导乐陪伴分娩对产妇身心状态影响的研究

论文编号:HL176  论文字数:15068.页数:29

论文题目：导乐陪伴分娩对产妇身心状态影响的研究
摘　要
 目的
 探讨导乐陪伴分娩对产妇身心方面的影响。导乐式分娩可缩短产程，减少止痛剂、催产素的应用，减少剖宫产、产钳或胎头吸引等手术的发生率，减少胎儿宫内窘迫及新生儿窒息的发生，增加母乳喂养率及母婴感情，而且产妇产后恢复较快，有利于母婴健康。
 方法
 选择在我院进行分娩的孕妇,为研究对象,导乐陪伴分娩的初产妇30例 （观察组） 和无导乐陪伴平产分娩的初产妇30 例 （对照组） 进行干预性研究分析。从两组产妇分娩时的心理状况、 疼痛情况、对整个分娩过程中自己该如何配合的了解， 和产后疲惫程度四方面进行比较。
 结果
 观察组产妇分娩时心理状态相对稳定，比对照组产妇的担心、焦虑、恐惧心理明显弱化（P <0.05)。两组产妇的疼痛情况比较差异有显著性（P< 0.05)。对自己分娩的整个过程及该 如何配合较对照组明显清楚（P < 0.01)：产后的疲惫程度较对照组明显减轻（P < 0.01 )。
 结论
 导乐陪伴分娩使产妇在心理上增强了安全感，可以缩短产程，降低难产率，减少产时及产后出血量和提高新生儿apgar评分，增加母乳喂养率及母婴感情，使产妇产后恢复加快。
 关键词: 导乐陪伴；分娩；产妇；SCL-90 ；SAS

 研究类型：干预性研究
Title:Analysis of Psychosomatic Influence of Doula Delivery on Puerperae
ABSTRACT
Objective
 To discuss psychosomatic influence of Doula delivery as compared with non-Doula delivery on pueiperae. Guide le type can shorten delivery process, reduce painkillers, oχytocin, reduce the application of cesarean section, ChanQian or fetal head attract the incidence etc, reduce fetal distress and neonatal choking intrauterine happen, increase the mother''''s milk feeding rate and feelings, and maternal postpartum maternal and infant recovered more quickly, be helpful for maternal and child health.
Methods
 Choose the pregnant women in our hospital as the research object, the joy with the delivery of 30 patients (editorial observer group) and no guide included Doula delivery 30 patients (control group) were analyzed. Two women from the group of psychological state of childbirth, pain, to the delivery process to the understanding of how to work together, and fatigue degree after four aspects are compared.
Results
 The observation group mothers childbirth psychological state relative stability than the control group, women worry, anχiety, fear weakened significantly (P < 0.05). Two groups of maternal pain situation comparative differences significant (P < 0.05). To the whole process of childbirth and how to cooperate with a clear clear in the control group (P < 0.01) : postpartum fatigue degree of a significant reduction in the control group (P < 0.01).
Conclusion
 Doula delivery in psychological make women to enhance the security sense, can shorten the process, reduce the rate of dystocia, reduce maternal postpartum blood loss and improve and neonatal apgar score, increase the mother''''s milk feeding rate and maternal and infant feelings and make maternal postpartum recover faster.

Keywords：Doula delivery; Pregnant women; SCL-90 ；SAS
 
目录
 
1绪论 1
1.1背景及意义 1
1.2目的及目标………………………………………………………………………….2
1.3关键词及定义……………………………………………………………………….3
1.4文献回顾…………………………………………………………………………….3
2研究设计 6
2.1研究设计 6
2.2研究对象 6
2.3研究工具 6
2.4研究步骤 6
2.5统计分析 7
3研究结果 8
3．1观察组产妇分娩时的正性心态居多，负性心态居少 8
3．2观察组产妇对疼痛的感觉明显下降 8
3．3观察组产妇能很好适时有效地配合 8
3．4观察组产妇产后疲惫感较对照组明显减弱……………………………………..8
4讨论 9
4．1导乐人员的工作 9
4．2导乐对产妇身体的影响 9
4．3导乐对产妇心理的影响 9
5推论及建议 11
5．1结论 11
5．2建议 11
致谢 12
参考文献 13