模拟夜间环境对产妇产程及分娩舒适度的影响
摘要
[目的]探讨模拟夜间环境对产妇产程时间、舒适度的影响。[方法]选取2016年4月—2017年4月在医院分娩的低危初产妇440例,随机分为对照组与观察组,每组220例,观察组采取模拟夜间环境,对照组给予原产房模式,比较两组产妇产程时间、分娩舒适度以及医疗干预率。[结果]观察组产妇第一产程和总产程短于对照组产妇(P<0.05),舒适度评分高于对照组(P<0.05),医疗干预率低于对照组(P<0.05)。[结论]产妇在分娩时采取模拟夜间环境安全、有效,可缩短第一产程和总产程时间,增加产妇舒适度,降低医疗干预率,促进自然分娩和人性化分娩。
引文
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[3]ODENT M.The nature of birth and breast-feeding[M].Bergin&Garvey,Westport,Con 1992:1.
[4]ODENT M,Birth reborn,Chapter6[M]//The scientification of love.Tress Association books,London,1999:1.
[5]庄宇,李佳.病房的光环境设计[J].中华建筑,2007,25(2):70-72.
[6]朱丽霞,高凤莉,罗虹辉,等.舒适状况量表的信效度测试研究[J].中国实用护理杂志,2006,23(13):57-59.
[7]Duez H,Steals B.Nuclear receptors linking circadian rhythms and cardio metabolic control[J].Artenoscler Thrombi Vase Biol,2010,30(8):1529-1534.
[8]DINK D J,VON SCHERTZ M.Timing and consolidation of human sleep,wakefulness,and performance by a symphony of oscillators[J].J Biol Rhythms,2005,20:279-290.
[9]刘金婷,蔡强,王若菡,等.催产素与人类行为[J].心理科学发展,2011,19(10):1480-1492.
[10]ODENT M.New reasons and new ways to study birth physiology[J].Int J Gynaecol Obstet,2001,75(Suppl 1):S39-S45.
[11]瓦尔·克拉克.轻松度过分娩期[M].刘亚丽,王玉廷,译.济南:山东科学技术出版社,2007:1.
[12]胡孝波.浅谈初产妇分娩的舒适护理[J].中国保健营养,2013,23(6):1323-1324.
[13]JANICE A Z.Introduction to nursing JB lippincott comp any[M].Z.B.Lippnconmpany,1997:152-153.
[14]MANIZHEH P L.Perceived environmental stressors and pain perception during labor among primiparous and multiparous women[J].J Reprod Infertil,2009,10(3):217-223.
[15]李秋玲,崔红,姚明,等.分娩时影响低危初产妇疼痛感知的环境因素调查分析[J].中国全科医学,2014(27):3232-3235.
[16]张洁,李艳红,刘晓军,等.产房人性化服务实施初探[J].中国实用护理杂志,2014,30(zl):74.
[17]NACHUN Z,GARMI G,KADAN Y,et al.Comparison between amniotomy,oxytocin or both for augmentation of labor in prolonged latent phase:a randomized controlled trial[J].Reprod Biol Endocrinal,2010,8(1):1-8.
[18]孙梅玲,贺梦雅,马玉燕.无医疗干预初产妇自然分娩的妊娠结局分析[J].现代妇产科进展,2016,25(8):600-602;607.
[19]KUO S C,LIN K C.Evaluation of the effects of a birth plan on Taiwanese women's childbirth expectations fulfillment:a randomized controlled trial[J].Int J Nurs Stud,2013,18(4):806-814.