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| Influence of the family cooperative care nursing in delivery room for primiparas on their psychological status, delivery self-efficacy and maternal and infant outcomes |
| Hangzhou First People's Hospital, Hangzhou, Zhejiang Province, 310006 |
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Abstract To explore the influence of the family cooperative care nursing in delivery room for primiparas on their psychological status, delivery self-efficacy and maternal and infant outcomes. Methods: The primiparas who were examined and wanted delivery in hospital were selected and were divided into observation group and control group (60 cases in each group) according to the random number table method from May 2020 to December 2021. The primipara in the control group received the routine nursing intervention and guidance after entering the delivery room, while the primiparas in the observation group received cooperative nursing from family members except the treatment of the primiparas in the control group. The differences of the scores of SAS, SDS and delivery self-efficacy before and after the intervention, the delivery mode, the delivery VAS score, the delivery duration and the maternal and infant outcomes of the primiparas were analyzed and compared between two groups. Results: The scores of SAS and SDS of the primiparas in the observation group after intervention had decreased significantly, and which were significantly lower than those of the primiparas in the control group (P<0.05). The total scores of the outcome efficacy, the expectation efficacy and the self-efficacy of the primiparas in the observation group were significantly higher than those of the primiparas in the control group (all P<0.05). The rates of vaginal delivery (91.7%) and the transfer to cesarean delivery (8.3%) of the primiparas in the observation group were significantly higher than those (73.3% and 26.7%) of the primiparas in the control group (P<0.05). The VAS score during vaginal delivery, the durations of the first and the second stages of labor and the amount of bleeding in 2 hours after delivery of the primiparas, and the neonatal Apgar score in the observation group were significantly better than those in the control group (P<0.05). Conclusion: The cooperative nursing intervention of family members in the delivery room for the primiparas can effectively improve their psychological status, improve their delivery self-efficacy, reduce the degree of their labor pain, shorten their duration of labor, promote their vaginal delivery, and improve their maternal and infant outcomes.
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