摘要
目的探讨激励式护理结合全程陪伴干预对初产妇心理状态、分娩方式的影响。方法选取宁津县妇幼保健院2020年10月—2023年5月收治的78例初产妇为研究对象,按随机数字表法将其分为对照组和观察组,各39例。对照组采取常规护理,观察组在对照组的基础上采取激励式护理结合全程陪伴干预。对比两组产妇的心理状态、分娩方式、产程时间及分娩结局。结果干预后,两组积极心理资本问卷各维度评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组自愿剖宫产比例低于对照组,经阴道正常分娩比例高于对照组,组间差异有统计学意义(P<0.05);观察组第1产程、第2产程、第3产程及总产程时间均短于对照组,组间差异有统计学意义(P<0.05);观察组产妇分娩后2 h出血量少于对照组,差异有统计学意义(P<0.05);两组新生儿体质量对比,差异无统计学意义(P>0.05)。结论采取激励式护理结合全程陪伴干预有利于初产妇心理状态的改善,可提高其阴道分娩率,改善分娩结局,且护理满意度良好。
Objective To explore the impact of motivational nursing combined with full process companionship intervention on the psychological status and delivery mode of primiparous women.Methods A total of 78 primiparas admitted to Ningjin County Maternal and Child Health Care from October 2020 to May 2023 were selected as the research objects,and were divided them into a control group and an observation group using a random number table method,with 39 cases in each group.The control group received routine nursing,while the observation group received motivational nursing combined with full process companionship intervention on the basis of the control group.Compare the psychological status,delivery mode,delivery process time,and delivery outcomes of two groups of parturients.Results After intervention,the Positive Psychological-Capital Questionnaire scores in all dimensions of both groups were higher than before intervention,and the observation group was higher than the control group,the differences were statistically significant(P<0.05);The proportion of voluntary cesarean section in the observation group was lower than that in the control group,and the proportion of normal vaginal delivery was higher in the observation group than in the control group,the differences between groups were statistically significant(P<0.05);The observation group had shorter duration of the first,second,third,and total stages of labor compared to the control group,the differences between groups were statistically significant(P<0.05);The observation group had less bleeding 2 h after delivery compared to the control group,the difference was statistically significant(P<0.05);Comparison of body weight between two groups of newborns,the differences was not statistically significant(P>0.05).Conclusion The combination of motivational nursing and full process companionship intervention is beneficial for improving the psychological status of primiparous women,increasing their vaginal delivery rate,improving delivery outcomes,and achieving good nursing satisfaction.
作者
林娟娟
LIN Juanjuan(Department of Obstetrics,Ningjin County Maternal and Child Health Hospital,Dezhou 253400,China)
出处
《反射疗法与康复医学》
2024年第9期152-155,共4页
Reflexology And Rehabilitation Medicine
关键词
初产妇
激励式护理
全程陪伴干预
心理状态
分娩方式
Primiparous women
Motivational nursing
Full process companionship intervention
Psychological status
Delivery mode
