目的:探讨第二产程初期运用支撑式前倾跪位对全程实施分娩镇痛的初产妇分娩结局的影响。方法:按纳入排除方法将实施分娩镇痛的初产妇按完全随机方法分成观察组和对照组各95例。两组孕妇第一产程均采取自由体位。观察组第二产程初期采用...目的:探讨第二产程初期运用支撑式前倾跪位对全程实施分娩镇痛的初产妇分娩结局的影响。方法:按纳入排除方法将实施分娩镇痛的初产妇按完全随机方法分成观察组和对照组各95例。两组孕妇第一产程均采取自由体位。观察组第二产程初期采用支撑式前倾跪位,至胎先露为(S+4)时,改为膀胱截石位;对照组第二产程全程为膀胱截石位。两组产妇均使用常规手法接生,分析比较两组孕产妇间产程和分娩结局的差异。结果:观察组第二产程时间较对照组短(67.54±37.28 min vs.79.17±35.76 min,P<0.05),新生儿1 min Apgar评分高于对照组(9.97±0.67 vs.9.77±0.23,P<0.05)。二分类Logistic回归分析显示观察组阴道分娩率明显高于对照组(OR=8.644,95%CI=1.059-70.530),第二产程中胎心减速的发生率明显低于对照组(OR=0.253,95%CI=0.079-0.809)。结论:对于全程实施分娩镇痛的初产妇,在第二产程初期运用支撑式前倾跪位可以缩短第二产程,降低中转剖宫产率,提高阴道分娩成功率,改善新生儿评分。展开更多
为考察父亲在位与成人依恋对大学生核心自我评价的关影响,采用父亲在位简化版量表,成人依恋量表、核心自我评价量表,对安徽几所高校的455名在校大学生进行调查。结果发现:其一,父亲在位、依恋安全、核心自我评价两两存在正相关关系,父...为考察父亲在位与成人依恋对大学生核心自我评价的关影响,采用父亲在位简化版量表,成人依恋量表、核心自我评价量表,对安徽几所高校的455名在校大学生进行调查。结果发现:其一,父亲在位、依恋安全、核心自我评价两两存在正相关关系,父亲在位和依恋焦虑存在负相关关系;其二,依恋安全,依恋焦虑在父亲在位,核心自我评价之间起一个并行中介作用。研究结果揭示了父亲在位会直接影响大学生的核心自我评价水平,也会在一定程度上通过依恋安全、依恋焦虑间接影响到大学生的核心自我评价水平。In order to examine the effects of father presence and adult attachment on college students’ core self-evaluation, we used the simplified version of the Father Presence Scale, the Adult Attachment Scale, and the Core Self-Evaluation Scale to investigate 455 college students from several colleges and universities in Anhui Province, China. The results showed that father presence, attachment security, and core self-evaluation were positively correlated with each other, while father presence and attachment anxiety were negatively correlated with each other;second, attachment security and attachment anxiety played a parallel mediating role between father presence and core self-evaluation. The results of this study reveal that father presence directly affects college students’ core self-evaluation level, and to a certain extent, indirectly affects college students' core self-evaluation level through attachment security and attachment anxiety.展开更多
文摘目的:探讨第二产程初期运用支撑式前倾跪位对全程实施分娩镇痛的初产妇分娩结局的影响。方法:按纳入排除方法将实施分娩镇痛的初产妇按完全随机方法分成观察组和对照组各95例。两组孕妇第一产程均采取自由体位。观察组第二产程初期采用支撑式前倾跪位,至胎先露为(S+4)时,改为膀胱截石位;对照组第二产程全程为膀胱截石位。两组产妇均使用常规手法接生,分析比较两组孕产妇间产程和分娩结局的差异。结果:观察组第二产程时间较对照组短(67.54±37.28 min vs.79.17±35.76 min,P<0.05),新生儿1 min Apgar评分高于对照组(9.97±0.67 vs.9.77±0.23,P<0.05)。二分类Logistic回归分析显示观察组阴道分娩率明显高于对照组(OR=8.644,95%CI=1.059-70.530),第二产程中胎心减速的发生率明显低于对照组(OR=0.253,95%CI=0.079-0.809)。结论:对于全程实施分娩镇痛的初产妇,在第二产程初期运用支撑式前倾跪位可以缩短第二产程,降低中转剖宫产率,提高阴道分娩成功率,改善新生儿评分。
文摘为考察父亲在位与成人依恋对大学生核心自我评价的关影响,采用父亲在位简化版量表,成人依恋量表、核心自我评价量表,对安徽几所高校的455名在校大学生进行调查。结果发现:其一,父亲在位、依恋安全、核心自我评价两两存在正相关关系,父亲在位和依恋焦虑存在负相关关系;其二,依恋安全,依恋焦虑在父亲在位,核心自我评价之间起一个并行中介作用。研究结果揭示了父亲在位会直接影响大学生的核心自我评价水平,也会在一定程度上通过依恋安全、依恋焦虑间接影响到大学生的核心自我评价水平。In order to examine the effects of father presence and adult attachment on college students’ core self-evaluation, we used the simplified version of the Father Presence Scale, the Adult Attachment Scale, and the Core Self-Evaluation Scale to investigate 455 college students from several colleges and universities in Anhui Province, China. The results showed that father presence, attachment security, and core self-evaluation were positively correlated with each other, while father presence and attachment anxiety were negatively correlated with each other;second, attachment security and attachment anxiety played a parallel mediating role between father presence and core self-evaluation. The results of this study reveal that father presence directly affects college students’ core self-evaluation level, and to a certain extent, indirectly affects college students' core self-evaluation level through attachment security and attachment anxiety.
