王麗華

[摘要] 目的 探究自然分娩產(chǎn)婦接受激勵式護理對其產(chǎn)程以及負面情緒的影響。 方法 方便擇取2018年3月—2019年5月期間該院收治的自然分娩產(chǎn)婦共80例為研究對象，通過拋硬幣法進行隨機分組，包括對照組40例和觀察組40例。對照組開展常規(guī)護理，觀察組開展激勵式護理，比較兩組產(chǎn)婦的產(chǎn)程時間，護理前后通過焦慮自評量表（SAS）及抑郁自評量表（SDS）評估兩組產(chǎn)婦負面情緒改善效果，對比兩組產(chǎn)婦妊娠結(jié)局。 結(jié)果 觀察組產(chǎn)婦總產(chǎn)程時間（350.24±15.13）min少于對照組（480.32±20.46）min，差異有統(tǒng)計學(xué)意義（t=32.330，P<0.05）;護理后觀察組患者負面情緒SAS評分（28.65±2.74）分、SDS評分（32.42±3.06）分相比對照組（36.92±3.15）分、（40.63±3.14）分更低，差異有統(tǒng)計學(xué)意義（t=12.528、11.843，P<0.05）;觀察組和對照組不良妊娠結(jié)局發(fā)生率分別為5.00%和20.00%，差異有統(tǒng)計學(xué)意義（χ2=4.114，P<0.05）。結(jié)論 激勵式護理的開展能夠有效縮短產(chǎn)婦的產(chǎn)程，改善其焦慮抑郁等不良心理，提升分娩安全性，因此該種護理模式可用于臨床推廣。

[關(guān)鍵詞] 自然分娩;激勵式護理;產(chǎn)程;負面情緒;妊娠結(jié)局

[Abstract] Objective To explore the effects of receiving inspiring nursing care on natural labor and negative emotions. Methods A total of 80 cases of natural delivery women admitted to the hospital from March 2018 to May 2019 were convenient selected as the research subjects， and they were randomly divided into two groups by coin toss， including 40 cases in the control group and 40 cases in the observation group. The control group carried out routine nursing， the observation group carried out motivated nursing， compared the labor time of the two groups of women， the effect of improving the negative mood of the two groups was evaluated by the self-rating anxiety scale （SAS） and self-rating depression scale （SDS） before and after the nursing. Comparison of maternal pregnancy outcomes between the two groups. Results The total birthing time of the observation group （350.24±15.13）min was shorter than that of the control group （480.32±20.46）min， and the difference was statistically significant （t=32.330， P<0.05）. The negative emotion SAS score of the observation group was （28.65±2.74）points， SDS score （32.42±3.06）points was lower than the control group （36.92±3.15）points， （40.63±3.14）points， and the difference was statistically significant（t=12.528，11.843， P<0.05）; the observation group and the control group were not good of the incidences of pregnancy outcome were 5.00% and 20.00%， respectively， and the difference was statistically significant（χ2=4.114， P<0.05）. Conclusion The development of motivational nursing can effectively shorten the delivery process of women， improve their anxiety and depression， and improve the safety of childbirth. Therefore， this nursing model can be used for clinical promotion.

[Key words] Natural delivery; Motivational nursing; Labor process; Negative emotions; Pregnancy outcomes

妊娠和分娩大部分女性所必須經(jīng)歷的一個自然生理過程，由于妊娠期間很多產(chǎn)婦會有很多例如嘔吐、腰背酸痛、肢體浮腫等妊娠期反應(yīng)，以及分娩極為疼痛，導(dǎo)致很多產(chǎn)婦面對分娩會產(chǎn)生較大的心理壓力，進而延長了產(chǎn)程，導(dǎo)致產(chǎn)后不良妊娠結(jié)局風(fēng)險大大提升，這對產(chǎn)婦和新生兒的健康甚至生命安全均造成了嚴(yán)重的不良影響，因此為自然分娩產(chǎn)婦提供有效地護理干預(yù)具有重要意義[1-3]。有研究[4]認為激勵式護理能夠有效緩解患者的負性情緒，縮短產(chǎn)程時間，提升其分娩安全性。為探究該種護理模式和常規(guī)護理模式對自然分娩產(chǎn)婦的影響，該次特方便擇取2018年3月—2019年5月該院收治的80例自然分娩產(chǎn)婦開展相應(yīng)研究，現(xiàn)報道如下。