支持性生產照護模式對待產婦疼痛與生產經驗之成效探討

Effectiveness of Supportive Childbirth Care Model Application on Labor Pain and Childbirth Experience among Labor Women

本研究目的旨在探討介入支持性生產照護模式對產婦疼痛及生產經驗之成效。採類實驗研究雙組前後測設計，以某醫院待產婦，實驗組（30人）介入支持性生產照顧模式，控制組（30人）採常規照顧。研究結果發現，前測疼痛實驗組為5.33±2.76分，控制組為5.47±3.10分，後測疼痛實驗組為7.27±2.95分，控制組為8.27±2.48分，兩組疼痛總分前測與後測無顯著差異（p>.05），兩組後測-前測總分均有顯著差異（p<.001），後測之生產經驗量表實驗組為100.13±13.33，控制組為86.63±11.17，但在生產經驗量表之後測比較分析，發現兩組總分有顯著差異（p<.01）。支持性生產照顧模式比傳統照顧模式其生產經驗較佳，但在疼痛並無差異。建議未來醫療機構能運用支持性生產照顧模式於產婦待產，讓產婦擁有正向生產經驗。

The purpose of this study was to investigate the implications of supportive childbirth care model on labor pain and childbirth experience among labor women. A two-group pretest-posttest quasi-experimental design was undertaken in a hospital delivery room. The experimental group (n = 30) received a supportive childbirth care model intervention and the control group (n = 30) received routine care. Outcome measurements included a demographic datasheet, the VAS pain scale, and the childbirth experience scale. The pre-test VAS pain scale of the experimental group and control group were 5.33±2.76 and 5.47±3.10 respectively. The post-test VAS pain scores of the experimental group and control group were 7.27±2.95 and 8.27±2.48 respectively. However, there was no significant difference between pre-test and post-test on VAS scale (p>.05). But they were difference between the the post- pre test on VAS scale （(p<.001）). The post-test childbirth experience scores of the experimental group and control group are 100.13±13.33 and 86.63±11.17 respectively. But they were difference in the two group of childbirth experience (p<.05). The total scores and sub-items of childbirth experience of the experimental group (supportive childbirth care model) were higher than those of the control group, which shows that the effect of the supportive childbirth care model was better. The results indicate that the supportive childbirth care model had the potential to help women improve their childbirth experience, but there was no difference in pain. The results of this study will provide a reference for future medical institutions to build a LDR (humanized delivery environment) and to care for delivery women. So that they can have positive childbirth experience.