基于行为分阶段转变理论的护理干预在高龄产妇阴道分娩中的应用

Application of nursing intervention based on the theory of behavioral phased transition in vaginal delivery of advanced maternal age

目的 分析基于行为分阶段转变理论的护理干预在高龄产妇阴道分娩中的应用。方法 选取2020年8月至2023年8月,新疆医科大学第一附属医院所接收的300例高龄产妇为本研究的研究对象,分为对照组(n=150,给予常规护理干预)和研究组(n=150,给予行为分阶段转变理论的护理干预)。统计记录产后2 h出血量、产后24 h出血量、出血发生率、第一产程时间、第二产程时间、第三产程时间及总产程时间;采用中文版简易应对方式(SCSQ)量表评估产妇自身应对情况;采用妞芬兰纪念大学幸福度(MUNSH)量表评估产妇自身幸福感情,评估满意度。结果 干预后,与对照组进行比较,研究组产后2h出血量、产后24h出血量、产后出血发生率、第一产程情况、第二产程情况、第三产程情况、总产程情况、消极应对评分、负性情感、负性体验评分水平情况均降低(P<0.05);研究组积极应对评分、正性情感、正性体验评分水平情况均升高(P<0.05);研究组满意度高于对照组(P<0.05)。结论 将基于行为分阶段转变理论的护理干预应用于高龄产妇阴道分娩中,能降低产后出血量及产后出血发生率,提高高龄产妇积极应对能力,缩短产程时间,提高高龄产妇幸福感,提高护理满意度。

Objective To analyze the application of nursing intervention based on behavioral stage transformation theory in vaginal delivery of elderly parturients.Methods 300 elderly parturients admitted to the First Affiliated Hospital of Xinjiang Medical University from August 2020 to August 2023 were selected as the research subjects for this study.They were divided into a control group(n=150)receiving routine nursing intervention,and a study group(n=150)receiving nursing intervention based on the theory of behavior transition in stages.2 hours postpartum blood loss,24 hours postpartum blood loss,the incidence of bleeding,the first stage of labor,the second stage of labor,the third stage of labor and the total labor time were recorded.The Chinese version of the Simplified Coping Style Questionnaire(SCSQ)scale was used to assess maternal coping status.The maternal happiness and satisfaction were evaluated by Memorial University of Newfoundland Scale of Happiness(MUNSH)(Happiness scale)of Memorial University of Finland.Results After the intervention,compared with the control group,the postpartum blood loss of 2 h,postpartum blood loss of 24 h,postpartum hemorrhage incidence,first stage of labor,second stage of labor,third stage of labor,total stage of labor,negative coping score,negative emotion score and negative experience score were all decreased in the study group(P<0.05).The scores of positive coping,positive emotion and positive experience were all increased in the study group(P<0.05).The satisfaction of study group was higher than that of control group(P<0.05).Conclusion The application of nursing intervention based on behavioral stage transformation theory in vaginal delivery of elderly parturients can reduce the amount of postpartum bleeding and the incidence of postpartum bleeding,improve the active coping ability of elderly parturients,shorten the labor time,improve the happiness of elderly parturients and improve nursing satisfaction.