以家庭为中心的产科护理模式对初产妇分娩恐惧感及分娩结局的影响

The Effect of Family-centered Obstetric Care Model on Fear of Childbirth and Delivery Outcomes in Primiparous Mothers

目的:探讨以家庭为中心的产科护理模式对初产妇分娩恐惧感及分娩结局的影响。方法:选取2021年4月—2022年5月于深圳市光明区人民医院接受产检并住院分娩的初产妇176例为研究对象,随机分为对照组和观察组,各88例。对照组采取常规护理,观察组在对照组基础上采取以家庭为中心的产科护理模式干预。对比两组分娩恐惧量表评分、剖宫产率、新生儿窒息率以及母乳喂养情况。结果:干预前,两组胎儿健康、产痛伤害、自我控制、医疗护理评分及总分对比,差异无统计学意义(P>0.05);干预后,两组胎儿健康、产痛伤害、自我控制、医疗护理评分及总分降低,观察组低于对照组(P<0.05)。观察组剖宫产率低于对照组,母乳喂养率高于对照组(P<0.05);两组新生儿窒息发生率对比,差异无统计学意义(P>0.05)。结论:以家庭为中心的产科护理模式能够有效减轻初产妇对于分娩的恐惧感,改善分娩结局。

Objective:To investigate the effects of family-centered obstetric care model on fear of childbirth and delivery outcomes in primiparous women.Methods:One hundred and seventy-six cases of primiparous women who underwent obstetric examination and were hospitalized for delivery in Guangming District People's Hospital of Shenzhen from April 2021 to May 2022 were selected as the study subjects,and were randomly divided into the control group and the observation group,each with eightyeight cases.The control group adopted conventional care,and the observation group adopted a family-centered obstetric care model on the basis of the control group.The two groups were compared in terms of labor fear scale score,cesarean section rate,neonatal asphyxia rate,and breastfeeding.Results:Before the intervention,the comparison of fetal health,labor pain injury,selfcontrol,medical care scores and total scores between the two groups,the difference was not statistically significant(P>0.05);after the intervention,fetal health,labor pain injury,self-control,medical care scores and total scores of the two groups were reduced,and the observation group was lower than the control group(P<0.05).The cesarean section rate of the observation group was lower than that of the control group,and the breastfeeding rate was higher than that of the control group(P<0.05);comparing the incidence of neonatal asphyxia between the two groups,the difference was not statistically significant(P>0.05).Conclusion:Family-centered obstetric care model can effectively reduce the fear of primiparous women about delivery and improve the delivery outcome.