摘要
随着“以家庭为中心”的产科护理模式兴起,配偶陪产成为分娩支持的重要环节。本文系统梳理了关于配偶陪产对自身及对产妇影响的最新研究,发现配偶陪产存在争议,部分研究认为可通过心理支持缓解孕产妇紧张焦虑的情绪、降低剖宫产率、缓解疼痛感知,但可能因配偶情绪失控或操作不当干扰医疗流程,甚至影响配偶的心理健康。研究指出,个性化陪产方案、陪产专业培训及家庭式一体化产房能增强陪产效果。未来还需进一步探索配偶心理状态与陪产结局的关联机制,为临床决策提供科学依据。
关键词: 配偶陪产;分娩支持;心理干预;家庭式一体化产房
Abstract
With the rise of the "family centered" obstetric nursing model, spousal accompaniment has become an important part of childbirth support. This article systematically reviews the latest research on the impact of spousal accompaniment on oneself and the mother, and finds that there is controversy surrounding spousal accompaniment. Some studies suggest that psychological support can alleviate the anxiety and stress of pregnant women, reduce the cesarean section rate, and alleviate pain perception. However, it may also interfere with medical procedures due to the spouse's emotional instability or improper operation, and even affect the spouse's mental health. Research has shown that personalized paternity plans, professional training for paternity, and family style integrated delivery rooms can enhance the effectiveness of paternity. In the future, further exploration is needed to explore the correlation mechanism between the psychological state of spouses and the outcome of childbirth, in order to provide scientific basis for clinical decision-making.
Key words: Spouse accompanying childbirth; Delivery support; Psychological intervention; Family style integrated delivery room
参考文献 References
[1] 孔北华,马丁,段涛等.妇产科学[M].北京,:人民卫生出版社,2024:159.
[2] Corazza I, Ferrari A, Bonciani M.Effectiveness of measures to preserve labour and childbirth companionship at the times of COVID-19 outbreak[J].Health Policy. 2023 Mar; 129:1047.
[3] 杨春妹,自然分娩中配偶陪产的研究进展[J].妇幼护理 2024, 4(06),1262-1264.
[4] Yun-Huei Lin,Chie-Pein Chen,Fang-Ju Sun,Risk and protective factors related to immediate postpartum depression in a baby-friendly hospital of Taiwan[J],Taiwan J Obstet Gynecol. 2022.61(6):977-983.
[5] 沈婧,陈君君,方玲,梁宇鸣.配偶参与产后抑郁预防与管理的研究进展[J].医学理论与实践,2024,37(15):2552-2554.
[6] 黄慕兰,以家庭为中心的一体化产房模式对产妇分娩方式及母婴结局的影响[J].中国当代医药 2021(28):264-266.
[7] 李燕玲,丈夫陪产配合体位管理对产妇产程及母婴结局的影响分析[J],中国现代药物应用,2024(18):70-72.
[8] 陈瑶,多模式分层心理干预联合家属陪产宣教对多模式分层心理干预联合家属陪产宣教对无痛分娩初产妇身心应激及分娩恐惧影响[J],2024(7):191-194.
[9] 倪萍,彭景,李华,黄乐,黄利辉,丈夫陪伴分娩对产妇分娩结局及产后抑郁的影响[J].湖南师范大学学报(医学版),2024(02):102-105.
[10] 周育萍,黄凡艳,陈宇琦,刘文婷,马海拢,雷婷婷,陈瑜.产妇及其配偶产后抑郁情绪与心理弹性、二元应对的主客体互倚关系研究[J].军事护理,2023,40(12):10-13.