摘要
Abstract
Objective To investigate the influence of continuous midwife care combined with psychological intervention on negative emotions and the birth process of primipara. Methods 156 primiparas were selected as the research object.They were in hospital from June 2014 to December 2015. According to the random method,they were divided into observation group and control group,each group of 78 cases.The control group was given routine nursing and midwifery model,and the observation group was given continuous midwife care combined with psychological intervention.The outcome of delivery and birth process were observed.At admission and 24 hours after delivery, the self rating Anxiety Scale (SAS) and self rating Depression Scale (SDS) were used to assess the emotional state of the patients.The incidence of maternal complications in two groups were compared and analyzed. Results In the observation group,71 cases were spontaneous delivery,7 cases were cesarean section,with the natural childbirth rate of 91.23%.There were 43 cases of natural childbirth and 35 cases of cesarean section in the control group,the natural childbirth rate was 55.13%.The natural childbirth rate was compared between two groups,and the difference was statistically significant(χ2=5.386,P < 0.05).In the observation group,the total production process of natural childbirth was (7.89±1.52)h,significantly lower than the control group at the beginning of the total output of natural childbirth (12.47±2.07)h,and the difference was statistically significant(χ2=5.386,P < 0.05).When admitted to hospital,the two groups had mild to moderate anxiety,depression.SAS and SDS score had no significant difference between two groups (P>0.05).After delivery,anxiety and depression of two groups were significantly improved (P<0.05).SAS score and SDS score of the observation group were significantly lower than that of the control group (P < 0.05).The incidence rate of primipara postpartum complications were compared between the two groups,the observation group was significantly lower than the control group,the difference was statistically significant(χ2=8.482,P<0.05). Conclusion Continuous midwife care combined with psychological intervention can effectively alleviate the negative emotions,improve the natural delivery rate,shorten the birth process, and reduce the incidence of postpartum complications.It is recommended to promote the use of the actual work.关键词
助产士/初产妇/自然分娩Key words
Midwives/Primipara/Natural childbirth分类
医药卫生
