導樂陪伴分娩對產婦身心狀態影響的研究

論文編號:HL176  論文字數:15068.頁數:29

論文題目：導樂陪伴分娩對產婦身心狀態影響的研究
摘　要
 目的
 探討導樂陪伴分娩對產婦身心方面的影響。導樂式分娩可縮短產程，減少止痛劑、催產素的應用，減少剖宮產、產鉗或胎頭吸引等手術的發生率，減少胎兒宮內窘迫及新生兒窒息的發生，增加母乳喂養率及母嬰感情，而且產婦產后恢復較快，有利于母嬰健康。
 方法
 選擇在我院進行分娩的孕婦,為研究對象,導樂陪伴分娩的初產婦30例 （觀察組） 和無導樂陪伴平產分娩的初產婦30 例 （對照組） 進行干預性研究分析。從兩組產婦分娩時的心理狀況、 疼痛情況、對整個分娩過程中自己該如何配合的了解， 和產后疲憊程度四方面進行比較。
 結果
 觀察組產婦分娩時心理狀態相對穩定，比對照組產婦的擔心、焦慮、恐懼心理明顯弱化（P <0.05)。兩組產婦的疼痛情況比較差異有顯著性（P< 0.05)。對自己分娩的整個過程及該 如何配合較對照組明顯清楚（P < 0.01)：產后的疲憊程度較對照組明顯減輕（P < 0.01 )。
 結論
 導樂陪伴分娩使產婦在心理上增強了安全感，可以縮短產程，降低難產率，減少產時及產后出血量和提高新生兒apgar評分，增加母乳喂養率及母嬰感情，使產婦產后恢復加快。
 關鍵詞: 導樂陪伴；分娩；產婦；SCL-90 ；SAS

 研究類型：干預性研究
Title:Analysis of Psychosomatic Influence of Doula Delivery on Puerperae
ABSTRACT
Objective
 To discuss psychosomatic influence of Doula delivery as compared with non-Doula delivery on pueiperae. Guide le type can shorten delivery process, reduce painkillers, oχytocin, reduce the application of cesarean section, ChanQian or fetal head attract the incidence etc, reduce fetal distress and neonatal choking intrauterine happen, increase the mother's milk feeding rate and feelings, and maternal postpartum maternal and infant recovered more quickly, be helpful for maternal and child health.
Methods
 Choose the pregnant women in our hospital as the research object, the joy with the delivery of 30 patients (editorial observer group) and no guide included Doula delivery 30 patients (control group) were analyzed. Two women from the group of psychological state of childbirth, pain, to the delivery process to the understanding of how to work together, and fatigue degree after four aspects are compared.
Results
 The observation group mothers childbirth psychological state relative stability than the control group, women worry, anχiety, fear weakened significantly (P < 0.05). Two groups of maternal pain situation comparative differences significant (P < 0.05). To the whole process of childbirth and how to cooperate with a clear clear in the control group (P < 0.01) : postpartum fatigue degree of a significant reduction in the control group (P < 0.01).
Conclusion
 Doula delivery in psychological make women to enhance the security sense, can shorten the process, reduce the rate of dystocia, reduce maternal postpartum blood loss and improve and neonatal apgar score, increase the mother's milk feeding rate and maternal and infant feelings and make maternal postpartum recover faster.

Keywords：Doula delivery; Pregnant women; SCL-90 ；SAS
 
目錄
 
1緒論 1
1.1背景及意義 1
1.2目的及目標………………………………………………………………………….2
1.3關鍵詞及定義……………………………………………………………………….3
1.4文獻回顧…………………………………………………………………………….3
2研究設計 6
2.1研究設計 6
2.2研究對象 6
2.3研究工具 6
2.4研究步驟 6
2.5統計分析 7
3研究結果 8
3．1觀察組產婦分娩時的正性心態居多，負性心態居少 8
3．2觀察組產婦對疼痛的感覺明顯下降 8
3．3觀察組產婦能很好適時有效地配合 8
3．4觀察組產婦產后疲憊感較對照組明顯減弱……………………………………..8
4討論 9
4．1導樂人員的工作 9
4．2導樂對產婦身體的影響 9
4．3導樂對產婦心理的影響 9
5推論及建議 11
5．1結論 11
5．2建議 11
致謝 12
參考文獻 13