【摘要】 目的 分析福州市第一医院产科初产妇中实施自由体位结合温柔分娩理念的一对一陪伴式助产护理的作用。方法 随机选取2022年1—12月福州市第一医院产科90例初产妇作为研究对象，按照随机分配法分为对照组（45例实施常规护理）、观察组（45例实施自由体位结合温柔分娩理念的一对一陪伴式助产护理）。比较两组匹兹堡睡眠质量指数评分、不同产程时间、不良妊娠结局发生率、分娩控制量表评分、视觉模拟疼痛评分、并发症发生率。结果 观察组匹兹堡睡眠质量指数评分（8.45±0.58）分，低于对照组的（10.14±1.10）分，差异有统计学意义（t=9.116,P<0.05）。观察组第一产程、第二产程、第三产程、总产程时间均短于对照组，差异有统计学意义（P<0.05）。观察组总不良妊娠结局发生率低于对照组，但差异无统计学意义（P>0.05）。观察组分娩控制量表评分高于对照组，视觉模拟疼痛评分低于对照组，差异有统计学意义（P<0.05）。观察组胎膜早破发生率、羊水栓塞发生率均低于对照组，但差异无统计学意义（P>0.05）。结论 自由体位结合温柔分娩理念的一对一陪伴式助产护理可改善初产妇睡眠质量，降低匹兹堡睡眠质量指数，缩短各个产程时间，改善不良妊娠结局，降低并发症发生风险，提高初产妇分娩自控感，减轻痛苦。更多还原

【Abstract】 Objective To analyze the effect of one-to-one accompanying midwifery nursing in the conception of free position combined with gentle delivery in the first maternity department of Fuzhou First Hospital. Methods A total of 90 cases of primiparas in the obstetrics department of Fuzhou First Hospital from January to December 2022 were randomly selected as the study objects, and were divided into the control group(45 cases received routine nursing) and the observation group(45 cases received one-on-one accompanied midwives nursing with free posture combined with the concept of gentle delivery) according to random allocation method. The Pittsburgh Sleep Quality Index Score, different labor duration, incidence of adverse pregnancy outcomes, delivery control scale score, Visual Analogue Pain Score, and complication rate were compared between the two groups. Results The Pittsburgh Sleep Quality Index Score of the observation group [(8.45±0.58) points] was lower than that of the control group [(10.14±1.10) points], and the difference was statistically significant(t=9.116, P<0.05). The first stage of labor, the second stage of labor, the third stage of labor and the total labor time in the observation group were shorter than those in the control group, and the difference was statistically significant(P<0.05). The incidence of total adverse pregnancy outcomes in observation group was lower than that in control group, but the difference was not statistically significant(P>0.05). The score of delivery control scale score in observation group was higher than that in control group, and the Visual Analogue Pain score was lower than the control group, and the difference was statistically significant(P<0.05). The incidence of premature rupture of membranes and amniotic fluid embolism in the observation group were lower than those in the control group, but the difference was not statistically significant(P>0.05). Conclusion The one-to-one accompanying midwifery nursing combined with the concept of gentle delivery can improve the sleep quality of the first-time parturients, reduce the Pittsburgh sleep quality index, shorten the time of each labor stage, improve the adverse pregnancy outcome, reduce the risk of complications, improve the sense of childbirth self-control of the first-time parturients,and alleviate pain.更多还原