拉玛泽技术对第一产程分娩疼痛和产妇满意度的影响

Zienab B. Mohamed, Samia. A. Aboud, Afaf M. Emam, Zienab. R. Abd-Elmordy
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引用次数: 0

摘要

背景:拉玛泽呼吸法是一种有效的非侵入性、非药物性和支持性技术,可减轻分娩疼痛并改善产妇的行为反应。它被称为一种心理预防方法,可帮助孕妇积极应对宫缩。研究目的:评估拉玛泽技术对第一产程中分娩疼痛和产妇满意度的影响。研究设计:准实验研究设计。研究环境:研究在本哈大学医院附属妇产科的妇产科门诊和分娩室进行。研究样本:140名孕妇的目的性样本,随机分为研究组[70]和对照组[70]。数据收集工具:本研究使用了五种工具:工具一:结构化访谈问卷表;工具二:数字疼痛评分量表;工具三:Partograph;工具五:Apgar 评分;工具四:妇女满意度量表。研究结果:本次研究结果表明,在使用拉玛泽分娩法之前,两组产妇在第一产程中的分娩疼痛强度评分差异无统计学意义;而在使用拉玛泽分娩法之后,研究组产妇在第一产程中的分娩疼痛强度评分与对照组相比有所降低,两组之间的差异具有高度统计学意义。此外,超过四分之三的研究对象对使用拉玛泽分娩法表示满意,而超过五分之一的研究对象表示不满意。结论在第一产程中应用拉玛泽技术对减轻分娩疼痛和提高产妇满意度有积极作用。建议应在门诊、产房和妇产科为所有孕妇设计有关拉玛泽呼吸练习的宣传册。
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Effect of Lamaze Technique on Labor Pain and Women’s Satisfaction during First Stage of Labor
Background: Lamaze breathing technique is an effective noninvasive, non-pharmacologic and supportive technique for reducing labor pain and improving the behavioral responses of women in labor. It is known as a method of psycho prophylaxis that prepares a pregnant woman to deal actively with contractions. Aim of research : To evaluate the effect of Lamaze technique on labor pain and women’s satisfaction during first stage of labor. Research design: A Quasi-experimental research design. Research setting: The study was conducted at obstetrics and gynecological out-patient clinic and labor unit of obstetrics and gynecological department affiliated to Benha University Hospital. Research sample: A purposive sample of 140 pregnant women divided randomly into study group [70] and control group [70]. Tools of data collection: Five tools were used to conduct this research: tool I :A structured interviewing questionnaire sheet, tool II: Numeric Pain Rating Scale, tool III: Partograph , tool V: Apgar score and tool IV: Woman's Satisfaction scale. Research results: The result of current study showed that there was no statistically significant difference between both groups regarding intensity of labor pain score during first stage of labor before applying of Lamaze technique while, there was a reduction of intensity of labor pain score among study group compared to control group during the first stage of labor after practicing the Lamaze technique with a highly statistically significant difference between both groups . Also , indicated that more than three quarters of studied women were satisfied with applying Lamaze technique compared to more than one fifth of them were unsatisfied. Conclusion: Applying Lamaze technique during first stage of labor had a positive effect on enhancing labor pain and increasing women’s satisfaction. Recommendation: Designing brochures regarding Lamaze breathing exercise should be available at outpatient clinics , labor unit and obstetrics and gynecology departments for all pregnant women.
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