目的 探讨亲属陪护联合志愿者爱心教育对产妇分娩方式及产褥期行为的影响.方法 选取2009年1月~2013年12月的100例孕早期接受志愿者爱心电话教育并于我院住院生产的产妇为研究对象.按照随机数字表法分成观察组和对照组各50例,观察组由亲人陪护联合志愿者爱心陪伴分娩;对照组按照常规护理方式进行孕期检查及孕期教育,并由医护人员统一指导配合亲人常规陪护.对两组产妇在分娩方式、产程、产褥期行为、新生儿窒息率和产妇产后抑郁程度进行统计比较.结果 观察组第一、二产程用时比对照组少(P<0.05),使用催产素例数、主观坚决放弃阴道分娩例数及新生儿窒息例数均比对照组少(均P<0.05);观察组正确哺乳、喂养、了解产褥知识及掌握自我护理方法的产妇数量高于对照组(均P<0.05);观察组产妇身体恢复良好、未发生产褥期并发症率均高于对照组(均P<0.05).通过爱丁堡产后抑郁测评量表(EDPS)测评结果显示,观察组抑都阳性率低于对照组(P<0.05),提示观察组产妇产后发生抑郁状况者较少.结论 亲属陪护联合爱心志愿者教育对提高产妇的自然分娩率、缩短产程以及产后抑郁的预防都具有良好效果,可在临床推广应用.
Objective To explore the impact of relatives care and volunteer education on mode of delivery and postpartum maternal behavior. Methods 100 early pregnancy were randomly divided into study group and control group, 50 in each study group. The study group was treated with relatives and volunteer care. The control group was treated with routine care. The mode of delivery, labor, postpartum behavior, neonatal asphyxia and postpartum depression levels were statistically compared. Results The first and second stage of labor time in the observation group were shorter than that in the control group (P〈0.05). The use of oxytocin number of cases, the number of subjective and resolutely abandon vaginal delivery patients and neonatal asphyxia number of observation group were less than that of the control group (P〈0.05). Lactation correct, feeding for puerperal knowledge, master of self-care methods of the number of women of observation group were higher than that of the control group (P〈0.05). The positive rate of depression in the observa- tion group (6%) was lower than that of the control group (36%) (P〈0.05). Conclusion Rela-tives and volunteers care can improve the rate of maternal education on natural childbirth, shorten the production process and prevent postpartum depression.