Open Access Article
Journal of Modern Nursing Medicine. 2022; 1: (4) ; 109-111 ; DOI: 10.12208/j.jmnm.202200234.
Analysis on the influence of music analgesia and delivery guide intervention on the outcome of parturientand delivery self-efficacy
音乐镇痛分娩导乐干预对产妇结局及分娩自我效能的影响分析
作者：
魏美娟 *,
龙美容,
陆焯君
南方医科大学第五附属医院 广东广州
*通讯作者：
魏美娟,单位：南方医科大学第五附属医院 广东广州；
发布时间: 2022-09-02 总浏览量: 343
PDF 全文下载
引用本文
万方数据（WANFANG DATA）
摘要
目的 分析音乐镇痛分娩导乐干预对产妇结局和分娩自我效能的影响效果。方法 随机将 90 例
产妇分成两组，45 例对照组、45 例研究组。给予对照组普通产前护理和分娩指导，给予研究组音乐镇痛分
娩导乐干预，观察并对比两组第一、第二、第三产程、总产程时间、产后出血情况、分娩方式和分娩自我
效能分数。结果 两组的第二、第三产程时间没有显著差异（P>0.05）；对比两组的第一产程，研究组明显
比对照组短，研究组产后出血量少于对照组，组间差异显著（P<0.05）；对比两组阴道助产率和自然分娩率，
没有明显差异（P>0.05）；对比两组剖宫产率，研究组显著低于对照组（P<0.05）。护理前，对比两组的分
娩自我效能分数和分娩结果分数，没有显著差异（P>0.05）；护理后，比较两组的分娩自我效能分数和分娩
结果分数，研究组显著高于对照组（P<0.05）。结论 实施音乐镇痛分娩导乐干预能够显著改善产妇的健康
结局，提升分娩自我效能
关键词： 音乐镇痛；分娩导乐干预；健康结局；分娩自我效能
Abstract
Objective To analyze the effect of music analgesia and delivery guide intervention on maternal
outcomes and delivery self-efficacy. Methods 90 parturients were randomly divided into two groups, 45 control
group and 45 study group. The control group was given general prenatal care and delivery guidance, and the study
group was given music analgesia and delivery guidance. The first, second and third stages of labor, total duration of
labor, postpartum hemorrhage, delivery mode and delivery self-efficacy scores were observed and compared
between the two groups.Results there was no significant difference in the second and third stage of labor between
the two groups (P > 0.05); Comparing the first stage of labor between the two groups, the study group was
significantly shorter than the control group, and the postpartum hemorrhage in the study group was less than that in
the control group, with a significant difference between the groups (P < 0.05); There was no significant difference
between the two groups (P > 0.05); The cesarean section rate of the study group was significantly lower than that of
the control group (P < 0.05). Before nursing, there was no significant difference between the two groups in labor
self-efficacy score and labor outcome score (P > 0.05); After nursing, the self-efficacy score and delivery outcome
score of the two groups were compared. The study group was significantly higher than the control group (P < 0.05).
Conclusion the implementation of music analgesia and delivery guidance can significantly improve the health
outcomes of parturients and enhance the self-efficacy of delivery
Key words： Music analgesia; Delivery doula intervention; Health outcomes; Delivery self-efficacy
参考文献 References
[1] 郑春明, 李梅. 音乐镇痛分娩导乐干预对产妇健康结局及分娩自我效能的影响分析[J]. 饮食保健, 2020, 07(011):66.
[2] 徐娜. 音乐镇痛分娩导乐干预对产妇健康结局及分娩自我效能的影响[D]. 延边大学, 2017.
[3] 周君, 徐晖. 责任制助产模式下GT-4A 导乐分娩镇痛仪对初产妇分娩自我效能及分娩结局的影响[J]. 人人健康, 2019，13(10):1.
[4] 冯波. 产前综合护理干预对初产妇分娩自我效能及分娩结局的影响分析[J]. 湖南中医药大学学报, 2016,36(A02):1.
[5] 熊晓妮, 熊小娟, 章芬芬,等. 音乐疗法联合全程导乐陪伴式护理对产妇分娩方式及母婴预后的影响[J]. 中国医学创新, 2021, 18(014):107-110.
[6] 叶莲芳、李春莺、曾秋梅. 音乐镇痛配合导乐陪伴对自然分娩产妇产后结局的影响[J]. 基层医学论坛, 2020,24(33):3.
[7] 莫希玲, 周建新, 丁玲玲,等. 音乐镇痛分娩导乐干预联合体位管理对初产妇分娩镇痛效果的影响[J]. 中国保健营养 2020，30（28）：45-46:.
[8] 郭爱英, 黄永琪. 体位干预配合导乐镇痛仪对初产妇分娩结局的影响[J]. 实用临床医学（江西）, 2018, 19(3):3.
[9] 王婧铭. 针对性健康教育与导乐陪伴分娩对产妇分娩结局的影响[D]. 山西医科大学，2019.
[10] 姜翠荣. 导乐陪伴分娩配合导乐分娩镇痛仪对产程及妊娠结局影响的研究[J]. 中国保健营养, 2018, 28(030):147.
引用本文
魏美娟, 龙美容, 陆焯君, 音乐镇痛分娩导乐干预对产妇结局及分娩自我效能的影响分析[J]. 现代护理医学杂志, 2022; 1: (4) : 109-111.