转变助产服务模式联合情绪-认知双路径干预对自然分娩初产妇的影响

Effect of transformed midwifery service mode combined with emotional-cognitive dual-path intervention on primiparous women undergoing natural childbirth

目的:观察转变助产服务模式联合情绪-认知双路径干预对自然分娩初产产妇母乳喂养率、爱丁堡产后抑郁量表(EPDS)评分及母亲角色转换情况的影响。方法:回顾性分析两院2021年1-12月300例(对照组)与2022年1-12月280例自然分娩初产产妇(研究组),均行常规护理干预,对照组在其基础上延续传统助产服务模式,研究组则采取转变助产服务模式联合情绪-认知双路径干预,比较两组干预前后认知水平、产后EPDS评分、初产妇角色转变量表评分、母亲角色适应能力评分、母乳喂养情况(初始泌乳时间、产后3d母乳喂养率)、产妇满意度。结果:研究组干预后认知水平评分显著高于对照组(t=14.704,P<0.001);研究组干预1个月EPDS评分(t=19.686,P<0.001)、2个月EPDS评分(t=12.425,P<0.001)显著低于对照组,研究组干预1个月初产妇角色转变评分(t=11.537,P<0.001)、2个月初产妇角色转变评分(t=9.978,P<0.001)、干预1个月母亲角色适应能力评分(t=6.622,P<0.001)、2个月母亲角色适应能力评分(t=7.747,P<0.001)显著高于对照组;研究组初始泌乳时间显著短于对照组(t=16.877,P<0.001),产后3d母乳喂养率显著高于对照组(χ^(2)=28.738,P<0.001);研究组产妇满意度显著优于对照组(Z=42.385,P<0.001)。结论:转变助产服务模式联合情绪-认知双路径干预可有效改善自然分娩初产产妇产后抑郁情绪,提高母亲角色转换能力及母乳喂养率,获得产妇满意。

Objective:To observe the effect of transformed midwifery service mode combined with emotional-cognitive dual-path intervention on breastfeeding rate,Edinburgh Postnatal Depression Scale(EPDS)score and role transformation of primiparous women undergoing natural childbirth.Methods:A total of 300 primiparous women who underwent natural childbirth in the hospital from January to June 2021,and 280 primiparous women who underwent natural childbirth in the hospital from January to June 2022 were selected as the control group and the study group,respectively.Both groups received routine nursing intervention.On this basis,the control group received traditional midwifery service,while the study group received transformed midwifery service mode combined with emotional-cognitive dual-path intervention.The two groups were compared in terms of cognitive level,EPDS score,role transformation,maternal role adaptation,breastfeeding status(initial lactation time and breastfeeding rate in 3 days after delivery),and maternal satisfaction.Results:After intervention,cognitive score of the study group was significantly higher than that of the control group(t=14.704,P<0.001).After 1 month and 2 months of intervention,EPDS scores of the study group were significantly lower than those of the control group(t=19.686,12.425;both P<0.001).The role transformation scores were significantly higher than those of the control group(t=11.537,9.978;both P<0.001).The maternal role adaptation scores were significantly higher than those of the control group(t=6.622,7.747;both P<0.001).The initial lactation time in the study group was significantly shorter than that in the control group(t=16.877,P<0.001),and the breastfeeding rate in 3 days after delivery was significantly higher than that in the control group(χ^(2)=28.738,P<0.001).Women in the study group were more satisfied than those in the control group(Z=42.385,P<0.001).Conclusion:Transformed midwifery service mode combined with emotional-cognitive dual-path intervention can effectively relieve postpartum depression in primiparous women undergoing natural childbirth,improve their role transformation,breastfeeding rate and satisfaction.