导乐陪伴分娩联合分娩球护理在初产妇分娩中的应用价值

目的 探究在初产妇分娩中施行导乐陪伴分娩联合分娩球护理的效果。方法 选用随机数字表法将 2019 年 1 月至 2019 年 12 月我院 100 例初产妇分为对照组（50 例）和观察组（50 例）。对照组施行常规护理，观察组采用导乐陪伴分娩联合分娩球 护理。对比两组疼痛情况、心理情况、产程、分娩方式、会阴撕裂发生率、宫颈裂伤发生率、新生儿 Apgar 评分及护理满意度。 结果 观察组宫口开大 3cm、5～6cm、8～9cm 时疼痛评分均低于对照组（P＜0.05）。观察组干预后焦虑评分低于对照组（P＜ 0.05）。观察组第一、三产程及总产程时间均少于对照组（P＜0.05）。观察组剖宫产率、会阴撕裂发生率均低于对照组（P＜ 0.05）。两组宫颈裂伤发生率对比无显著差异（P＞0.05）。观察组产后 1min、5min 及 10min 新生儿 Apgar 评分均高于对照组 （P＜0.05）。观察组护理满意度高于对照组（P＜0.05）。结论 在初产妇分娩中施行导乐陪伴分娩联合分娩球护理有助于减轻 疼痛感，缩短产程，降低会阴撕裂发生率，且产妇满意度更高。

Application value of Doula accompanied delivery combined with delivery ball nursing in primipara delivery

Objective To explore the effect of Doula accompanied delivery combined with delivery ball nursing in primipara delivery. Methods 100 primipara in our hospital from January 2019 to December 2019 were randomly divided into control group (50 cases, routine nursing) and observation group Results (1) the pain scores of the observation group were lower than those of the control group when the uterine opening was 3 cm, 5-6 cm and 8-9 cm, P < 0.05; (2) After intervention, the anxiety score of the observation group was lower than that of the control group, P < 0.05; (3) the first and third stages of labor and the total stages of labor in the observation group were lower than those in the control group, P < 0.05; (4) the cesarean section rate and perineal tear rate in the observation group were lower than those in the control group, P < 0.05, but there was no significant difference in the incidence of cervical laceration between the two groups, P > 0.05; (5) The Apgar scores of newborns in the observation group at 1 min, 5 min and 10 min postpartum were higher than those in the control group, P < 0.05; (6) the nursing satisfaction of the observation group was higher than that of the control group, P < 0.05. Conclusion Doula accompanied delivery combined with delivery ball nursing in primipara delivery is helpful to reduce pain, shorten labor process, reduce the incidence of perineal tear, and the maternal satisfaction is higher.