應用按摩舒緩待產婦的疼痛成效之研究

Massage reduced severity of pain during labour: a randomised trial

邱宜令(Yi-Ling Chiou) ； 吳秋鳳(Chiou-Fong Wu) ； 王梓柔(Tzu-Jou Wang) ； 吳曼菱(Man-Ling Wu) ； 黃鐙瑩(Deng-Ying Huang) ； 丁雅葳(Ya-Wei Ting) ； 翁稜雅(Leng-Ya Weng) ； 蘇斌光(Bin-Guang Su)

《安泰醫護雜誌》 24卷1期 (2018/06) Pp. 41-53

摘要

目的：探討按摩對產婦於待產時疼痛緩解的效果，並分析按摩過程中各因子對緩解疼痛的影響。方法：選取三所高屏地區的醫院，層級分別為醫學中、區域教學、與地區醫院待產婦為對象，共收取有效樣本61位且平均年齡為29.25歲。結果：按摩介入前後疼痛指數存在顯著性的差異，按摩前疼痛指數明顯高於按摩後，顯然按摩介入能有效緩解產前的疼痛；而按摩執行者為護人員又比非護理人員有效果，且使用按摩工具緩解疼痛成效也比徒手按摩來的顯著。結論：產痛會造成產婦身心極大的折磨，既然有非醫療介入的緩解方式，建議健保署應將產前按摩緩解疼痛納入自然產的診斷關聯群之基本診療項目中，給付醫護人員對孕產婦按摩的個案，提升婦女的生產醫療品質及意願。

關鍵字

待產疼痛 ； 按摩

並列摘要

Objectives: To explore the effect of the relieve labor pain in using massage techniques and to analyze the factors on the massage process to pain relief. Methods: The sampling hospitals are located in the Southern of Taiwan. Data was collected from the obstetrics units in medical center, regional and local hospital. Sample sizes are sixty-one and average age is 29.25. Results: The result of research found that massage before pain index is significantly higher than massage after pain index. Obviously, it is effectively relieve labor pain in using massage. The results also found that nurses perform massage more effective than non-nurses. Using massage tools is more effective than using hands. Conclusions: Mothers suffers from labor pain during the labor. We recommend that the Ministry of Health and Welfare and the National Health Insurance Department have to face the rights of mothers and health care quality, and ask prenatal massage to be included in the minimum requirements of Diagnosis Related Groups as well.

並列關鍵字

Labor Pain, Massage