MBSR联合导乐陪伴对初产妇心境状态、母婴结局的影响

耿丽娟1 常影2

1. 郑州市第七人民医院产房 2. 中国人民解放军联勤保障部队第988医院产房

摘要：目的：探讨正念减压疗法（MBSR）结合导乐陪伴对初产妇心境状态、母婴结局的影响。方法：选取146例初产妇，按照随机数字表法分为对照组和实验组，每组各73例。对照组采取常规干预，实验组采取MBSR联合导乐陪伴干预。观察两组自然分娩率、产程时间、心境状态、母婴结局。结果：实验组自然分娩率、产程时间优于对照组（P＜0.05）;干预后实验组FI、TA、DD、CB评分低于对照组（P＜0.05）;实验组不良母婴结局发生率低于对照组（P＜0.05）。结论：MBSR联合导乐陪伴在提高初产妇自然分娩率、改善心境状态及母婴结局方面具有显著优势。

关键词：正念减压疗法;导乐陪伴;初产妇;

Effects of MBSR combined with doula accompany delivery on mood state of primiparas and maternal-neonatal outcomes

 GENG Lijuan1,CHANG Ying2.(1. Delivery Room of the 7thPeople′s Hospital of Zhengzhou,Zhengzhou 450000;2. Delivery Room of the 988thHospital of the Joint Logistics Support Force of the Chinese PLA,Zhengzhou 450000,China)

Abstract Objective: To investigate the effects of mindfulness-based stress reduction(MBSR) combined with doula accompany delivery on the mood state of primiparas and the maternal-neonatal outcomes. Methods: A total of 146 term primiparas were selected and randomized into the control group and experimental group, with 73 cases in each group. The control group received routine intervention, while the experimental group received MBSR combined with doula accompany delivery. The natural delivery rate, labor duration, mood state, and maternal and neonatal outcomes were compared between both groups. Results: The natural delivery rate and labor duration in the experimental group were superior to that in the control group(P< 0.05); FI, TA, DD and CB in the experimental group scored lower than those in the control group after the intervention (P< 0. 05); and the incidence of adverse maternal and neonatal outcomes in experimental group was lower than that in control group (P< 0. 05). Conclusion: MBSR combined with doula accompany delivery has significant advantages in increasing the natural birth rate, and improving the mood state of primiparas and the maternal-neonatal outcomes.

Keywords:mindfulness-based stress reduction(MBSR); doula accompany; primipara

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