分娩球联合自由体位与常规护理在初产妇助产护理中的应用效果.docVIP

分娩球联合自由体位与常规护理在初产妇助产护理中的应用效果 　　[摘要] 目的 对比分析分娩球联合自由体位与常规护理在初产妇助产护理中的应用效果。 方法 随机将120例初产妇分成A、B两组，其中A组60例行常规护理，B组60例行分娩球联合自由体位，比较两组产痛情况、产程用时及心理状况、分娩结局。 结果 B组产痛程度明显小于A组，差异有统计学意义（P0.05）；B组各产程用时均明显少于A组，差异有统计学意义（P0.05）；B组产后焦虑、抑郁评分均明显低于A组，差异均有统计学意义（P0.05）；B组阴道分娩率及产后出血量等分娩结局指标均优于A组，差异均有统计学意义（P0.05）。 结论 应用分娩球联合自由体位助产，可改善初产妇的心理状况，促进产程进展。 　　[关键词] 初产妇助产护理；分娩球；自由体位；产痛；分娩结局 　　[中图分类号] R7215.7 [文献标识码] A [文章编号] 1674-4721（2016）03（a）-0176-03 　　[Abstract] Objective To compare and analyze the application effect of delivery ball combining with free position and conventional nursing on nursing midwifery in primipara. Methods One hundred and twenty primiparae were evenly divided into group A and group B.In group A，conventional nursing was used，while in group B，delivery ball combining with free position was provided.The labor pain， stage of labor，psychologic status，and delivery outcome were compared in the two groups. Results The degree of labor pain in group B was milder than that of group A with a statistical difference （P0.05）.Time consuming at each stage of labor in group B was all shorter than that of group A with a statistical difference （P0.05）.The scores of postpartum anxiety and depression were both lower than those of group A with statistical differences （P0.05）.Pregnancy outcomes indexes like vaginal parturition rate and amount of bleeding after birth in group B were superior than those of group A，which were displayed statistical differences （P0.05）. Conclusion Application of delivery ball combining with free position for nursing midwifery can improve primiparous psychological status and boost up the progress of stages of labor. 　　[Key words] Nursing midwifery in primipara；Delivery ball；Free position；Labor pain；Delivery outcome 　　产程中不良情绪、发射性子宫收缩及子宫肌肉痉挛等均为诱发分娩痛感的主要因素[1]。通常在自然分娩的剧烈疼痛下，初产妇会难以忍受疼痛而选择剖宫产。近年来，虽然剖宫产技术日渐臻熟，但仍然避免不了远期并发症的产生[2]，因此，选择何种有效的方式缓解分娩疼痛，促进科学化分娩是当前产科助产护理必须要解决的一个重要问题。球分娩是一种新兴分娩方式，在分娩中使用柔软并且有弹性的大型球不断活动产妇的身子，以此来缓解阵痛不适。一般来说，通过这种方式女性可选择更为舒适的姿势生产，而胎儿也可借此来采取更好的姿势下