陈黎红, 顾月红, 潘君, 周海英, 谢震宇. 激励式配偶协同心理干预模式对初产妇分娩结局的影响[J]. 上海预防医学, 2021, 33(12): 1176-1180. DOI: 10.19428/j.cnki.sjpm.2021.20664
引用本文: 陈黎红, 顾月红, 潘君, 周海英, 谢震宇. 激励式配偶协同心理干预模式对初产妇分娩结局的影响[J]. 上海预防医学, 2021, 33(12): 1176-1180. DOI: 10.19428/j.cnki.sjpm.2021.20664
CHEN Li-hong, GU Yue-hong, PAN Jun, ZHOU Hai-ying, XIE Zhen-yu. Effect of incentive spouse cooperative psychological intervention on the delivery outcome of primipara[J]. Shanghai Journal of Preventive Medicine, 2021, 33(12): 1176-1180. DOI: 10.19428/j.cnki.sjpm.2021.20664
Citation: CHEN Li-hong, GU Yue-hong, PAN Jun, ZHOU Hai-ying, XIE Zhen-yu. Effect of incentive spouse cooperative psychological intervention on the delivery outcome of primipara[J]. Shanghai Journal of Preventive Medicine, 2021, 33(12): 1176-1180. DOI: 10.19428/j.cnki.sjpm.2021.20664

激励式配偶协同心理干预模式对初产妇分娩结局的影响

Effect of incentive spouse cooperative psychological intervention on the delivery outcome of primipara

  • 摘要:
    目的观察激励式配偶协同心理干预模式对初产妇分娩结局的影响。
    方法选取2019年7月—2020年7月在上海市浦东新区妇幼保健院产科门诊建卡,并在院分娩的300例初产妇作为研究对象,按数字表法随机分为对照组和干预组,每组150例。对照组实施常规护理,干预组实施激励式配偶协同心理干预模式,采用SPSS 22.0统计软件比较两组产妇的分娩结局。
    结果干预后,干预组的剖宫产率、产后2 h出血量、顺产分娩会阴撕裂伤发生率均低于对照组,差异有统计学意义(P<0.05)。干预组顺产产妇的第一、第二产程及总产程均短于对照组,差异有统计学意义(P<0.05)。两组新生儿窒息发生率比较,差异无统计学意义(P>0.05)。两组产妇的阴道分娩体验得分,干预组优于对照组,差异有统计学意义(P<0.05)。
    结论激励式配偶协同心理干预可以降低初产妇的剖宫产率、减少初产妇产后2 h出血量、改善会阴损伤情况、缩短产程,有效改善初产妇的分娩结局。

     

    Abstract:
    ObjectiveTo explore the effect of incentive spouse collaborative psychological intervention on delivery outcomes of primipara.
    MethodsFrom July 2019 to July 2020, 300 primiparas with an uneventful pregnancy were recruited and divided into the control group and the intervention group, with 150 cases in each group. The control group was managed by routine nursing care, and the intervention group was managed by incentive spouse collaborative psychological intervention. The delivery outcomes in two groups, including delivery route, postpartum blood loss, and perineal laceration were compared.
    ResultsAfter intervention, the cesarean section rate, the 2-hour postpartum blood loss and perineal laceration in the intervention group were less common than those in the control group and the difference was statistically significant (P<0.05). The first, second and total stages of labor duration in the intervention group were shorter than those in the control group and the difference was statistically significant (P<0.05). There was no significant difference in the incidence of neonatal asphyxia between these two groups (P>0.05). In terms of vaginal delivery experience scores of the two groups, the intervention group was better than the control group and the difference was statistically significant (P<0.05).
    ConclusionThe mode of incentive spouse collaborative psychological intervention can reduce the rate of cesarean section, the amount of bleeding 2 hours after delivery, and perineum injury. It can shorten the labor process, and effectively improve the delivery outcome of primiparas.

     

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