[视觉模拟评分法(VAS)]评分、分娩自我效能感[简化中文版分娩自我效能量表(CBSEI-C32)]评分、不良妊娠结局发生率、产后2 h阴道出血量、新生儿1 min Apgar评分和护理满意度。结果:观察组第一产程、第二产程、第三产程、总产程均短于对照组,差异有统计学意义(P<0.05);观察组VAS评分低于对照组,CBSEI-C32评分高于对照组,差异均有统计学意义(P<0.05);两组中转剖宫产、会阴裂伤、产后尿潴留发生率比较,差异均无统计学意义(P>0.05);观察组产后2 h阴道出血量少于对照组,差异有统计学意义(P<0.05);两组新生儿1min Apgar评分比较,差异无统计学意义(P>0.05);观察组护理满意度为100.00%(53/53),高于对照组的83.02%(44/53),差异有统计学意义(P<0.05)。结论:助产士导乐陪伴分娩护理应用于自然分娩初产妇中可缩短各产程时间,降低VAS评分和产后2 h阴道出血量,提高护理满意度和自我效能感评分,其效果优于常规助产护理。

Objective:To observe application effects of midwife doula accompany delivery nursing in primiparas with natural childbirth.Methods:A prospective study was conducted on 106 primiparas with natural childbirth admitted to this hospital from January 2020 to June 2021.They were divided into observation group and control group by using the random number table method,53 cases in each group.The control group was given routine midwifery nursing,while the observation group was given the midwife doula accompany delivery nursing.The time of each stage of labor,the uterine contraction pain degree[visual analogue scale(VAS)]score,the delivery self-efficacy[Childbirth self-efficacy inventory(CBSEI-C32)]score,the incidence of adverse pregnancy outcomes,the vaginal bleeding volume 2 h after delivery,the neonatal 1 min Apgar score,and the nursing satisfaction were compared between the two groups.Results:The first stage of labor,the second stage of labor,the third stage of labor and the total stage of labor in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The VAS score of the observation group was lower than that of the control group,the CBSEI-C32 score was higher than that of the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the incidences of cesarean section,perineal laceration and postpartum urinary retention between the two groups(P>0.05).The amount of vaginal bleeding 2 h after delivery in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 100.00%(53/53),which was higher than 83.02%(44/53)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The midwife Doula accompanying delivery nursing in the primiparas with natural childbirth can shorten the time of each stage of labor,reduce the VAS scores and the amount of vaginal bleeding 2 h after delivery,and improve the nursing satisfaction and the self-efficacy scores.Moreover,it is superior to routine midwifery nursing.