Irna Susanti1,Dewi Anggraini,Ari Purwaningsih

引言：分娩疼痛是护士在设计干预方案时面临的一个挑战性问题。触摸和按摩疗法是她们在分娩过程中可以采用的非药物疗法之一。本研究旨在评估在第一阶段的分娩过程中降低疼痛强度的效果。方法：采用准实验方法，在印度尼西亚雅加达的一家公立医院招募了56名预计正常分娩的妇女，并采用了目的性抽样技术。她们被随机分配到接受触摸和按摩干预（实验）组或不接受干预（对照）组。使用口头描述量表（VDS）对分娩疼痛强度进行描述性统计、匹配和独立t检验。结果：结果显示，触摸和按摩疗法对实验组有显著影响（tcalI 2.839，p<0.05）。实验组和对照组在测试前（tcalI 1.817，p>0.05）和测试后（tcalI 10.77，p<0.05）也有明显的差异。该研究发现，触摸和按摩疗法的结合能有效地减少活跃阶段的分娩疼痛。结论：触摸和按摩疗法可以减少分娩疼痛强度，同时在活跃期的第一阶段起到亲近和鼓励的作用。它是一种具有成本效益的护理干预措施，可以积极影响妇女的分娩体验质量。

活跃期第一阶段；分娩疼痛；按摩；触摸

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