摘要
【摘要】 目的:探讨助产士全程导乐分娩模式在初产妇自然分娩中的应用效果。方法:选择 2017年 6月 -2018年 6月在笔者所在医院完成分娩的初产妇 229例,按照分娩模式将全部产妇分为两个组, A组和 B组, A组 115例产妇, B组 114例产妇, A组患者实施常规分娩护理模式, B组患者实施助产士全程导乐分娩模式,对两组产妇在分娩前后的焦虑与抑郁情况进行比较,对两组产妇的分娩方式和分娩结局情况进行比较。
结果:分娩后,两组患者的 HAMA评分与 HAMD评分均出现降低,与分娩前相比,数据差异有统计学意义( P<0.05)。分娩后, HAMA评分与 HAMD评分均为 B组低于 A组,数据差异有统计学意义( P<0.05)。 B组产妇的分娩方式优于 A组产妇,数据差异有统计学意义( Z=-3.529, P<0.05)。 A组产妇的产后抑郁和产后出血的发生率高于 B组产妇,数据差异有统计学意义( P<0.05) ;A组新生儿的窒息、颅内出血、头颅血肿、胎儿窘迫发生率均高于 B组新生儿,数据差异有统计学意义( P<0.05)。结论:使用助产士全程导乐分娩模式对初产妇的自然分娩过程干预,可以降低产妇的不良情绪,改善分娩方式与分娩结局。
【关键词】 助产士 ; 分娩 ; 初产妇
[Abstract] Objective: To explore the application effect of midwife's whole course Doula delivery mode in the natural delivery of primipara. Methods: 229 primiparas who completed delivery in our hospital from June 2017 to June 2018 were selected. According to the delivery mode, all primiparas were divided into two groups: group A and group B, 115 primiparas in group A and 114 primiparas in group B. Patients in group a carried out the routine delivery nursing mode, while patients in group B carried out the midwife's whole process guidance delivery mode. The anxiety and depression of the two groups before and after delivery were improved The delivery mode and delivery outcome of the two groups were compared.
出版日期
2020年06月12日(中国期刊网平台首次上网日期,不代表论文的发表时间)