行为阶段转变理论联合自由体位护理对顺产产妇疼痛及控制感的影响

Effect of Behavioral Stage Transition Theory Combined with Free Position Nursing on Pain and Sense of Control in Parturients with Spontaneous Delivery

目的研究行为阶段转变理论联合自由体位护理对顺产产妇疼痛及控制感的影响。方法选取2019年1月-2022年6月我院顺产的62例产妇为研究对象,采用随机数字表法分为对照组和观察组,各31例。对照组采用常规护理,观察组采用行为阶段转变理论联合自由体位护理,比较两组产妇第二产程时间、产时出血量、分娩控制感评分、分娩结局、阴道侧切切口愈合情况、疼痛分级情况、新生儿Apgar评分。结果观察组第二产程时间短于对照组、产时出血量少于对照组,分娩控制感评分高于对照组(P<0.05);观察组阴道侧切率、会阴裂伤率均低于对照组(P<0.05);观察组切口甲级愈合率高于对照组,乙级、丙级愈合率均低于对照组(P<0.05);观察组疼痛Ⅰ级占比高于对照组,Ⅱ级、Ⅲ级占比低于对照组(P<0.05);观察组新生儿Apgar评分高于对照组(P<0.05)。结论行为阶段转变理论联合自由体位护理对顺产产妇疼痛及控制感具有积极的影响,可减轻产妇疼痛,促进第二产程进展,减少产时出血量,提高分娩控制感,降低阴道侧切和会阴损伤率,提高新生儿Apgar评分,值得临床加以应用。

Objective To study the effect of behavioral stage transition theory combined with free position nursing on pain and sense of control in parturients.Methods From January 2019 to June 2022,62 parturients with natural delivery in our hospital were selected as the research objects,and they were divided into control group and observation group by random number table method,with 31 parturients in each group.The control group was given routine nursing,while the observation group was given behavioral stage transition theory combined with free position nursing.The second stage of labor time,intrapartum bleeding volume,delivery control score,delivery outcome,vaginal incision healing,pain grading and neonatal Apgar score were compared between the two groups.Results The second stage of labor in the observation group was shorter than that in the control group,the amount of bleeding during labor was less than that in the control group,and the score of childbirth control was higher than that in the control group(P<0.05).The rate of vaginal lateral incision and perineal laceration in the observation group were lower than those in the control group(P<0.05).The wound healing rate of grade A in the observation group was higher than that in the control group,and wound healing rate of grade B and grade C were lower than those in the control group(P<0.05).The proportion of pain grade Ⅰ in the observation group was higher than that in the control group,and the proportion of grades Ⅱ and Ⅲ was lower than that in the control group(P<0.05).The Apgar score of newborns in the observation group was higher than that in the control group(P<0.05).Conclusion Behavioral stage transition theory combined with free position nursing has a positive effect on maternal pain and sense of control.Meanwhile,it can reduce maternal pain,promote the progress of the second stage of labor,reduce the amount of bleeding during labor,improve the sense of delivery control,reduce the rate of vaginal lateral incision and perineal injury,and improve the neonatal Apgar score,which is worthy of clinical application.