視訊化拉梅茲生產法對產婦產痛控制之評估

The Evaluation ofVideo-Based Lamaze Method on Controlling Matemal Labor Pain

本研究目的為比較視訊化拉梅茲生產法與傳統護理指導，對產婦產痛控制影響之差異。研究對象為懷孕32 週以上的產婦，將之分為四組，包括實驗組（E1：接受現行拉梅茲護理指導課程加上視訊化拉梅茲護理指導； E2 ：接受視訊化拉梅茲護理指導）及對照組（C1：接受現行拉梅茲護理指導課程；C2 ：未接受任何拉梅茲護理指導或生產課程）。在產痛評估方面，整體平均疼痛分數為18.86±7.96分，而實驗組產婦（E1： 12.80+4.81分、 E2： 14.37+3.98分）比對照組（C1： 22.06±7.86分、C2： 26.2315.80分）更能控制產痛，且具有統計上顯著差異（F 值=42.18，df=3，p<.001）。單變項分析發現，產痛控制與年齡（F值=6.07，df`=3，p<001）、學歷（F值=12.12，df=2， p<001 ）、以及是否聽過拉梅茲（t值=3.24，df=138， p<.01 ）有統計上顯著相關。複迴歸模式則發現，在控制其他干擾因子之後，組別、學歷、胎次和有運用拉梅茲生產法與產痛控制有統計上顯著相關。本研究顯示視訊化拉梅茲護理指導，相較於傳統護理指導方法，更能有效控制產痛及減少無痛分娩的使用.The purposes of the present study was to explore the effects of video-based Lamaze method on controlling labor pain compared to traditional nursing guidelines. The subjects were women in labor with 32 weeks or more of gestation, and divided to four study groups, including two experimental groups ( traditional nursing guideline plus video-based Lamaze method, and E2: video-based Lamaze method )and two control groups( C1：traditional nursing guideline, and C2: none of any nursing guideline received) . An evaluation of labor pain produced an overall mean value of labor pain of 18.86±7.96. The experimental groups ( E1: 12.80±4.81、E2: 14.37±3.98 ) showed better performance than control groups (C1:22.06±7.86、C2: 26.23±5.80 ) and were statistically significant ( F=42.18, df=3, p<_001 ) . From the univariate analysis, the significant variables associated with labor pain were age ( F=6.07, df=3, p<.001 ), education ( F=12.12, df =2, p<001 )and familiarity with Lamaze method(t=3.24, df=138, p<01). From the stepwise multiple regression, there were statistical associations with labor pain, including groups, education levels, parity, and use of Lamaze method after adjusting confounded factors. In conclusion, the present study revealed that, compared with traditional nursing guideline, video-based Lamaze method can control labor pain more effectively and reduce pain in labor.