鄭紅連
[摘要]目的 分析減痛分娩護(hù)理對初產(chǎn)婦分娩方式及產(chǎn)程疼痛的影響。方法 本研究所選對象為2015年3月~2016年1月在我院分娩的初產(chǎn)婦200例,按照入院先后順序?qū)⑷砍醍a(chǎn)婦分成兩組,對照組和觀察組均為100例。對照組初產(chǎn)婦選擇給予常規(guī)護(hù)理干預(yù),觀察組初產(chǎn)婦則給予減痛分娩護(hù)理,對兩組初產(chǎn)婦的分娩方式以及產(chǎn)程疼痛進(jìn)行觀察比較。結(jié)果 在產(chǎn)程疼痛視覺模擬評分法(VAS)、現(xiàn)實(shí)疼痛強(qiáng)度量表(PPI)以及語言反應(yīng)量表(VRS)評分方面,觀察組顯著低于對照組(P<0.05);除第三產(chǎn)程外,觀察組其他各產(chǎn)程所用時(shí)間均顯著短于對照組(P<0.05);在陰道分娩率方面,觀察組顯著高于對照組(P<0.05)。結(jié)論 為初產(chǎn)婦提供減痛分娩護(hù)理,能讓初產(chǎn)婦分娩期間的需求得以有效滿足,讓產(chǎn)程疼痛有效減輕,讓陰道分娩率提高,同時(shí)讓產(chǎn)程時(shí)間縮短,具有臨床應(yīng)用和推廣價(jià)值。
[關(guān)鍵詞]減痛分娩護(hù)理;初產(chǎn)婦;分娩方式;產(chǎn)程疼痛
[中圖分類號] R473.71 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-4721(2017)04(c)-0191-03
[Abstract]Objective To analyze the effect of pain relief delivery nursing on the delivery mode and labor pain of primipara. Methods Altogether 200 cases of primiparas who gave childbirth in our hospital from March 2015 to January 2016 were selected as the objects of this research and divided into two groups(control group and observation group) according to the order of admission, with 100 cases in each group;control group was given routine nursing intervention; while observation group was given pain relief delivery nursing;the delivery mode and labor pain of two groups were observed and compared. Results The labor pain visual analogue scale (VAS),present pain intensity (PPI) and verbal rating scale(VAS) scores of observation group were significantly lower than those of control group (P<0.05); in addition to the third stage of labor, each stage of labor of observation group was significantly shorter than that of control group (P<0.05); the vaginal deliveryrate of observation group was significantly higher than that of control group (P<0.05). Conclusion Pain relief delivery nursing for primiparas can effectively meet the demand of primiparas during childbirth, reduce the labor pain, shorten the labor timeand increase the vaginal delivery rate, which is of great significance in clinical application and popularization.
[Key words]Pain relief delivery;Primipara;Delivery mode;Labor pain
對于產(chǎn)婦來講,分娩過程的心理應(yīng)激和生理應(yīng)激非常強(qiáng)烈,在實(shí)際的分娩過程中,產(chǎn)婦容易出現(xiàn)一系列不良情緒,如害怕、緊張、抑郁以及焦慮等,加快其體能消耗,導(dǎo)致宮縮乏力,進(jìn)而延長其產(chǎn)程,增加并發(fā)癥發(fā)生概率,除此之外還會影響胎心率,使胎盤血流量減少,引起胎兒宮內(nèi)窘迫,進(jìn)而對優(yōu)生優(yōu)育造成影響[1-3]。特別是對于初產(chǎn)婦來講,影響更加顯著。因此在產(chǎn)婦分娩期間,為其提供科學(xué)和合理的護(hù)理干預(yù)就顯得非常重要。在現(xiàn)代醫(yī)學(xué)模式不斷轉(zhuǎn)變的過程中,護(hù)理模式也在不斷完善和轉(zhuǎn)變,減痛分娩護(hù)理模式開始受到更多人的關(guān)注和重視。我院對100例初產(chǎn)婦提供減痛分娩護(hù)理,分析減痛分娩護(hù)理對初產(chǎn)婦分娩方式及產(chǎn)程疼痛的影響,現(xiàn)報(bào)道如下。
1資料與方法
1.1一般資料
選取2015年3月~2016年1月在我院分娩的初產(chǎn)婦200例為研究對象。納入標(biāo)準(zhǔn):①會陰發(fā)育情況比較理想,能實(shí)施擬陰道試產(chǎn),有自然分娩的意向;②無妊娠并發(fā)癥、合并癥、遺傳性疾病以及全身性疾病;③宮頸發(fā)育情況理想,單胎頭位,頭盆對稱;④新生兒各項(xiàng)指標(biāo)均正常。排除標(biāo)準(zhǔn):①合并胎膜早破、胎先露異常、妊娠期;②過期妊娠、巨大兒、早產(chǎn)、存在引產(chǎn)史;③合并腦部疾病和精神障礙,溝通障礙;④腹腔和盆腔發(fā)育缺陷,伴嚴(yán)重疾病。按照入院先后順序?qū)⑷砍醍a(chǎn)婦分成兩組,對照組和觀察組均為100例。對照組初產(chǎn)婦的年齡22~36歲,平均(28.3±3.1)歲;孕齡37~42周,平均(40.3±1.1)周;體重65~78 kg,平均(71.2±3.4)kg。觀察組初產(chǎn)婦的年齡21~35歲,平均(28.1±2.6)歲;孕齡37~42周,平均(40.5±0.8)周;體重63~79 kg,平均(71.6±3.1)kg。兩組產(chǎn)婦的年齡、孕齡、體重等資料比較,差異無統(tǒng)計(jì)學(xué)意義(P>0.05),具有可比性。本研究經(jīng)我院醫(yī)學(xué)倫理委員會批準(zhǔn)實(shí)施,所有研究對象均知情同意。