摘要
Abstract
Objective To explore the impact of midwife-led position nursing combined with motivational psychological nursing on the psychological state and sense of delivery control of primiparous women.Methods From January 2023 to August 2024,86 primiparous women admitted to the Obstetrics Department of Heze Maternal and Child Health Hospital were divided into a control group and an observation group,with 43 cases in each group.The control group received routine nursing,while the observation group received midwife-led position nursing and motivational psychological nursing on the basis of routine nursing.The main observation indicators(psychological state,sense of delivery control)and secondary observation indicators(labor progress,adverse maternal and infant outcomes)were compared between the two groups.Results Before nursing,the observation results of childbirth attitudes questionnaire(CAQ)and labour agentry scale(LAS)scores in the two groups were similar(P>0.05).After nursing,the CAQ score of the observation group was lower than that of the control group,and the LAS score was higher than that of the control group(P<0.05).The observation group had shorter first and second stages of labor than the control group(P<0.05).The total incidence of adverse maternal and infant outcomes in the observation group was 4.65%,lower than that in the control group(18.60%)(P<0.05).Conclusion The overall effect of the midwife-led position nursing combined with motivational psychological nursing program is more better,it can reduce the fear of childbirth among primiparous women,improve their sense of delivery control,shorten the labor process,and optimize maternal and infant outcomes.关键词
初产妇/助产士/体位护理/激励式心理护理/心理状态/分娩控制感Key words
Primiparous women/Midwife/Positioning nursing/Motivational psychological nursing/Psychological state/Sense of delivery control分类
医药卫生