正念舞蹈联合体位助产对产妇心理状态、分娩控制能力及分娩结局的影响

来源:用户上传      作者:仇春波　　洪雅华　　江瑛　　陈洁　　邬海虹 邱燕燕

　　[摘要] 目的 探正念舞蹈联合体位助产对产妇心理状态、分娩控制能力及分娩结局的影响。方法 选取2019年1―12月在宁波大学医学院附属医院分娩的160例产妇作为研究对象，以简单数字随机表法随机分成对照组（80例，常规干预）和观察组（80例，正念舞蹈结合体位干预）。比较两组孕妇心理状态、控制能力及分娩结局。结果 两组产后3 d焦虑自评量表（SAS）、抑郁自评量表（SDS）评分均显著低于孕28周、孕36周（P<0.05）;两组孕36周、产后3d观察组SAS、SDS评分分别为（40.63±4.82）分、（32.42±3.24）分、（41.04±4.55）分、（34.13±3.50）分，均显著低于对照组的（56.66±5.13）分、（40.55±4.12）分、（56.85±4.36）分、（41.05±3.95）分（P<0.05）。观察组分娩控制表（LAS）评分为（131.14±16.26）分，显著低于对照组的（131.14±16.26）分（P<0.05）。观察组顺产率及新生儿1min Apgar评分分别为86.25%、（8.92±1.56）分，显著高于对照组的71.25%、（7.41±1.34）分（P<0.05）;会阴损伤发生率及产后2 h出血量、第一产程、第三产程分别为45%、（5.27±1.13）h、（0.19±0.10）h，均显著低于对照组的3.75%、（7.1±1.32） h、（0.23±0.12）h，差异有统计学意义（P<0.05）。结论 正念舞蹈联合体位助产可显著缓解孕妇抑郁、焦虑等不良情绪，提高分娩控制能力，并改善分娩结局。
　　[关键词] 正念;体位;心理状态;分娩控制感;分娩结局
　　[中图分类号] R714 [文献标识码] B [文章编号] 1673-9701（2022）09-0171-05
　　The effect of dancing mindfulness combined with posture assisted delivery on psychological state， delivery control ability and delivery outcome of puerperas
　　QIU Chunbo HONG Yahua JIANG Ying CHEN Jie WU Haihong QIU Yanyan
　　1.Childbirth Center， the Affiliated Hospital of Medical School， Ningbo University， Ningbo 315020， China; 2.Office of Party and Government Affairs， the Affiliated Hospital of Medical School， Ningbo University， Ningbo 315020， China
　　[Abstract] Objective To explore the effect of dancing mindfulness combined with posture assisted delivery on psychological state， delivery control ability and delivery outcome of puerperas. Methods 160 cases of puerperas who gave birth in our hospital from January 2019 to December 2019 were selected as the study objects. They were randomly divided into the control group （80 cases， received routine intervention） and the observation group （80 cases， received dancing mindfulness combined with posture intervention） by a simple number random table method. The psychological state， control ability and delivery outcome of the two groups of pregnant women were compared. Results The scores of the Self-Rating Anxiety Scale （SAS） and the Self-Rating Depression Scale （SDS） of the two groups at Day 3 postpartum were significantly lower than those in the 28th week and 36th week of gestation （P<0.05）. The SAS and SDS scores of the observation group in the 36th week of gestation and at Day 3 postpartum [（40.63±4.82） points， （32.42±3.24） points， （41.04±4.55） points， and （34.13±3.50） points， respectively] were significantly lower than those of the control group [（56.66±5.13） points， （40.55±4.12） points， （56.85±4.36） points， （41.05±3.95） points] （P<0.05）. The Labor Agentry Scale （LAS） score of the observation group [（131.14±16.26） points] was significantly lower than that of the control group [（131.14±16.26） points] （P<0.05）. The normal delivery rate and 1-minute Apgar score of newborns in the observation group [86.25%， （8.92±1.56） points] were significantly higher than those in the control group [71.25%， （7.41±1.34） points] （P<0.05）. The incidence of perineal injury， bleeding at 2h postpartum， the first stage of labor， and the third stage of labor in the observation group [45.0%， （5.27±1.13） h， （0.19±0.10） h， respectively] were significantly less and shorter than those in the control group [3.75%， （7.10±1.32） h， （0.23±0.12） h] （P<0.05）. Conclusion Dancing mindfulness combined with posture assisted delivery can significantly relieve pregnant women’s depression， anxiety and other negative emotions， and improve delivery control ability and delivery outcome.

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