拉玛泽减痛分娩法联合分娩球护理对分娩结局和产妇心理的影响

吴姗

【摘 要】目的：分析拉玛泽减痛分娩法联合分娩球护理在产妇分娩中的应用效果。方法：选取初产妇94例，根据入院编号奇偶性分组：奇数47例进入对照组，给予常规分娩护理；偶数47例进入试验组，采用拉玛泽减痛分娩法+分娩球护理。比较不良分娩结局、产妇心理状态和护理满意度。结果：相较于对照组，试验组不良分娩结局发生率更低（10.64%vs31.91%），护理满意度更高（95.74%vs82.98%），有统计学差异（P<0.05）。两组产妇干预前的SAS和SDS评分相近（P>0.05），干预后这两项评分均明显降低，且试验组评分结果更低（P<0.05）。结论：拉玛泽减痛分娩法联合分娩球护理运用在初产妇中，能改善分娩结局和心理状态、提高护理满意度，可大力推广。

【关键词】拉玛泽减痛分娩；分娩球护理；心理状态；满意度

Effect of Lamaze analgesic delivery method combined with delivery ball nursing on delivery outcome and maternal psychology

WU Shan

Cao County People’s Hospital， Cao County，Shandong 274400， China

【Abstract】Objective： To analyze the application effect of Lamaze analgesic delivery method combined with delivery ball nursing in maternal delivery. Methods： 94 primiparas were selected and divided into odd and even groups according to admission number： odd 47 cases were assigned to the control group and given routine delivery care； 47 patients with an even number were admitted to the experimental group and treated with Lamaze analgesic delivery method + delivery ball nursing. Adversing delivery outcomes， maternal psychological status and nursing satisfaction were compared. Results： Compared with the control group， the incidence of adverse delivery outcomes was lower in the experimental group was lower（10.64%vs31.91%）， and nursing satisfaction was higher （95.74%vs82.98%）， with statistical difference （P<0.05）. SAS and SDS scores of the two groups were similar before intervention （P>0.05）， but both scores were significantly reduced after intervention， and the score of the experimental group was lower （P<0.05）. Conclusion： Lamaze analgesic delivery combined with delivery ball nursing can improve the delivery outcome， psychological state and nursing satisfaction in primiparas， which can be promoted greatly.

【Key？Words】Lamaze analgesic delivery； Delivery ball nursing； Mental state； Satisfaction

相關研究称，拉玛泽呼吸法和分娩球护理，均能在不用药的前提下减轻疼痛，促进产程顺利进行[1]。本研究选取94例初产妇为研究对象，分析了拉玛泽减痛分娩法联合分娩球护理的应用效果，报告如下。

1.1 临床资料

研究对象来源于我科在2020年1月至2021年6月接收的初产妇94例。根据入院编号奇偶性分组：奇数47例进入对照组，偶数47例进入试验组。对照组，年龄22岁～37岁，平均年龄（27.56±8.30）岁，孕周35周～40周，平均孕周（37.62±2.55）周，BMI指数21kg/m2～27kg/m2，平均指数（24.15±1.87）kg/m2。试验组，年龄21岁～38岁，平均年龄（28.17±7.96）岁，孕周36周～40周，平均孕周（37.95±2.80）周，BMI指数21kg/ m2～28 kg/m2，平均指数（24.50±1.67）kg/m2。对两组年龄、孕周和BMI指数进行统计学分析，结果显示，P>0.05，可对比研究。

1.2 方法

1.2.1 对照组：47例患者给予常规分娩护理。由助产士一对一全程护理指导：（1）产前开展健康宣教，介绍分娩知识和注意事项，给予充足的营养支持，密切观察母婴情况。……