摘要
目的:探讨配偶产程支持式家庭式模式对初产妇心理与生理的影响。方法:选取2021年3月—2023年3月抚州市临川区人民医院收治的92例初产妇作为研究对象,采用随机数字表法将患者分为对照组与观察组,各46例。对照组采用常规护理模式,观察组采用配偶产程支持式家庭式模式。比较两组产程时间、母乳喂养效能[母乳喂养自我效能感量表(BSES)]、育婴行为(育婴行为评定量表)、心理状况[焦虑自评量表(SAS)及抑郁自评量表(SDS)]及生理应激指标。结果:护理前,两组BSES评分、育婴行为评分、SAS评分、SDS评分及DBP、SBP、HR水平比较,差异均无统计学意义(P>0.05);观察组第一产程、第二产程、第三产程及总产程时间均明显短于对照组,差异均有统计学意义(P<0.05);护理后,观察组BSES评分、育婴行为评分均高于对照组,SAS评分、SDS评分均明显低于对照组,差异均有统计学意义(P<0.05);分娩时,观察组DBP、SBP、HR水平均明显低于对照组,差异均有统计学意义(P<0.05)。结论:配偶产程支持式家庭式模式明显有助于缩短初产妇的产程时长,提高母乳喂养效能和育婴行为,并能有效降低心理评分及生理应激指标。
Objective:To explore the effects of spousal labor support family model on psychological and physiological of primipara. Method: A total of 92 cases of primipara treated in Linchuan District People's Hospital of Fuzhou City from March 2021 to March 2023 were selected as the study objects. The patients were divided into control group and observation group by random number table method, with 46 cases in each group. The control group adopted the routine nursing mode, and the observation group adopted the spousal labor support family model. The duration of labor, breastfeeding efficacy [breastfeeding self-efficacy scale (BSES)], parenting behavior (parenting behavior rating scale), psychological status [self-rating anxiety scale (SAS) and self-rating depression scale (SDS)] and physiological stress indexes were compared between two groups. Result: Before nursing, there were no significant differences in BSES scores, parenting behavior scores, SAS scores, SDS scores and DBP, SBP, HR levels in two groups (P>0.05). The first stage of labor, the second stage of labor, the third stage of labor and the total stage of labor in the observation group were significantly shorter than those in the control group, the differences were statistically significant (P<0.05). After nursing, BSES score and parenting behavior score in observation group were higher than those in control group, SAS score and SDS score were significantly lower than those in control group, the differences were statistically significant (P<0.05). During delivery, the levels of DBP, SBP and HR in the observation group were significantly lower than those in the control group, the differences were statistically significant (P<0.05). Conclusion: The spousal labor support family model can obviously shorten the parturient duration, improve the effectiveness of breast-feeding and child-rearing behavior, and effectively reduce the psychological score and physiological stress index.
作者
张淑棋
赵伟芳
余萍
ZHANG Shuqi;ZHAO Weifang;YU Ping(Department of Obstetrics and Gynecology,Linchuan District People's Hospital of Fuzhou City,Fuzhou 344000,China;不详)
出处
《中国医学创新》
CAS
2024年第28期104-109,共6页
Medical Innovation of China
关键词
初产妇
配偶产程支持式家庭式模式
母乳喂养效能
心理状况
生理应激指标
Primipara
Spousal labor support family model
Breastfeeding efficacy
Psychological status
Physiological stress indicators
