AIDET沟通模式联合强化疼痛管理在产科分娩镇痛护理中的应用
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摘要
目的:探讨AIDET沟通模式联合强化疼痛管理在产科分娩镇痛护理中的应用效果。方法:将106例产妇随机分为研究组和对照组各53例,研究组接受AIDET沟通模式联合强化疼痛管理干预,对照组在常规围生期护理基础上实施强化疼痛管理。比较两组焦虑自评量表(SAS)评分、疼痛视觉模拟评分法(VAS)评分、中文简化版分娩自我效能量表(CB-SEI-C32)评分和两组孕妇分娩结局。结果:产程开始时至产后2 h,两组孕妇SAS、VAS评分均呈先升高后降低趋势,研究组孕妇产程起始时、宫口扩张3 cm及产后2 h SAS评分与VAS评分均低于对照组(P <0. 05);产前1 d,两组CB-SEI-C32分量表及总分均较入院后第1天升高(P <0. 05),且研究组产前1 d的CB-SEI-C32总分及其分量表得分均高于对照组(P <0. 05);研究组自然分娩率高于对照组(P <0. 05);研究组总产程、产后24 h泌乳量评分、新生儿评分均高于对照组(P <0. 05)。结论:AIDET沟通模式联合强化疼痛管理可提高孕妇自我效能,有效降低产妇焦虑水平和分娩疼痛程度,提高分娩质量。
Objective: To explore the application effect of AIDET communication mode combined with enhanced pain management in obstetric labor analgesic nursing. Methods: A total of 106 cases were randomly divided into study group and control group,53 cases each. The study group received AIDET communication mode combined with enhanced pain management intervention. The control group underwent intensive pain management on the basis of routine perinatal nursing. The scores of SAS,VAS,CB-SEI-C32 and birth outcomes were compared between the two groups. Results: From the beginning of labor to 2 hours postpartum,the SAS and VAS scores of the two groups of pregnant women showed an increasing trend and then a decreasing trend. At the beginning of labor,the uterine dilatation was 3 cm,and the SAS and VAS scores at 2 hours postpartum in the study group were lower than those in the control group( P < 0. 05). The total subscale score of CBSEI-C32 and the total score of CB-SEI-C32 on the first day of antenatal delivery were higher in the two groups than on the first day after admission( P < 0. 05),and the total subscale score of CB-SEI-C32 and the total score of CB-SEI-C32 on the first day of antenatal delivery in the study group were higher than those in the control group( P < 0. 05). The natural delivery rate in the study group was higher than that in the control group( P < 0. 05). The total length of labor,24 hours postpartum milk production score and neonatal score in the study group were all higher than those in the control group( P < 0. 05). Conclusion: AIDET communication mode combined with enhanced pain management can improve maternal self-efficacy,effectively reduce maternal anxiety level and pain degree,and improve the quality of delivery.
Objective: To explore the application effect of AIDET communication mode combined with enhanced pain management in obstetric labor analgesic nursing. Methods: A total of 106 cases were randomly divided into study group and control group,53 cases each. The study group received AIDET communication mode combined with enhanced pain management intervention. The control group underwent intensive pain management on the basis of routine perinatal nursing. The scores of SAS,VAS,CB-SEI-C32 and birth outcomes were compared between the two groups. Results: From the beginning of labor to 2 hours postpartum,the SAS and VAS scores of the two groups of pregnant women showed an increasing trend and then a decreasing trend. At the beginning of labor,the uterine dilatation was 3 cm,and the SAS and VAS scores at 2 hours postpartum in the study group were lower than those in the control group( P < 0. 05). The total subscale score of CBSEI-C32 and the total score of CB-SEI-C32 on the first day of antenatal delivery were higher in the two groups than on the first day after admission( P < 0. 05),and the total subscale score of CB-SEI-C32 and the total score of CB-SEI-C32 on the first day of antenatal delivery in the study group were higher than those in the control group( P < 0. 05). The natural delivery rate in the study group was higher than that in the control group( P < 0. 05). The total length of labor,24 hours postpartum milk production score and neonatal score in the study group were all higher than those in the control group( P < 0. 05). Conclusion: AIDET communication mode combined with enhanced pain management can improve maternal self-efficacy,effectively reduce maternal anxiety level and pain degree,and improve the quality of delivery.
