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已发表论文
联合心理护理与助产士主导的体位护理可缩短初产妇的产程：一项回顾性研究
Received 10 May 2025
Accepted for publication 29 August 2025
Published 29 September 2025 Volume 2025:17 Pages 3375—3383
DOI https://doi.org/10.2147/IJWH.S539612
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Matteo Frigerio
Jing Liu,1 Jiaqi Yang,2 Na Sun3
1Delivery Room, Northwest Women and Children’s Hospital, Xi’An, Shaanxi, 710061, People’s Republic of China; 2Obstetrics Department, Northwest Women and Children’s Hospital, Xi’An, Shaanxi, 710061, People’s Republic of China; 3Department of Obstetrics and Gynecology, Tangdu Hospital, Air Force Military Medical University, Xi’An, Shaanxi, 710038, People’s Republic of China
Correspondence: Na Sun, Email nqt8099@163.com
Objective: To investigate the effects of psychological nursing combined with midwife-led positional care on labor duration and delivery outcomes in nulliparous women undergoing vaginal delivery.
Methods: This retrospective study included 110 nulliparous women who underwent vaginal delivery in our hospital’s obstetrics department between August 2023 and January 2025. Participants were divided into an observation group (n = 55, receiving psychological nursing combined with midwife-led positional care) and a control group (n = 55, receiving routine nursing interventions). Labor duration, sense of labor control, anxiety/depression scores, health knowledge mastery, and self-efficacy were compared between the two groups.
Results: No significant differences were observed in baseline clinical characteristics (eg, age) between the groups (P > 0.05), indicating comparability. The observation group exhibited significantly shorter labor durations during both the first and second stages of labor compared to the control group (402.65 ± 61.51/39.78 ± 5.91 vs 311.56 ± 50.69/26.58 ± 5.31, P < 0.05). Scores on the Labor Control Scale were markedly higher in the observation group (141.56 ± 11.6 1 vs 68.54 ± 12.61, P < 0.05). Post-intervention, the observation group reported lower anxiety (HAMA) and depression (HAMD) scores than the control group (13.14 ± 2.11/10.65 ± 1.45 vs 8.25 ± 1.52/7.34 ± 1.28, P < 0.05). Health knowledge levels regarding childbirth were significantly superior in the observation group (78.23 ± 5.56 vs 90.11 ± 5.14, P < 0.05), as were post-intervention CBSEI-C32 self-efficacy scores (88.23 ± 2.88 vs 98.56 ± 1.17, P < 0.05).
Conclusion: The integration of psychological nursing with midwife-led positional care effectively shortens labor duration, enhances health knowledge mastery and sense of labor control, alleviates negative emotions, and improves self-efficacy in nulliparous women. This joint intervention plan has empirical basis for clinical implementation.
Keywords: vaginal delivery, nulliparous women, psychological nursing, midwife-led positional care, labor duration
1Delivery Room, Northwest Women and Children’s Hospital, Xi’An, Shaanxi, 710061, People’s Republic of China; 2Obstetrics Department, Northwest Women and Children’s Hospital, Xi’An, Shaanxi, 710061, People’s Republic of China; 3Department of Obstetrics and Gynecology, Tangdu Hospital, Air Force Military Medical University, Xi’An, Shaanxi, 710038, People’s Republic of China
Correspondence: Na Sun, Email nqt8099@163.com
Objective: To investigate the effects of psychological nursing combined with midwife-led positional care on labor duration and delivery outcomes in nulliparous women undergoing vaginal delivery.
Methods: This retrospective study included 110 nulliparous women who underwent vaginal delivery in our hospital’s obstetrics department between August 2023 and January 2025. Participants were divided into an observation group (n = 55, receiving psychological nursing combined with midwife-led positional care) and a control group (n = 55, receiving routine nursing interventions). Labor duration, sense of labor control, anxiety/depression scores, health knowledge mastery, and self-efficacy were compared between the two groups.
Results: No significant differences were observed in baseline clinical characteristics (eg, age) between the groups (P > 0.05), indicating comparability. The observation group exhibited significantly shorter labor durations during both the first and second stages of labor compared to the control group (402.65 ± 61.51/39.78 ± 5.91 vs 311.56 ± 50.69/26.58 ± 5.31, P < 0.05). Scores on the Labor Control Scale were markedly higher in the observation group (141.56 ± 11.6 1 vs 68.54 ± 12.61, P < 0.05). Post-intervention, the observation group reported lower anxiety (HAMA) and depression (HAMD) scores than the control group (13.14 ± 2.11/10.65 ± 1.45 vs 8.25 ± 1.52/7.34 ± 1.28, P < 0.05). Health knowledge levels regarding childbirth were significantly superior in the observation group (78.23 ± 5.56 vs 90.11 ± 5.14, P < 0.05), as were post-intervention CBSEI-C32 self-efficacy scores (88.23 ± 2.88 vs 98.56 ± 1.17, P < 0.05).
Conclusion: The integration of psychological nursing with midwife-led positional care effectively shortens labor duration, enhances health knowledge mastery and sense of labor control, alleviates negative emotions, and improves self-efficacy in nulliparous women. This joint intervention plan has empirical basis for clinical implementation.
Keywords: vaginal delivery, nulliparous women, psychological nursing, midwife-led positional care, labor duration