初产妇分娩第一阶段慢节奏呼吸对疼痛感知的影响

V. Tiwari, Anu V. Kumar
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摘要

自然分娩是一种深刻而有力的人类体验,它是一种赋权感和成就感的混合体。药理学和非药理学两种方法今天都是可用的,而且众所周知,在这个过程中使用非药理学方法所涉及的风险较小。呼吸练习可以帮助产妇放松,转移疼痛反应的注意力。本研究采用准实验设计。样本量为60例(试验组30例,对照组30例),采用目的抽样法抽取。采用数字疼痛评定量表评估分娩疼痛感知水平。实验组在活动期指导慢节奏呼吸进行宫缩练习2小时。两组均在干预前进行前测,干预后进行后测。收集的数据采用描述性和推理性统计方法进行分析。实验组第一产程疼痛感知水平测后平均得分为1.6分,对照组为2.5分。计算得到的未配对“t”值为5.92,在5%显著性下大于表值(表值=2.02)。因此,5%有统计学意义(p<0.05)。研究表明,在分娩的第一阶段,慢节奏呼吸对减轻疼痛感是有效的。因此,研究假设(H1)被接受。人口统计变量之间没有显著的关联。因此,研究假设(H2)被拒绝。这项研究发现表明,在实验组中,慢节奏的呼吸运动有助于降低初产妇的疼痛感知水平。因此,这可以作为一种非药物方法来实践,以减轻分娩过程中各种情况下的疼痛感觉。
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The effectiveness of slow paced breathing on pain perception during first stage of labour among primigravida mothers
Natural childbirth is a profound and powerful human experience which is a mixture of feeling of empowerment and accomplishment. Both pharmacological and non-pharmacological methods are available today and it is known that the non- pharmacological options involve less risk when used in this process. Breathing exercises helps labour women to relax and distract from the painful response. The research design adopted for this study was quasi experimental design. The sample size was 60 (30 experimental and 30 control group) and was drawn through purposive sampling technique. The level of labour pain perception was assessed by using Numeric pain rating scale. Slow paced breathing was instructed to practice during contractions for 2 hours during active phase for experimental group. Pre-test was assessed before intervention and Post test done after intervention for both group. The data gathered were analyzed by descriptive and inferential statistical method. The mean post-test score on level of pain perception during first stage of labour in experimental group was 1.6, but in control group it was 2.5. The calculated unpaired„ t‟ value was 5.92, which is more than the table value at 5% significance (table value=2.02). Hence, it was statistically significant at 5% (p<0.05). It shows that slow paced breathing is effective in reduction of pain perception during first stage of labour. Hence, the research hypothesis (H1) is accepted. There is no significant association between demographic variables. Hence, the research hypothesis (H2) is rejected. This study finding revealed that slow paced breathing exercise helps in reducing the level of pain perception among primigravida mothers in the experimental group. So this can be practiced as a Non-pharmacological method to relieve pain perception during labour in various settings.
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