自然分娩產(chǎn)婦接受激勵(lì)式護(hù)理對(duì)產(chǎn)程及負(fù)面情緒的影響

王麗華

[摘要] 目的 探究自然分娩產(chǎn)婦接受激勵(lì)式護(hù)理對(duì)其產(chǎn)程以及負(fù)面情緒的影響。 方法 方便擇取2018年3月—2019年5月期間該院收治的自然分娩產(chǎn)婦共80例為研究對(duì)象，通過(guò)拋硬幣法進(jìn)行隨機(jī)分組，包括對(duì)照組40例和觀察組40例。對(duì)照組開展常規(guī)護(hù)理，觀察組開展激勵(lì)式護(hù)理，比較兩組產(chǎn)婦的產(chǎn)程時(shí)間，護(hù)理前后通過(guò)焦慮自評(píng)量表（SAS）及抑郁自評(píng)量表（SDS）評(píng)估兩組產(chǎn)婦負(fù)面情緒改善效果，對(duì)比兩組產(chǎn)婦妊娠結(jié)局。 結(jié)果 觀察組產(chǎn)婦總產(chǎn)程時(shí)間（350.24±15.13）min少于對(duì)照組（480.32±20.46）min，差異有統(tǒng)計(jì)學(xué)意義（t=32.330，P<0.05）;護(hù)理后觀察組患者負(fù)面情緒SAS評(píng)分（28.65±2.74）分、SDS評(píng)分（32.42±3.06）分相比對(duì)照組（36.92±3.15）分、（40.63±3.14）分更低，差異有統(tǒng)計(jì)學(xué)意義（t=12.528、11.843，P<0.05）;觀察組和對(duì)照組不良妊娠結(jié)局發(fā)生率分別為5.00%和20.00%，差異有統(tǒng)計(jì)學(xué)意義（χ2=4.114，P<0.05）。結(jié)論 激勵(lì)式護(hù)理的開展能夠有效縮短產(chǎn)婦的產(chǎn)程，改善其焦慮抑郁等不良心理，提升分娩安全性，因此該種護(hù)理模式可用于臨床推廣。

[關(guān)鍵詞] 自然分娩;激勵(lì)式護(hù)理;產(chǎn)程;負(fù)面情緒;妊娠結(jié)局

[Abstract] Objective To explore the effects of receiving inspiring nursing care on natural labor and negative emotions. Methods A total of 80 cases of natural delivery women admitted to the hospital from March 2018 to May 2019 were convenient selected as the research subjects， and they were randomly divided into two groups by coin toss， including 40 cases in the control group and 40 cases in the observation group. The control group carried out routine nursing， the observation group carried out motivated nursing， compared the labor time of the two groups of women， the effect of improving the negative mood of the two groups was evaluated by the self-rating anxiety scale （SAS） and self-rating depression scale （SDS） before and after the nursing. Comparison of maternal pregnancy outcomes between the two groups. Results The total birthing time of the observation group （350.24±15.13）min was shorter than that of the control group （480.32±20.46）min， and the difference was statistically significant （t=32.330， P<0.05）. The negative emotion SAS score of the observation group was （28.65±2.74）points， SDS score （32.42±3.06）points was lower than the control group （36.92±3.15）points， （40.63±3.14）points， and the difference was statistically significant（t=12.528，11.843， P<0.05）; the observation group and the control group were not good of the incidences of pregnancy outcome were 5.00% and 20.00%， respectively， and the difference was statistically significant（χ2=4.114， P<0.05）. Conclusion The development of motivational nursing can effectively shorten the delivery process of women， improve their anxiety and depression， and improve the safety of childbirth. Therefore， this nursing model can be used for clinical promotion.

[Key words] Natural delivery; Motivational nursing; Labor process; Negative emotions; Pregnancy outcomes

妊娠和分娩大部分女性所必須經(jīng)歷的一個(gè)自然生理過(guò)程，由于妊娠期間很多產(chǎn)婦會(huì)有很多例如嘔吐、腰背酸痛、肢體浮腫等妊娠期反應(yīng)，以及分娩極為疼痛，導(dǎo)致很多產(chǎn)婦面對(duì)分娩會(huì)產(chǎn)生較大的心理壓力，進(jìn)而延長(zhǎng)了產(chǎn)程，導(dǎo)致產(chǎn)后不良妊娠結(jié)局風(fēng)險(xiǎn)大大提升，這對(duì)產(chǎn)婦和新生兒的健康甚至生命安全均造成了嚴(yán)重的不良影響，因此為自然分娩產(chǎn)婦提供有效地護(hù)理干預(yù)具有重要意義[1-3]。有研究[4]認(rèn)為激勵(lì)式護(hù)理能夠有效緩解患者的負(fù)性情緒，縮短產(chǎn)程時(shí)間，提升其分娩安全性。為探究該種護(hù)理模式和常規(guī)護(hù)理模式對(duì)自然分娩產(chǎn)婦的影響，該次特方便擇取2018年3月—2019年5月該院收治的80例自然分娩產(chǎn)婦開展相應(yīng)研究，現(xiàn)報(bào)道如下。