心理护理与助产士主导的体位护理相结合可缩短产妇分娩时间:一项回顾性研究。

IF 2.6 4区 医学 Q2 OBSTETRICS & GYNECOLOGY
International Journal of Women's Health Pub Date : 2025-09-29 eCollection Date: 2025-01-01 DOI:10.2147/IJWH.S539612
Jing Liu, Jiaqi Yang, Na Sun
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引用次数: 0

摘要

目的:探讨心理护理配合助产士引导体位护理对无产产妇阴道分娩时产程及分娩结局的影响。方法:回顾性研究纳入我院产科于2023年8月至2025年1月间进行阴道分娩的110例未分娩妇女。研究对象分为观察组(n = 55)和对照组(n = 55),分别接受心理护理和助产士体位护理。比较两组的劳动时间、劳动控制感、焦虑/抑郁评分、健康知识掌握和自我效能感。结果:两组患者的基线临床特征(如年龄)无显著差异(P < 0.05),具有可比性。观察组第一、二期产程均明显短于对照组(402.65±61.51/39.78±5.91 vs 311.56±50.69/26.58±5.31,P < 0.05)。观察组分娩控制量表得分明显高于对照组(141.56±11.6 1比68.54±12.61,P < 0.05)。干预后,观察组焦虑(HAMA)和抑郁(HAMD)得分均低于对照组(13.14±2.11/10.65±1.45 vs 8.25±1.52/7.34±1.28,P < 0.05)。观察组分娩健康知识水平(78.23±5.56比90.11±5.14,P < 0.05)和干预后CBSEI-C32自我效能评分(88.23±2.88比98.56±1.17,P < 0.05)均显著优于对照组。结论:心理护理与助产士主导体位护理相结合,可有效缩短产妇产程,增强健康知识掌握和产程控制感,缓解产妇负面情绪,提高产妇自我效能感。该联合干预方案具有临床实施的经验依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Combined Psychological Nursing and Midwife-Led Positional Care Reduces Labor Duration in Nulliparous Women: A Retrospective Study.

Objective: To investigate the effects of psychological nursing combined with midwife-led positional care on labor duration and delivery outcomes in nulliparous women undergoing vaginal delivery.

Methods: This retrospective study included 110 nulliparous women who underwent vaginal delivery in our hospital's obstetrics department between August 2023 and January 2025. Participants were divided into an observation group (n = 55, receiving psychological nursing combined with midwife-led positional care) and a control group (n = 55, receiving routine nursing interventions). Labor duration, sense of labor control, anxiety/depression scores, health knowledge mastery, and self-efficacy were compared between the two groups.

Results: No significant differences were observed in baseline clinical characteristics (eg, age) between the groups (P > 0.05), indicating comparability. The observation group exhibited significantly shorter labor durations during both the first and second stages of labor compared to the control group (402.65 ± 61.51/39.78 ± 5.91 vs 311.56 ± 50.69/26.58 ± 5.31, P < 0.05). Scores on the Labor Control Scale were markedly higher in the observation group (141.56 ± 11.6 1 vs 68.54 ± 12.61, P < 0.05). Post-intervention, the observation group reported lower anxiety (HAMA) and depression (HAMD) scores than the control group (13.14 ± 2.11/10.65 ± 1.45 vs 8.25 ± 1.52/7.34 ± 1.28, P < 0.05). Health knowledge levels regarding childbirth were significantly superior in the observation group (78.23 ± 5.56 vs 90.11 ± 5.14, P < 0.05), as were post-intervention CBSEI-C32 self-efficacy scores (88.23 ± 2.88 vs 98.56 ± 1.17, P < 0.05).

Conclusion: The integration of psychological nursing with midwife-led positional care effectively shortens labor duration, enhances health knowledge mastery and sense of labor control, alleviates negative emotions, and improves self-efficacy in nulliparous women. This joint intervention plan has empirical basis for clinical implementation.

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来源期刊
International Journal of Women's Health
International Journal of Women's Health OBSTETRICS & GYNECOLOGY-
CiteScore
3.70
自引率
0.00%
发文量
194
审稿时长
16 weeks
期刊介绍: International Journal of Women''s Health is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of women''s healthcare including gynecology, obstetrics, and breast cancer. Subject areas include: Chronic conditions including cancers of various organs specific and not specific to women Migraine, headaches, arthritis, osteoporosis Endocrine and autoimmune syndromes - asthma, multiple sclerosis, lupus, diabetes Sexual and reproductive health including fertility patterns and emerging technologies to address infertility Infectious disease with chronic sequelae including HIV/AIDS, HPV, PID, and other STDs Psychological and psychosocial conditions - depression across the life span, substance abuse, domestic violence Health maintenance among aging females - factors affecting the quality of life including physical, social and mental issues Avenues for health promotion and disease prevention across the life span Male vs female incidence comparisons for conditions that affect both genders.
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