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当代护理

Contemporary Nursing

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Contemporary Nursing. 2025; 6: (8) ; 10.12208/j.cn.20250441 .

The impact of midwife led position care combined with motivational psychological counseling on primiparous women
助产士主导的体位护理结合激励式心理疏导对初产妇的影响

作者: 马欢 *

合江县人民医院 四川泸州

*通讯作者: 马欢,单位:合江县人民医院 四川泸州;

引用本文: 马欢 助产士主导的体位护理结合激励式心理疏导对初产妇的影响[J]. 当代护理, 2025; 6: (8) : 193-196.
Published: 2025/8/31 16:56:12

摘要

目的 分析助产士主导的体位护理结合激励式心理疏导对初产妇的影响研究。方法 选取2024年1月-2024年12月期间收治的初产妇100例,采用随机数字表法将100例初产妇分为对照组(50例,采取常规护理方法)和观察组(50例,采取助产士主导的体位护理结合激励式心理疏导),对比两组的护理效果。结果 护理前,两组在负面情绪、分娩控制感评分方面无显著差异(P>0.05)。护理后,观察组焦虑、抑郁评分均低于对照组(P<0.05)。在分娩控制感评分方面,观察组评分高于对照组(P<0.05)。观察组自然分娩率比对照组更高(P<0.05),两组不良结局情况差异无统计学意义(P>0.05)。结论 对初产妇实施助产士主导的体位护理结合激励式心理疏导可显著改善产妇的负面情绪,提高其分娩控制感。

关键词: 助产士;体位管理;激励式心理疏导;初产妇

Abstract

Objective Study on the impact of midwife led position care combined with motivational psychological counseling on primiparous women.
Methods 100 primiparous women admitted between January 2024 and December 2024 were selected and randomly divided into a control group (50 cases, receiving conventional nursing methods) and an observation group (50 cases, receiving midwife led positional nursing combined with motivational psychological counseling) using a random number table method. The nursing effects of the two groups were compared.
Results Before nursing, there was no significant difference between the two groups in terms of negative emotions and delivery control scores (P>0.05). After nursing, the anxiety and depression scores of the observation group were lower than those of the control group (P<0.05). In terms of delivery control score, the observation group scored higher than the control group (P<0.05). The natural delivery rate of the observation group was higher than that of the control group (P<0.05), and there was no statistically significant difference in adverse outcomes between the two groups (P>0.05).
Conclusion   Implementing midwife led position care combined with motivational psychological counseling for primiparous women can significantly improve their negative emotions and enhance their sense of delivery control.

Key words: Midwife; Position management; Motivational psychological counseling; Primipara

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