导乐陪伴家庭化护理干预对初产妇分娩疼痛、心理状态及分娩结局的影响观察

Observation on the effect of doula accompanied family nursing intervention on labor pain,psychological state and labor outcome of primipara

目的分析导乐陪伴家庭化护理干预对初产妇分娩疼痛、心理状态及分娩结局的影响。方法选取60例初产妇,按照红蓝信封法分为常规组与导乐组,每组30例。常规组采用常规护理,导乐组采用导乐陪伴式家庭化护理干预。比较两组干预效果。结果导乐组第一、二、三产程均短于常规组(P<0.05)。护理后导乐组焦虑、抑郁评分均低于常规组(P<0.05)。导乐组分娩疼痛评分低于常规组,产后2h出血量明显少于常规组(P<0.05),两组新生儿Apgar评分比较,差异无统计学意义(P>0.05)。导乐组不良妊娠结局发生率3.33%明显低于常规组的20.00%(P<0.05)。结论导乐陪伴式家庭化护理干预应用于初产妇分娩时,可缩短产程用时,改善其心理状态及分娩指标,保证分娩结局,值得临床推广。

Objective To analyze the effects of doula accompanied family nursing intervention on labor pain,psychological state and labor outcome of primipara.Methods 60 primipara were selected and divided into conventional group and doula group according to red and blue envelope method,with 30 cases in each group.The routine group was treated with routine nursing,and the doula group was treated with doula accompanied family nursing intervention.The intervention effect of the two groups was compared.Results The first,second and third stages oflabor in doula group were shorter than those in conventional group(P<0.05).After nursing,the scores of anxiety and depression in doula group were lower than those in conventional group(P<0.05).The delivery pain score of doula group was lower than that of conventional group,and the postpartum blood loss at 2 h was significantly lower than that of conventional group(P<0.05).There was no significant difference in Apgar score between the two groups(P>0.05).The incidence of adverse pregnancy outcome in doula group(3.33%)was significantly lower than that in conventional group(20.00%)(P<0.05).Conclusion The application of doula accompanied family nursing intervention in the delivery of primipara can shorten the duration of labor,improve their psychological state and delivery indicators,and ensure the outcome of delivery,which is worthy of clinical promotion.