导乐陪伴结合音乐放松疗法在初产妇分娩中的应用研究

目的 探讨导乐陪伴结合音乐放松疗法对初产妇分娩疼痛、分娩结局及焦虑和抑郁情绪的改善效果。 方法 选取2015年1月-2016年6月住院的足月经阴道分娩初产妇80例,采用随机数字表法将患者分为观察组和对照组各40例。对照组采取传统分娩方式,观察组在对照组的基础上采取导乐陪伴结合音乐放松疗法进行干预。比较2组初产妇在分娩过程中的疼痛评分、产程时间、产后2 h出血量、新生儿Apgar评分及焦虑和抑郁情况。 结果 观察组潜伏期、活跃期及第二产程的疼痛得分均明显低于对照组(t=-9.800,P<0.001; t=-11.963,P<0.001;t=-7.474,P<0.001),产后焦虑和抑郁得分均明显低于对照组(t=-4.350,P<0.001;t=-6.630,P<0.001),第一产程和总产程的时间明显短于对照组(t=-3.288,P=0.002;t=-3.366,P=0.001)。2组第二产程、第三产程的时间、产后2 h出血量及Apgar评分比较,差异均无统计学意义(P>0.05)。 结论 导乐陪伴结合音乐放松疗法能有效降低分娩过程中的疼痛不适感、缩短产程及减少负性心理的发生。

Application of Doula combined with music relaxation therapy in the delivery of primiparas

Objective To explore the effect of Doula combined with the music relaxation therapy on alleviating the delivery pain, anxiety and depression of primiparas, as well as improving the delivery outcome. Methods Eighty primiparas with the normal-term vaginal delivery in our hospital between January 2015 and June 2016 were randomly divided into an observation group and a control group, each of 40. The control group delivered conventionally, while the observation group was provided with Doula combined with the music relaxation therapy. The score of visual analogue scale (VAS), duration of different labor stages, amount of bleeding 2h after delivery, Apgar score of new-born infants, the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) score in the process of delivery of the two groups were collected and compared. Results The VAS scores at latency stage, active stage and second stage of labor(t=-9.800,P<0.001; t=-11.963,P<0.001; t=-7.474,P<0.001), the SAS and SDS scores at different time points of the observation group (t=-4.350,P<0.001; t=-6.630,P<0.001) were significantly lower than that of those of the control group. The duration of the first stage of labor and total stages of labor of the observation group were significantly shorter than the control group (t=-3.288,P=0.002;t=-3.366, P=0.001). However, no significant differences were observed in the duration of the second and third stages of labor, amount of bleeding 2h after delivery and Apgar scores of the two groups (P>0.05). Conclusions Doula combined with the music relaxation therapy can significantly reduce the pain and discomfort during delivery, shorten the stages of labor and reduce the occurrence of negative psychology.