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护理学报 ›› 2019, Vol. 26 ›› Issue (17): 6-9.doi: 10.16460/j.issn1008-9969.2019.17.006

• 研究生园地 • 上一篇    下一篇

产时应用生育舞蹈对初产妇产痛及分娩控制感的影响研究

颜凤1,2, 张慧珠2, 杨金英2, 林玉娜2, 张立力1   

  1. 1.南方医科大学 护理学院,广东 广州 510515;
    2.广州市妇女儿童医疗中心 产房,广东 广州 510623
  • 收稿日期:2019-03-03 发布日期:2020-07-13
  • 通讯作者: 张立力（1967-）,女,辽宁锦州人,博士,教授,护理学院院长。E-mail: zhanglili_gz@126.com
  • 作者简介:颜 凤（1988-）,女,广东广州人,本科学历,硕士研究生在读,主管护师。

Effect of “Dancing For Birth” on Labor Pain and Sense of Labor Self-control for Primiparas

YAN Feng1,2, ZHANG Hui-zhu2, YANG Jin-ying2, LIN Yu-na2, ZHANG Li-li1   

  1. 1. School of Nursing, Southern Medical University, Guangzhou 510515, China;
    2. Delivery Room, Guangzhou Women and Children's Medical Center, Guangzhou 510623, China
  • Received:2019-03-03 Published:2020-07-13

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摘要： 目的 探讨生育舞蹈对初产妇产时的疼痛程度及分娩控制感的影响。方法 将170例初产妇在活跃期后分为2组。观察组采取生育舞蹈助产,主要指导孕妇放松并保持直立位、骨盆倾斜运动、前后左右及转圈式扭动及振动骨盆等舞蹈动作每小时活动1次,每次持续30 min以上;对照组采取常规方法待产,包括家属陪伴、自由体位。比较2组产妇干预前、干预后30 min、60 min、90 min产痛评分及分娩控制感得分情况。结果 观察组产妇的产痛得分在干预后30 min、60 min、90 min均低于对照组（P<0.05）,分娩控制感得分高于对照组（P<0.05）。结论 生育舞蹈助产可以降低初产妇活跃期产痛水平,提高分娩控制感,具有临床应用意义。

关键词: 疼痛, 分娩控制, 生育舞蹈

Abstract: Objective To evaluate the effect of “Dancing For Birth” on labor pain and sense of labor self-control in primiparas. Methods A total of 170 primiparas were divided into two groups when they were parturient in active phrase. Women in the experiment group performed “Dancing For Birth” with the support of their partner and a midwife, which were instructed to do relaxation, standing upright with pelvic tilt and rock their hips back and forth or around in a circle every hours for a minimum of 30 minutes. While those in the control group received routine care and had their own position during labor, accompanied by relatives. Women were investigated by NRS before the intervention, 30 minutes, 60 minutes and 90 minutes after the intervention. Labour Agentry Scale(LAS) was also investigated. Results The scores of labor pain in the experimental group were significantly lower than those in the control group 30 minutes, 60 minutes and 90 minutes after the intervention (P<0.05), but the score of LAS was significantly higher than that of the control group (P<0.05). Conclusion “Dancing For Birth” can reduce labor pain and improve primiparas' sense of labor self-control.

Key words: pain, labor self-control, dancing for birth

中图分类号: 

  • R473.71
[1] 颜凤,林艳,张慧珠. 孕晚期及产时应用生育舞蹈对产妇分娩结局的影响研究[J].中华护理杂志, 2018, 53(9):1035-1038. DOI:10.3761/j.issn.0254-1769.2018.09.002.
[2] Abdolahian S, Ghavi F, Abdollahifard S, et al.Effect of Dance Labor on the Management of Active Phase Labor Pain & Clients’ Satisfaction: A Randomized Controlled Trial Study[J]. Global J Health Sci, 2014, 6(3):219-226. DOI:10.5539/gjhs.v6n3p219.
[3] 谢幸,孔北华,段涛.妇产科学[M].9版.北京:人民卫生出版社,2018:171.
[4] ACOG. Committee Opinion No. 650: Physical Activity and Exercise During Pregnancy and the Postpartum Period[J].Obstetrics and Gynecology,2015,126(6):e135-e142.
[5] Stephanie Larson. Dancing For Birth[EB/OL]. (2009-01-01)[2019-06-30].http://dancingforbirth.com.
[6] 邓菊芳. 拉玛泽呼吸法联合分娩球在初产妇分娩中的应用[J].护理学报, 2015,22(14):50-51.DOI:10.16460/j.issn1008-9969.2015.14.050.
[7] 伍瑞勤. 产程早期体位干预对初产妇自我效能、分娩控制感及分娩方式的影响[J].护理实践与研究,2016,13(7):62-63,64.
[8] Hofmeyr G J. Maternal Positions and Mobility During First Stage Labour[J].Cochrane Database Syst Rev, 2013,129(8):CD003934.DOI:10.1002/14651858.
[9] 潘敏,雪丽霜,零恒莉,等.产程早期体位干预配合分娩辅助设施对分娩的影响[J].中华护理杂志,2014,49(3):297-300. DOI:10.3761/j.issn.0254-1769.2014.03.011.
[10] 彭茹凤,胡艳宁,魏慧玲,等.音乐疗法配合长强穴按压对初产妇产程及分娩结局的影响[J]. 中华护理杂志,2011,46(1):79-80.DOI:10.3761/j.issn.0254-1769.2011.01.028.
[11] 厉跃红,吴娜,庄薇.分娩球配合自由体位助产对初产妇产痛、分娩控制感及妊娠结局的影响[J].中华护理杂志,2013,48(9):793-796. DOI:10.3761/j.issn. 0254-1769.2013.09.009.
[12] Gau M L, Chang C Y, Tian S H, et al.Effects of Birth Ball Exercise on Pain and Self-efficacy During Childbirth: A Randomised Controlled Trial in Taiwan[J]. Midwifery, 2011, 27(6):e293-e300. DOI:10.1016/j.midw.2011.02.004.
[13] Smith C, Levett K, Collins C, et al. Relaxation Techniques for Pain Management in Labour[J]. Cochrane Database Syst Rev, 2011, 12(12):CD009514.DOI:10.1002/14651858.CD009514.
[14] 潘春丽. 第一产程自由体位待产对产妇疼痛感、自我效能感及满意度的影响[J].中国临床护理,2019,11(1):46-48. DOI:10.3969/j.issn.1674-3768.2019.01.014.
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