分娩预演在初产妇分娩护理依从性中的影响

The effect of labor rehearsal on the compliance of primipara in labor care

目的分析分娩预演对初产妇分娩的影响。方法选取52例初产妇,运用随机抽样法分为两组,每组26例。参照组予以常规产前教育,预演组予以分娩预演,比较两组孕妇恐惧、焦虑、抑郁情绪、分娩方式及依从性。结果干预前,两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、分娩恐惧量表(CAQ)评分对比,差异无统计学意义(P>0.05);干预后预演组HAMA、HAMD、CAQ评分均低于参照组,差异有统计学意义(P<0.05)。预演组自然分娩率、分娩方式依从性均高于参照组,差异有统计学意义(P<0.05)。结论分娩预演对初产妇具有重要意义,能有效缓解初产妇焦虑、抑郁、恐惧等情绪,提高自然分娩率和分娩依从性,值得临床推广与应用。

Objective To analyze the effect of labor rehearsal on the delivery of primipara.Methods 52 cases of primipara were selected and divided into two groups with 26 cases in each group by random sampling method.The reference group was given routine prenatal education,and the rehearsal group was given childbirth rehearsal.The fear,anxiety,depression,delivery mode and compliance of the two groups were compared.Results Before intervention,there was no significant difference in the scores of hamilton anxiety scale(HAMA),hamilton depression scale(HAMD)and fear of childbirth scale(CAQ)between the two groups(P>0.05).After intervention,the HAMA,HAMD and CAQ scores of the rehearsal group were lower than those of the reference group,and the differences were statistically significant(P<0.05).The natural delivery rate and delivery mode compliance in the rehearsal group were higher than those in the reference group,and the differences were statistically significant(P<0.05).Conclusion Labor rehearsal is of great significance for primipara,it can effectively relieve anxiety,depression,fear and other emotions of primipara,improve natural delivery rate and labor compliance,and is worthy of clinical application.