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导乐联合乐蓓尔分娩镇痛仪服务模式对产妇产时焦虑及分娩质量的影响研究(1)
http://www.100md.com 2019年3月5日 《中国实用医药》 2019年第7期
     【摘要】 目的 观察导乐联合乐蓓尔分娩镇痛仪服务模式对产妇产时焦虑及分娩质量的影响。方法 100例入院待产初产妇, 随机分为实验组与对照组, 各50例。对照组采用常规护理模式, 实验组采用导乐联合乐蓓尔分娩镇痛仪服务模式。比较两组产妇心理焦虑情况、镇痛效果、总产程时间、产后出血量、阴道顺产率、新生儿窒息情况。结果 实验组产妇的焦虑评分为(42.54±1.36)分, 低于对照组产妇的(58.93±1.52)分;实验组产妇的疼痛评分为(2.64±0.15)分, 低于对照组产妇的(6.28±0.57)分;差异均具有统计学意义(P<0.05)。实验组总产程时间为(4.97±1.61)h, 短于对照组的(8.65±2.22)h;实验组产后出血量为(104.85±30.26)ml, 少于对照组的(152.47±41.69)ml;实验组阴道顺产率为98.00%, 高于对照的80.00%;差异均具有统计学意义 (P<0.05)。实验组无新生儿窒息, 对照组新生儿窒息率为2.00%, 对比差异无统计学意义(P>0.05)。结论 将导乐联合乐蓓尔分娩镇痛仪服务模式应用到产妇生产中, 能够有效缓解产妇的焦虑和疼痛情况, 提升产妇的分娩质量, 在临床中具有突出性的效果。

    【关键词】 乐蓓尔;分娩镇痛仪;焦虑

    【Abstract】 Objective To observe the effect of Doula combined with service mode of Rebel labor analgesia instrument on intrapartum anxiety and delivery quality. Methods A total of 100 primipara awaiting delivery were randomly divided into experimental group and control group, with 50 cases in each group. The control group received conventional nursing mode, and the experimental group received Doula combined with service mode of Rebel labor analgesia instrument. Comparison were made on psychological anxiety, analgesic effect, total labor duration, postpartum hemorrhage, vaginal spontaneous delivery rate and neonatal asphyxia between the two groups. Results The experimental group had lower anxiety score as (42.54±1.36) points than (58.93±1.52) points in the control group. The experimental group had lower pain score as (2.64±0.15) points than (6.28±0.57) points in the control group. Their difference was not statistically significant (P<0.05). The experimental group had shorter total labor duration as (4.97±1.61) h than (8.65±2.22) h in the control group. The experimental group had less postpartum hemorrhage as (104.85±30.26) ml than (152.47±41.69) ml in the control group. The experimental group had higher vaginal spontaneous delivery rate as 98.00% than 80.00% in the control group, and the difference was statistically significant (P<0.05). The experimental group had no cases of neonatal asphyxia, and the control group had neonatal asphyxia rate as 2.00%. The difference was not statistically significant (P>0.05). Conclusion Combination of Doula and service mode of Rebel labor analgesia instrument in maternal production can effectively alleviate maternal anxiety and pain, improve maternal delivery quality, and has prominent clinical effect.

    【Key words】 Rebel; Labor analgesia instrument; Anxiety

    近年来, 愈来愈多的产妇开始加强对分娩痛苦缓解方法的重视[1]。较多的产妇因分娩的疼痛, 都容易在孕前和孕中出现不良心理情绪, 严重影响产妇分娩质量。针对此种现象, 越来越多的医疗机构均开始加强对产妇分娩护理方法进行研究。目前, 在医学技术发展的形势下, 導乐联合乐蓓尔分娩镇痛仪服务模式的应用日益广泛, 且效果突出[2]。为了进一步明确导乐联合乐蓓尔分娩镇痛仪服务模式对产妇产时的焦虑及分娩质量的影响, 作者开展本次研究, 现报告如下。, http://www.100md.com(黄文湘 卢德梅 吴淑贞 区允定 黄雁芬)
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