基于应激系统理论的心理护理干预结合自由体位待产对无痛分娩产妇分娩自控感及自我效能感的影响

Effects of psychological nursing intervention based on stress system theory combined with free position for labor on childbirth self-control and self-efficacy of painless delivery women

目的探讨基于应激系统理论的心理护理干预结合自由体位待产对无痛分娩产妇分娩自控感及自我效能感的影响。方法选择2020年3月至2022年8月我院接收的200例无痛分娩产妇为研究对象,以随机数字表法将其分为对照组、观察组,每组100例。对照组接受常规护理,观察组在对照组基础上加施基于应激系统理论的心理护理干预结合自由体位待产。比较两组的干预效果。结果观察组的分娩控制量表(LAS)评分高于对照组,差异具有统计学意义(P<0.05);分娩后,观察组的视觉模拟评分法(VAS)评分低于对照组,差异具有统计学意义(P<0.05)。分娩后,观察组的结果期望、期望效能评分高于对照组,差异具有统计学意义(P<0.05)。观察组的自然分娩率高于对照组,不良母婴结局总发生率低于对照组,差异具有统计学意义(P<0.05)。结论基于应激系统理论的心理护理干预结合自由体位待产可提高无痛分娩产妇的分娩自控感及自我效能感,缓解分娩疼痛,提高自然分娩率,改善母婴结局。

Objective To explore the effects of psychological nursing intervention based on stress system theory combined with free position for labor on childbirth self-control and self-efficacy of painless delivery women.Methods A total of 200 cases of painless delivery women received in our hospital from March 2020 to August 2022 were selected as the research objects,and they were divided into control group and observation group by random number table method,with 100 cases in each group.The control group received routine nursing,and the observation group received psychological nursing intervention based on stress system theory combined with free position for labor on the basis of the control group.The intervention effects of the two groups were compared.Results The Labour Agentry Scale(LAS)score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05);after delivery,the Visual Analogue Scale(VAS)score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).After delivery,the scores of outcome expectation and expected efficacy in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The natural delivery rate of the observation group was higher than that of the control group,and the total incidence of adverse maternal and infant outcomes was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Psychological nursing intervention based on stress system theory combined with free position for labor can improve the childbirth self-control and self-efficacy of painless delivery women,relieve labor pain,improve the rate of natural delivery,and ameliorate maternal and infant outcomes.