Abstract:

Objective To construct a whole process nursing plan for women with vaginal delivery and to evaluate its effect. Methods On the basis of literature analysis and Delphi expert consultation method，a whole process nursing plan of vaginal delivery was established. From June to September 2023，180 primiparas in a tertiary A hospital in Ningxia were selected as research subjects to carry out the preliminary application of the plan. Among them，the parturients hospitalized from August to September were in the experimental group，and those hospitalized from June to July were in the control group. The experimental group received the whole process nursing plan on the basis of routine nursing，and the control group received routine nursing. The indexes related to delivery outcomes（delivery mode，time of each labor stage，et al），the degree of labor pain，fear of labor and labor experience were compared between the 2 groups. Results The effective recovery rates of the 2 rounds of expert correspondence were 100% and 93.75%，respectively，and the coefficient of expert authority was 0.85. The finally constructed plan included 3 first-level items，10 second-level items and 29 third-level items. 86 cases and 85 cases were included in the experimental group and the control group，respectively. After intervention，there were statistically significant differences in each stage of labor between the 2 groups（P<0.05）. There was significant difference in the rate of good and good control of labor pain（χ²=16.386，P<0.001）. The childbirth fear questionnaire score（27.76±3.60） of the experimental group was lower than（33.06±3.36） of the control group，and the childbirth experience score（80.83±4.83） was higher than（75.79±3.46） of the control group，and the differences were statistically significant（P<0.001）. Conclusion The whole process nursing plan of vaginal delivery is scientific and feasible. It can shorten the labor time，relieve labor pain，labor fear and improve labor experience.

Key words: Vaginal Delivery, Whole Process, Fear of Childbirth, Birth Experience, Obstetrical Nursing

摘要：

目的 构建阴道分娩产妇分娩期全流程护理方案并评价其应用效果。 方法 在文献分析的基础上结合德尔菲专家函询法，构建阴道分娩产妇分娩期全流程护理方案。2023年6月—9月，采用便利抽样法，选取在宁夏回族自治区某三级甲等专科医院拟行阴道分娩的180名产妇作为研究对象，其中，8月—9月的产妇为试验组，6月—7月的产妇为对照组。试验组在常规护理的基础上接受分娩期全流程护理方案，对照组进行常规护理，比较两组分娩结局相关指标（分娩方式、各产程时间等）、分娩疼痛程度、分娩恐惧及分娩体验。 结果 2轮专家函询的有效问卷回收率分别为100%、93.75%，专家权威系数均为0.85。构建的方案包括3个一级条目、10个二级条目及29个三级条目。最终，试验组与对照组分别纳入86名、85名产妇。干预后，两组各产程时间比较，差异均具有统计学意义（P<0.05）；疼痛控制优良率比较，差异具有统计学意义（χ²=16.386，P<0.001）；试验组分娩恐惧量表得分为（27.76±3.60）分，低于对照组的（33.06±3.36）分，分娩体验问卷得分为（80.83±4.83）分，高于对照组的（75.79±3.46）分，差异均具有统计学意义（P<0.001）。 结论 阴道分娩产妇分娩期全流程护理方案具有较好的科学性、可行性，应用该方案可缩短产妇各产程时间，减轻分娩疼痛、分娩恐惧，改善分娩体验。

关键词: 阴道分娩, 全流程, 分娩恐惧, 分娩体验, 产科护理