心理干预及疼痛护理对分娩过程中产程进展的影响(1)
【摘要】 目的：观察心理干预及疼痛护理对分娩过程中产程进展的影响。方法：将2015年3月-2016年3月100例产妇分为对照组(50例)与试验组(50例)。对照组采取产时常规护理，试验组在此基础上实施心理干预及疼痛护理。评估两组产时疼痛程度、产程进展情况，并对比两组分娩结局。结果：试验组产妇产时疼痛程度较对照组低，耐受度高，二者比较差异有统计学意义(P<0.05)。试验组产妇潜伏期、活跃期较对照组更早，第一产程、第二产程及第三产程进展更快(P<0.05)。试验组剖宫产率4.0%、阴道助产率2.0%、新生儿窒息率4.0%，自然顺产率94.0%，均明显优于对照组(P<0.05)。结论：分娩过程中开展心理干预及疼痛护理有利于提高产妇疼痛耐受度，促进产程进展，改善分娩结局，具有积极的临床意义。
【关键词】 心理干预； 产程进展； 疼痛护理； 分娩结局
doi：10.14033/j.cnki.cfmr.2017.2.031 文献标识码 B 文章编号 1674-6805(2017)02-0061-02
Effect of Psychological Intervention and Pain Nursing on the Progress of Labor in the Process of Delivery/ZENG Qing-mian.//Chinese and Foreign Medical Research，2017，15(2)：61-62
【Abstract】 Objective：To observe the effect of psychological intervention and pain nursing on the process of delivery in the process of delivery.Method：From March 2015 to March 2016，100 cases of maternal were divided into the control group(50 cases) and the experimental group(50 cases).The control group received the routine nursing care，the experimental group received psychological intervention and pain nursing on the basis of the control group.The labor pain level，birth process progress，delivery outcome of the two groups were observed.Result：The degree of pain in the experimental group was lower than that in the control group，there was statistical significance(P<0.05).Maternal incubation period and active period of the experimental group were earlier than the control group，and the first stage of labor，the second stage of labor，third labor progress faster were faster(P<0.05).In the experimental group，the delivery rate was 4.0%，the vaginal delivery rate was 2.0%，neonatal asphyxia rate was 4.0%，the natural birth rate was 94.0%，they were better than those in the control group(P<0.05).Conclusion：The psychological intervention and pain nursing in the process of delivery can help to improve the pain tolerance，promote the progress of labor and improve the outcome of delivery，and has a positive clinical significance.
【Key words】 Psychological intervention； Labor progress； Pain nursing； Delivery outcome
First-author’s address：The Second People’s Hospital of Shanwei，Shanwei 516600，China
分娩期疼痛是臨床难以回避的客观现象，而疼痛程度在很大程度上受产妇心理状况影响，不少初产妇因不了解这一生理变化而心存焦虑、疑惑及恐惧，从而导致产程延长及引发人为性难产事件，或导致剖宫产率增加[1]。所以产科护理人员应采取必要的心理护理干预和产时疼痛护理方法，避免心理因素导致的难产。本文就此观察研究心理干预及疼痛护理对分娩过程中产程进展的影响，现报告如下。
1 资料与方法
1.1 一般资料
本次研究对象选取2015年3月-2016年3月收治的100例产妇，入组病例均无剖宫产手术指征及严重妊娠并发症，排除心脏病、糖尿病和肝肾疾病患者[2]。按照奇偶数字法将其均分为对照组(50例)与试验组(50例)：对照组产妇年龄最小22岁，最大38岁，平均(27.5±3.9)岁；体重51～77 kg，平均(63.3±2.7)kg；, 百拇医药(曾庆勉)
【关键词】 心理干预； 产程进展； 疼痛护理； 分娩结局
doi：10.14033/j.cnki.cfmr.2017.2.031 文献标识码 B 文章编号 1674-6805(2017)02-0061-02
Effect of Psychological Intervention and Pain Nursing on the Progress of Labor in the Process of Delivery/ZENG Qing-mian.//Chinese and Foreign Medical Research，2017，15(2)：61-62
【Abstract】 Objective：To observe the effect of psychological intervention and pain nursing on the process of delivery in the process of delivery.Method：From March 2015 to March 2016，100 cases of maternal were divided into the control group(50 cases) and the experimental group(50 cases).The control group received the routine nursing care，the experimental group received psychological intervention and pain nursing on the basis of the control group.The labor pain level，birth process progress，delivery outcome of the two groups were observed.Result：The degree of pain in the experimental group was lower than that in the control group，there was statistical significance(P<0.05).Maternal incubation period and active period of the experimental group were earlier than the control group，and the first stage of labor，the second stage of labor，third labor progress faster were faster(P<0.05).In the experimental group，the delivery rate was 4.0%，the vaginal delivery rate was 2.0%，neonatal asphyxia rate was 4.0%，the natural birth rate was 94.0%，they were better than those in the control group(P<0.05).Conclusion：The psychological intervention and pain nursing in the process of delivery can help to improve the pain tolerance，promote the progress of labor and improve the outcome of delivery，and has a positive clinical significance.
【Key words】 Psychological intervention； Labor progress； Pain nursing； Delivery outcome
First-author’s address：The Second People’s Hospital of Shanwei，Shanwei 516600，China
分娩期疼痛是臨床难以回避的客观现象，而疼痛程度在很大程度上受产妇心理状况影响，不少初产妇因不了解这一生理变化而心存焦虑、疑惑及恐惧，从而导致产程延长及引发人为性难产事件，或导致剖宫产率增加[1]。所以产科护理人员应采取必要的心理护理干预和产时疼痛护理方法，避免心理因素导致的难产。本文就此观察研究心理干预及疼痛护理对分娩过程中产程进展的影响，现报告如下。
1 资料与方法
1.1 一般资料
本次研究对象选取2015年3月-2016年3月收治的100例产妇，入组病例均无剖宫产手术指征及严重妊娠并发症，排除心脏病、糖尿病和肝肾疾病患者[2]。按照奇偶数字法将其均分为对照组(50例)与试验组(50例)：对照组产妇年龄最小22岁，最大38岁，平均(27.5±3.9)岁；体重51～77 kg，平均(63.3±2.7)kg；, 百拇医药(曾庆勉)