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目的探讨全程陪伴结合自由体位管理在初产妇自然分娩中的应用价值。方法选取2014年1月—2015年1月本院收治的132名足月妊娠初产妇作为研究对象,采用随机数字表法进行分组,即对照组和试验组各66名。对照组产妇无家属陪伴,且采取常规的仰卧位待产及分娩;试验组产妇采取家属及导乐全程陪伴配合自由体位管理方案。对比分析两组产妇的产程时间、疼痛评分、焦虑评分及分娩控制感。计量资料比较采用两独立样本t检验,计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果试验组产妇的第一、二产程时间明显缩短[(453.67±117.62)、(14.58±17.14)min],低于对照组[(510.65±121.85)、(25.38±22.82)min],差异均有统计学意义(均P<0.05);两组产妇总产程[(476.25±127.97)、(561.66±128.39)min]比较,差异有统计学意义(P<0.05)。试验组视觉模拟评分(visual analogue scale,VAS)、口述分级评分法(verbal rating scale,VRS)、现时疼痛强度(present pain intensity,PPI)评分[(6.01±1.39)、(19.87±3.18)、(2.79±0.31)分]均明显低于对照组[(8.32±1.56)、(27.05±2.79)、(3.97±1.01)分],差异均有统计学意义(均P<0.05)。试验组产妇视觉模拟焦虑评分尺(visual analogue scale of anxiety,VASA)评分为(3.58±1.13)分,明显低于对照组的(6.30±1.24)分,分娩控制量表(labour agentry scale,LAS)评分为(169.67±17.99)分,明显高于对照组的(121.28±17.96)分,差异均有统计学意义(均P<0.05)。结论全程陪伴结合自由体位管理可促进初产妇的分娩进程,缓解产妇的疼痛及焦虑,提高产妇的分娩控制感。
Objective To explore the value of full companionship and free position management in primipara spontaneous labor. Methods A total of 132 primiparae of full-term pregnant women admitted to our hospital from January 2014 to January 2015 were enrolled in the study. Randomized numerical table was used to divide the patients into 66 groups. The control group maternal without accompanying, and to take the usual supine position to be delivery and childbirth; the test group maternal and family members and lead music to accompany the entire free-standing management program. The duration of labor, pain score, anxiety score and childbirth control were compared between the two groups. Measurement data were compared using two independent samples t test, count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results The time of the first and second stage of labor in the experimental group was significantly shorter than that in the control group [(453.67 ± 117.62) and (14.58 ± 17.14) min, respectively], lower than that in the control group [(510.65 ± 121.85) and (25.38 ± 22.82) min] (P <0.05). There was significant difference between the two groups in the length of labor [(476.25 ± 127.97), (561.66 ± 128.39) min] (P <0.05). The visual analogue scale (VAS), verbal rating scale (VRS), present pain intensity (PPI) score in the experimental group were significantly higher than those in the control group (6.01 ± 1.39, 19.87 ± 3.18, 2.79 ± 0.31) were significantly lower than those in the control group [(8.32 ± 1.56), (27.05 ± 2.79), (3.97 ± 1.01)], respectively, with significant differences (all P <0.05). The VASA score was (3.58 ± 1.13) points lower in the experimental group than that in the control group (6.30 ± 1.24), and the labor agentry scale (LAS) The score was (169.67 ± 17.99) points, which was significantly higher than that of the control group (121.28 ± 17.96) points, the differences were statistically significant (all P <0.05). Conclusion Accompanied with free posture management, the whole process can promote the delivery process of primipara, relieve the pain and anxiety of maternal and improve the control of maternal delivery.