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助产士主导分娩疼痛管理对分娩结局及疼痛控制满意度的影响
引用本文:杨湘妹,邱嵘,刘茜,徐乔,游丽萍,肖静,钟菊芳.助产士主导分娩疼痛管理对分娩结局及疼痛控制满意度的影响[J].重庆医学,2017,46(10).
作者姓名:杨湘妹  邱嵘  刘茜  徐乔  游丽萍  肖静  钟菊芳
作者单位:1. 武汉大学健康学院,武汉430016;华中科技大学同济医学院附属武汉儿童医院/武汉市妇幼保健院分娩室,武汉430016;2. 华中科技大学同济医学院附属武汉儿童医院/武汉市妇幼保健院分娩室,武汉,430016;3. 武汉大学健康学院,武汉,430016
基金项目:湖北省卫生计生科研基金资助项目,武汉大学HOPE护理学院2014临床教学医院自主科研项目
摘    要:目的 探讨助产士主导分娩疼痛管理模式对分娩结局及疼痛控制满意度的影响.方法 招募110例孕妇随机分为对照组和干预组,每组55例.对照组产前常规接受门诊产科医生检查,产时给予常规产时护理;干预组在此基础上,产前参加助产士专科门诊分娩疼痛教育课程,产时应用视觉模拟量表(VAS)对孕产妇进行反复疼痛评估和疼痛管理干预.结果 两组分娩方式差异无统计学意义(P>0.05),干预组无指征剖宫产率显著低于对照组,差异有统计学意义(x2 =6.798,P<0.05);干预组疼痛教育及疼痛控制满意度各条目均分显著高于对照组,差异有统计学意义(P<0.01).结论 助产士主导的分娩疼痛管理模式可以降低无指征剖官产率,提高孕产妇疼痛教育及疼痛控制满意度.

关 键 词:助产士  分娩  疼痛管理  随机对照试验

Effect of midwife-leading labor pain management on pregnancy outcomes and pain control satisfaction
Yang Xiangmei,Qiu Rong,Liu Qian,Xu Qiao,You Liping,Xiao Jing,Zhong Jufang.Effect of midwife-leading labor pain management on pregnancy outcomes and pain control satisfaction[J].Chongqing Medical Journal,2017,46(10).
Authors:Yang Xiangmei  Qiu Rong  Liu Qian  Xu Qiao  You Liping  Xiao Jing  Zhong Jufang
Abstract:Objective To explore the effect of the midwife-leading labor pain management model on the pregnancy outcomes and pain control satisfaction.Methods The randomized grouping and single blind trial design were performed.One hundred and ten pregnant women were recruited and randomized into the control group (n=55) and intervention group (n=55).The control group received the routine prenatal examination by the outpatientdepartment obstetric doctors and intrapartum nursing care during labor.On this basis the intervention group participated in the labor pain educational course in the midwife clinic,and received the repeated pain assessment and pain management intervention during labor.Results There was no statistical difference in the delivery mode between the two groups(P>0.05).The cesarean section rate without indication in the intervention group was significantly lower than that in the control group,the difference was statistically significant(x2 =6.798,P<0.05).The average each item score of the labor pain education and pain control satisfaction in the intervention group was significantly higher than that in the control group,the difference was statistically significant(P<0.01).Conclusion The midwife-leading labor pain management model can reduce the cesarean section rate without indication,and improves the satisfaction of labor pain education and pain control in pregnant women and parturients.
Keywords:midwifery  delivery  pain management  randomized controlled trial
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