音乐疗法联合全程导乐陪伴式护理对产妇分娩方式及母婴预后的影响

熊晓妮 熊小娟 章芬芬 邓雯

【摘要】 目的：探討音乐疗法联合全程导乐陪伴式护理在产妇分娩中的应用效果。方法：回顾性分析2018年2月-2020年1月于本院分娩的86例产妇的临床资料，按不同护理方式将其分为两组，每组43例。对照组给予常规产科护理，观察组采用音乐疗法联合全程导乐陪伴式护理。比较两组分娩方式、心理状态、产程、分娩疼痛及母婴结局。结果：观察组阴道分娩率高于对照组，不良母婴结局发生率低于对照组，差异均有统计学意义（P<0.05）。分娩前，两组心理状态对比，差异无统计学意义（P>0.05）;观察组分娩后焦虑评分（39.57±5.67）分、抑郁评分（42.45±4.50）分、分娩疼痛评分（5.07±1.42）分均低于对照组的（45.45±6.05）、（47.32±5.48）、（6.44±1.80）分，且总产程时间（13.19±2.61）h短于对照组的（15.07±2.26）h，差异均有统计学意义（P<0.05）。结论：音乐疗法联合全程导乐陪伴式护理能够改善产妇心理状态，减轻分娩疼痛，促进产妇顺利分娩，降低剖宫产及不良母婴结局发生率。

【关键词】 音乐疗法 全程导乐陪伴式护理 分娩方式 心理状态 产程 分娩疼痛

Effects of Music Therapy Combined with Full-course Doula Accompanying Nursing on the Delivery Mode of Parturients and the Prognosis of Maternal and Infants/XIONG Xiaoni， XIONG Xiaojuan， ZHANG Fenfen， DENG Wen. //Medical Innovation of China， 2021， 18（14）： -110

[Abstract] Objective： To explore the effect of music therapy combined with full-course Doula accompanying nursing in the delivery of parturients. Method： The clinical data of 86 parturients who delivered in our hospital from February 2018 to January 2020 were retrospectively analyzed， and they were divided into two groups according to different nursing methods， with 43 cases in each group. The control group was given routine obstetric care， and the observation group was given music therapy combined with full-course Doula accompanying nursing. The mode of delivery， psychological state， labor course， labor pain and maternal and infant outcomes were compared between the two groups. Result： The vaginal delivery rate in the observation group was higher than that of the control group， and the incidence of adverse maternal and infant outcomes was lower than that of the control group， the differences were statistically significant （P<0.05）. There was no significant difference in psychological state between the two groups before delivery （P>0.05）; the observation group postnatal anxiety score （39.57±5.67） scores， depression score （42.45±4.50） scores， laber pain score （5.07±1.42） scores were lower than （45.45±6.05）， （47.32±5.48）， （6.44±1.80） scores of the control group， and the total labor time （13.19±2.61） h was shorter than （15.07±2.26） h of the control group， the differences were statistically significant （P<0.05）. Conclusion： Music therapy combined with full-course Doula accompanying nursing can improve maternal mental state， reduce labor pain， promote maternal delivery， and reduce the incidence of cesarean section and adverse maternal and infant outcomes.

[Key words] Music therapy Full-course Doula accompanying nursing Delivery mode Mental state Labor process Labor pain

First-authors address： The Second Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine， Nanchang 330012， China

doi：10.3969/j.issn.1674-4985.2021.14.026

產妇在分娩过程中受胎儿压迫产道、宫缩、会阴撕裂等因素影响出现明显疼痛症状，造成极大的生理痛苦，且分娩疼痛易使产妇出现强烈心理应激，诱发紧张、焦虑等负面情绪，影响其分娩配合度，延长产程，增加产后出血、新生儿窒息等不良母婴结局发生风险[1-2]。部分产妇因无法忍受疼痛而选择顺转剖，导致我国剖宫产率逐年上升，造成医疗资源的浪费[3]。全程导乐陪伴式护理以产妇为中心，在分娩全程予以心理、情感等多方面支持，协助其树立分娩信心，从而顺利完成分娩。音乐疗法是在产妇分娩过程中根据其喜好播放优美音乐，以转移其注意力，达到平稳产妇情绪的效果[4-5]。本研究将音乐疗法联合全程导乐陪伴式护理用于产妇中，旨在观察其在分娩中的应用效果，报道如下。……