The influence of incentivizing nursing intervention under the solution-focused approach on the labor process and fear of primiparas undergoing vaginal trial of labor
聚焦解决模式下的激励式护理干预对经阴道试产初产妇产程及恐惧情绪的影响

摘要

目的 分析聚焦解决模式下的激励式护理干预在经阴道试产初产妇中的应用效果。方法 选取2023年1月~2023年12月我院80例经试产初产妇，按照不同护理方式分为两组，对比常规护理（对照组，n=40）与聚焦解决模式下的激励式护理干预（观察组，n=40）的临床效果。结果 观察组产程时间低于对照组（P<0.05）；观察组干预后CAQ、PAQ评分均低于对照组（P<0.05）；观察组干预后分娩自我效能、分娩控制评分高于对照组（P<0.05）。结论 经阴道试产的初产妇实施聚焦解决模式下的激励式护理干预，可以减轻产妇不良情绪，提升分娩自我效能和分娩控制感，缩短产程。

Abstract

Objective To analyze the application effect of incentive-based nursing intervention under the solution-focused approach in primiparas undergoing vaginal trial of labor.
Methods From January 2023 to December 2023, 80 primiparas who had undergone trial labor in our hospital were selected and divided into two groups according to different nursing methods. The clinical effects of conventional nursing (control group, n=40) and incentive-based nursing intervention under the solution-focused approach (observation group, n=40) were compared.
Results The duration of labor in the observation group was shorter than that in the control group (P<0.05). The CAQ and PAQ scores of the observation group after intervention were both lower than those of the control group (P<0.05). The scores of delivery self-efficacy and delivery control in the observation group after intervention were higher than those in the control group (P<0.05).
Conclusion   The implementation of incentive nursing intervention under the solution-focused approach for primiparas undergoing vaginal trial labor can alleviate their negative emotions, enhance their self-efficacy and sense of control during childbirth, and shorten the duration of labor.