CAJ | 학술논문

目的：围绕初产妇孕产期间焦虑对产程的影响，探讨音乐舒适护理对初产妇的干预作用及评价。方法根据临床实际，结合参阅的文献，征询专家意见后形成音乐舒适护理的干预方案，对我院产科分娩符合纳入标准的初产妇320例进行研究。采用了问卷调查获取研究对象的基本资料，随机数字表法分为对照组155例、观察组165例，两组均实施围产期常规护理，观察组则给予音乐舒适护理干预，对照两组焦虑水平及相关生理指标及剖宫产率并对干预效果进行评价。结果两组产妇焦虑水平、产程时间、心率、平均动脉压、疼痛指数、剖宫产率比较，观察组明显优于对照组 P 均＜0．05，差异具有统计学意义。结论音乐舒适护理可有效缓解产妇的焦虑、改善疼痛症状、缩短产程时间平稳血流动力学，减少剖宫产率值得临床应用。
목적：위요초산부잉산기간초필대산정적영향，탐토음악서괄호리대초산부적간예작용급평개。방법근거림상실제，결합삼열적문헌，정순전가의견후형성음악서괄호리적간예방안，대아원산과분면부합납입표준적초산부320례진행연구。채용료문권조사획취연구대상적기본자료，수궤수자표법분위대조조155례、관찰조165례，량조균실시위산기상규호리，관찰조칙급여음악서괄호리간예，대조량조초필수평급상관생리지표급부궁산솔병대간예효과진행평개。결과량조산부초필수평、산정시간、심솔、평균동맥압、동통지수、부궁산솔비교，관찰조명현우우대조조 P 균＜0．05，차이구유통계학의의。결론음악서괄호리가유효완해산부적초필、개선동통증상、축단산정시간평은혈류동역학，감소부궁산솔치득림상응용。
Objective To explore the intervention effect and evaluation of music comfort nursing for primipara by analyzing the influence of the maternal anxiety during early pregnancy on the birth process.Methods The intervention program of music comfort nursing was worked out based on the clinical actual situation, together with the reference to literature and experts’ suggestion.In the program, 320 primiparas who met the inclusion criteria in our hospital were studied.The basic information of the research objects was obtained through questionnaire survey, and the research objects were randomly divided into the control group (155 cases) and the ob-servation group (165 cases).Two groups received perinatal routine nursing, and the observation group was given music comfort nurs-ing intervention, the anxiety control level and related physiological indexes of two groups and the rate of cesarean section were com-pared and the intervention effects were evaluated.Results Maternal anxiety levels, the labor time, heart rate, mean arterial pres-sure, pain index, and the rate of cesarean section of both groups were compared, and the observation group was significantly better than the control group, with statistically significant difference (P<0.05).Conclusion Music comfort care can effectively alleviate maternal anxiety, improve pain symptoms, shorten the time of stable hemodynamics in birth process and reduce the rate of cesarean section, so it is worthy of clinical application.