Snoezelen Room and Childbirth Outcome: A Randomized Clinical Trial
Snoezelen Room and Childbirth Outcome: A Randomized Clinical Trial
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DOI：
10.5812/ircmj.17(5)2015.18373
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发表时间：
2015-05-01
影响因子：
0.4
通讯作者：
Hosseini, Fatemeh
中科院分区：
文献类型：
--
作者：
Manesh, Mansoureh Jamshidi;Kalati, Mahnaz;Hosseini, Fatemeh
背景：设计产房是获得良好结局和无痛分娩的策略之一。目的：本研究的目的是评估麻醉室对产妇分娩结局的影响，如疼痛强度、分娩持续时间和会阴状况。患者和方法：本研究是一项随机对照临床试验，由100名育龄妇女组成。他们被随机分为两组。实验组在宫颈扩张4 cm时进入麻醉产房，对照组在宫颈扩张相同的情况下进入生理产房。结果：实验组和对照组干预前疼痛强度VAS （Visual Analogue Scale）平均+/- SD分别为5.1 +/- 1.95和5.58 +/- 1.62 （P = 0.13）。实验组和对照组在指定房间停留3 h后VAS疼痛强度评分的平均+/- SD分别为5.26 +/- 0.86和9.56 +/- 1.48，差异有统计学意义（P = 0.01）。试验组和对照组第一阶段评分的平均+/- SD分别为6.95 +/- 0.97和8.41 +/- 0.67 （P = 0.042）。约92%的干预组和66%的对照组有会阴撕裂伤（P = 0.041）。结论：根据本研究的发现，在打盹儿室中分散感觉可以减少产妇的疼痛强度、分娩时间和会阴切开术的发生率。
Background: One of the strategies for a good outcome and pain free childbearing is to design the delivery room.Objectives: The aim of this study was to evaluate the effects of snoezelen room on childbearing outcome such as pain intensity, duration of labor, and perinea status in nulliparous women.Patients and Methods: This study was a randomized controlled clinical trial consists of 100 childbearing women. They were randomly divided into 2 groups. The experimental group went to snoezelen room when their cervix dilation was 4 cm, while the control group went to physiologic delivery room with the same cervix dilation.Results: The mean +/- SD of VAS (Visual Analogue Scale) pain intensity of the experimental and control groups before the intervention were 5.1 +/- 1.95 and 5.58 +/- 1.62, respectively (P = 0.13). The mean +/- SD of VAS pain intensity scores of the experimental and control groups after 3 hours spending in their assigned rooms were 5.26 +/- 0.86 and 9.56 +/- 1.48, respectively (P = 0.01). The mean +/- SD of the first stage scores of the experimental and control groups were 6.95 +/- 0.97 and 8.41 +/- 0.67, respectively (P = 0.042). About 92% of participants' intervention vs. 66% of control participants had perinea laceration (P = 0.041).Conclusions: According to the findings of the present study, distracting senses in snoezelen room decreases mother's pain intensity, the length of labor, and incidence of episiotomy.