基于科尔卡巴理论的劳动支持可以减少害怕分娩的负面后果吗? 一个试点研究研究
Aysegul Unutkan1, Hatice Balcı Yangın2
1Department of Midwifery, Kütahya Health Sciences University Health Sciences Faculty, Kutahya, Turkey.
Journal of reproductive and infant psychology
|June 2, 2023
概括
这项研究发现,基于科尔卡巴的舒适理论的护理减少了分娩时间和疼痛,同时增加了分娩舒适度. 这种护理干预提供了一种有价值的方法来改善产妇在分娩期间的经历.
科学领域:
- 护理科学 护理科学
- 孕产妇健康 孕产妇健康
- 产生的心理社会方面.
背景情况:
- 对分娩的恐惧 (FOC) 与负面的分娩结果有关,包括增加对止痛药的需要,干预,延长分娩和不满.
- 劳动支持策略,特别是那些基于护理理论的策略,可以有效地减轻这些不良影响并改善护理结果.
研究的目的:
- 研究由科尔卡巴的舒适理论构建的护理护理对分娩期间经历的持续时间,疼痛感知和舒适度的影响.
- 评估基于理论的护理干预措施在管理对分娩恐惧及其相关并发症的有效性.
主要方法:
- 一项试点随机对照研究,涉及90名具有高FOC水平的妇女 (通过Wijma分娩预期/经验尺度A进行评估).
- 46名妇女被随机分配到接受Kolcaba基于舒适的劳动支持理论的干预组和接受标准护理的对照组.
- 使用Wijma分娩期望/经验尺度A和舒适行为检查清单收集的数据使用非参数测试进行了分析.
主要成果:
- 干预组经历了明显更短的潜伏和活跃分娩阶段 (p=0.002).
- 干预组的妇女报告疼痛得分较低 (p=0.000) 和出生舒适度较高 (p=0.002).
结论:
- 与科尔卡巴的舒适理论相一致的劳动支持有效地提高了母亲的舒适度,并减少了分娩疼痛.
- 这种方法为医疗保健专业人员提供了一个框架,用于规划,提供和评估正在分娩的妇女的护理,特别是那些患有FOC的妇女.
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