英国LK按摩程式配合助产士激励式心理干预在产妇自然分娩中的应用
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R473.71

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Application of LK massage programme combined with midwife-led motivational psychological intervention in natural childbirth
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    摘要:

    目的:分析英国 LK 按摩程式配合助产士激励式心理干预在产妇自然分娩中的应用效果。方法:选取自然分娩 的92位初产妇为研究对象。按照干预方式不同将患者分为对照组和观察组,每组各46例。对照组采用常规干预;观察组采 用英国 LK 按摩程式配合助产士激励式心理干预。比较两组产妇产程、分娩结局、新生儿结局及分娩体验。结果:干预后,观 察组第一产程时间、第二产程时间、第三产程时间、会阴侧切率、会阴撕裂程度均低于对照组(P<0.05);观察组分娩控制量表 (LAS)、简化版分娩自我效能量表(CBSEI-C32)评分均高于对照组(P<0.05);两组产妇中转剖宫产率、新生儿出生体质量、身 长及1、5minApgar评分均无统计学差异(P>0.05)。结论:英国 LK 按摩程式配合助产士激励式心理干预可缩短产程,降 低会阴侧切及撕裂风险,改善分娩控制感与自我效能,且不增加母婴不良结局。

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    Objective: To analyze the application effect of LK massage programme combined with midwife-led motivational psychological intervention in natural childbirth. Methods: A total of 92 primiparas who underwent natural childbirth were enrolled. According to the intervention method, they were divided into the control group (n=46) and the observation group (n=46). The control group received routine intervention, while the observation group received LK massage programme combined with midwife-led motivational psychological intervention. The duration of labor, delivery outcomes, neonatal outcomes, and childbirth experience were compared between the two groups. Results: After intervention, the duration of the first, second, and third stages of labor was shorter, the rate of episiotomy was lower, and laceration of perineum was milder in the observation group than in the control group(P<0.05). Moreover, the Labor Agentry Scale (LAS) and the Chinese version of the Childbirth Self-Efficacy Inventory(CBSEI-C32) scores were higher in the observation group(P<0.05). No statistically significant differences were found in the rate of conversion to cesarean section, neonatal birth weight, height, or 1-min and 5-min Apgar scores between the two groups(P>0.05). Conclusion: LK massage programme combined with midwife-led motivational psychological intervention can shorten the duration of labor, reduce the risks of episiotomy and laceration of perineum, and improve parturients’ sense of control and self-efficacy during childbirth, without increasing adverse maternal and neonatal outcomes.

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张慧娟;郭晓旭;汤何瑞.英国LK按摩程式配合助产士激励式心理干预在产妇自然分娩中的应用[J].川北医学院学报,2026,41(8):1016-1019.

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  • 在线发布日期: 2026-07-22
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