引文
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[4]李媚娟,徐琼.分娩疼痛机制与常用分娩镇痛方法[J].国际妇产科学杂志,2018,45(2):125-129.
[5]王敬斋,张树荣. Zung焦虑抑郁自评量表对消化内科门诊患者焦虑抑郁的测评[J].临床消化病杂志,2016,28(3):150-153.
[6]陈婉红,蔡世雄,孙玉环.视觉模拟评分法联合疼痛相关因子评估不同正畸力对人活体牙髓的影响[J].上海口腔医学,2017,26(5):561-564.
[7]刘慧萍,姜芬,阳晓丽.孕妇分娩自我效能感的测量及影响因素[J].中国实用护理杂志,2014,30(9):70-73.
[8]马宏伟.非药物分娩镇痛的应用现状及研究进展[J].西部医学,2018,30(5):769-772.
[9]王静,梁瑛琳,杨红梅,等. AIDET沟通模式在骨科疼痛管理中的应用[J].护士进修杂志,2015,30(3):270-271.
[10]谢燕,吕春华.水中分娩及舒适护理对焦虑产妇分娩结局的影响[J].护士进修杂志,2014,29(24):2243-2245.
[11]朱军,童玲.孕产妇产前焦虑与社会支持对分娩镇痛的影响[J].实用预防医学,2014,21(3):340-342.
[12]吕连玉,孙莉娟.分娩预演对初产妇自我效能和产后抑郁情绪的影响[J].中华现代护理杂志,2015,21(1):44-46.
[13]尹桂华. AIDET沟通模式联合导乐分娩对初产妇焦虑及分娩结局的影响[J].护理学杂志,2015,30(8):14-17.
[14]郭莹,张桂云,吕春华. AIDET沟通模式联合水中分娩对产妇焦虑的影响[J].河北医药,2017,39(4):612-614.
[2]孙伟杰,曲元.我国分娩镇痛现状和亟待解决的问题[J].中国实用妇科与产科杂志,2015,31(2):116-120.
[3]王江梅.分娩时疼痛的影响因素及其对分娩结局的影响研究[J].中国妇幼保健,2014,29(7):1014-1015.
[4]李媚娟,徐琼.分娩疼痛机制与常用分娩镇痛方法[J].国际妇产科学杂志,2018,45(2):125-129.
[5]王敬斋,张树荣. Zung焦虑抑郁自评量表对消化内科门诊患者焦虑抑郁的测评[J].临床消化病杂志,2016,28(3):150-153.
[6]陈婉红,蔡世雄,孙玉环.视觉模拟评分法联合疼痛相关因子评估不同正畸力对人活体牙髓的影响[J].上海口腔医学,2017,26(5):561-564.
[7]刘慧萍,姜芬,阳晓丽.孕妇分娩自我效能感的测量及影响因素[J].中国实用护理杂志,2014,30(9):70-73.
[8]马宏伟.非药物分娩镇痛的应用现状及研究进展[J].西部医学,2018,30(5):769-772.
[9]王静,梁瑛琳,杨红梅,等. AIDET沟通模式在骨科疼痛管理中的应用[J].护士进修杂志,2015,30(3):270-271.
[10]谢燕,吕春华.水中分娩及舒适护理对焦虑产妇分娩结局的影响[J].护士进修杂志,2014,29(24):2243-2245.
[11]朱军,童玲.孕产妇产前焦虑与社会支持对分娩镇痛的影响[J].实用预防医学,2014,21(3):340-342.
[12]吕连玉,孙莉娟.分娩预演对初产妇自我效能和产后抑郁情绪的影响[J].中华现代护理杂志,2015,21(1):44-46.
[13]尹桂华. AIDET沟通模式联合导乐分娩对初产妇焦虑及分娩结局的影响[J].护理学杂志,2015,30(8):14-17.
[14]郭莹,张桂云,吕春华. AIDET沟通模式联合水中分娩对产妇焦虑的影响[J].河北医药,2017,39(4):612-614.