放松训练对产妇产程及焦虑抑郁的影响.doc

放松训练对产妇产程及焦虑抑郁的影响 【摘要】目的 探索放松训练疗法对分娩的影响，寻找缩短产程，提高自然分娩率，利于产后恢复的护理方法。方法 将80例临产的初产妇随机分为观察组和对照组各40例。对照组接受常规护理，观察组在此基础上接受放松训练疗法。观察两组产程时间、分娩方式、产妇焦虑和抑郁得分。结果 观察组总产程平均（12.00±1.50） h，显著短于对照组［（18.00±2.00） h］（t=20.52，P0.01）；自然分娩33例（82.50%），显著高于对照组（15例，37.50%）（χ2=16.88,P0.01），产前及产后SAS、SDS评分与对照组同时段比较显著下降（t=2.25、3.16、2.22、2.50，均P0.05）。结论 放松训练疗法可减轻产妇痛苦，缩短产程，利于产后恢复。 【关键词】 分娩 放松训练 产程 焦虑 抑郁 Effect of Relax Training on the Labor, Anxiety and Depression of Primiparas∥YANG Fengxiang, ZHAO Lanmei∥(Wuhai Maternal and Child Health Hospital，Wuhai 016000， China) Abstract：Objective To examine the effect of relax training on the labor and explore the better ways of shortening stage of labor, inducing natural delivery and promoting recovery after delivery. Methods Eighty primiparas in labor were divided into an experimental group and a control group at random, with each group having 40 subjects. Relax training was used in the experimental group and the subjects in the control group were given regular nursing care. The subjects were observed for the time of labor, delivery methods and anxiety and depression. Results The total stage of labor in the experimental group were （12.00±1.50） h, which was significantly shorter than that of controls (t=20.52, P0.01). Thirty three women （82.50%） in the experimental group had natural delivery, which was significantly higher than that of the controls (n=15, 37.50%),（chi;2 =16.88, P0.01）. The SAS and SDS before and after delivery in the experimental group were significantly lower (t=2.25，3.16，2.22，2.50，P0.05 for all). Conclusion The relax training can significantly alleviate the pain of primiparas, shorten the time of labor and promote the postdelivery recovery. Key words：labor; relaxation training; labor stage; anxiety; depression 分娩是一个特殊的生理过程。正常分娩对母婴的生命安全和健康具有重要意义。分娩过程不仅受到生理因素的影响，还受到社会心理等因素的影响。国内外许多研究都表明抑郁和焦虑是妊娠过程中较常见的心理反应[13]。如何使产妇在分娩期保持良好的心理状态，正确认识分娩的自然性，以积极自信的态度进入分娩期，顺利完成分娩，确保母婴安全是产科工作的重点。我院自2003年6月至2004年6月对40例初产妇采用放松训练疗法，并与同期行常规护理的40例初产妇进行对照，效果良好，报