单胎首次自然分娩产妇在第二产程采用赋权激励模式的护理效果

摘要/Abstract

摘要： 目的围绕首次自然分娩的单胎产妇,在其第二产程时采用赋权激励模式实施护理干预,评定其效果及在改善SRQ、负性情绪评分中所起到的作用。方法选取2022年8月—2023年8月务川县中医医院收治的70例接受自然分娩的单胎初产妇作为研究对象,按照随机数表法将其分为对照组和观察组,每组35例。对照组在产妇第二产程中实施常规护理,观察组在对照组基础上采用赋权激励模式开展护理干预,比较两组分娩相关指标、心理应激反应评分、负性情绪评分及不良母婴结局发生情况。结果观察组第二产程、总产程时间与住院时间均短于对照组,差异有统计学意义（P<0.05）。观察组分娩后的心理应激反应问卷（SRQ）及焦虑自评量表（SAS）、抑郁自评量表（SDS）评分均较对照组低,差异有统计学意义（P<0.05）。观察组不良母婴结局发生率稍低于对照组,但差异无统计学意义（P>0.05）。结论采用赋权激励模式对单胎首次自然分娩产妇实施护理干预,能缩短其第二产程、总产程时间及住院时间,且有助于其心理应激反应的缓解、负性情绪的减轻、舒适度的提高及母婴结局的改善。

关键词: 首次自然分娩产妇, 自然分娩, 单胎, 赋权激励模式, 心理应激反应, 负性情绪

Abstract: Objective Around the singleton birth for the first time, the second stage of labor to evaluate the effect and its role in improving the SRQ and negative mood score. Methods Seventy cases of singleton primiparas admitted to Wuchuan County People's Hospital from August 2022 to August 2023 were selected as the research objects, and divided into control group and observation group according to the random number table method, with 35 cases in each group.The control group received routine nursing care during the second stage of childbirth, while the observation group received nursing intervention based on this.Delivery-related indicators, psychological stress response scores, negative mood scores, and adverse maternal and infant outcomes were compared between the two groups. Results The second stage of labor, total duration of labor and hospital stay in the observation group were shorter than the control group, which the difference was significant (P<0.05).The self-assessment questionnaire (SRQ), anxiety (SAS) and depression (SDS) were lower than the control group (P<0.05).In terms of the incidence of adverse maternal and infant outcomes, the observation group was slightly lower than the control group, but the difference was not significant (P>0.05). Conclusion Implementing nursing interventions for first-time natural delivery mothers with single pregnancies using the empowerment incentive model can shorten their second stage of labor, total stage of labor, and hospital stay, and help alleviate their psychological stress reactions, reduce negative emotions, improve comfort, and improve maternal and infant outcomes.

Key words: first spontaneous delivery, natural delivery, singleton, empowerment incentive model, psychological stress response, negative emotions

中图分类号:

申静兰. 单胎首次自然分娩产妇在第二产程采用赋权激励模式的护理效果[J]. 中华养生保健, 2024, 42(18): 95-98.

SHEN Jing-lan. The Nursing Effect of Empowerment Incentive Mode in the Second Stage of Labor for First-time Natural Delivery Mothers with a Single Child[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(18): 95-98.

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