药物镇痛联合全程护理在无痛分娩中的应用
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摘要
目的评价药物镇痛联合全程护理在产房无痛分娩中的应用效果。方法将入选的200例产妇随机平均分成两组。实验组和对照组均实行药物镇痛分娩。对照组施行普通护理,实验组在对照组的基础上,施行全程护理。结果实验组产妇的镇痛有效率(92%)、产妇满意度为(85%)均高于对照组的(81%、66%),实验组在两项评价指标上均优于对照组,差异均具有统计学意义(χ~2=5.182,9.758,P均<0.05)。实验组产妇的总产程时间为(8.18±2.16)h,低于对照组产妇的总产程时间(10.17±3.08)h,差异具有统计学意义(t=18.181,P <0.05)。结论药物镇痛联合全程护理优于药物镇痛联合普通护理,对无痛分娩产妇采取全程护理措施,可有效降低生产时的疼痛感,减少了总产程时间,提升了产妇满意度。
Objective To evaluate the effect of drug analgesia combined with whole-course nursing in painless delivery in delivery room. Methods200 parturients were randomly divided into two groups. The experimental group and the control group were given analgesic delivery. The control group received general nursing. On the basis of the control group, the experimental group received whole-course nursing. Results The analgesic efficacy(92%) and maternal satisfaction(85%) of the experimental group were higher than those of the control group(81%, 66%). The experimental group was superior to the control group in two evaluation indexes, and the difference was statistically significant(χ~2=5.182, 9.758, P < 0.05). The total duration of labor in the experimental group was(8.18±2.16) h, which was lower than that in the control group(10.17±3.08) h. The difference was statistically significant(t=18.181, P < 0.05). Conclusion Drug analgesia combined with whole-course care is superior to drug analgesia combined with routine nursing. The whole-course nursing measures for painless delivery women can significantly reduce the pain of labor, shorten the total labor time and improve maternal satisfaction.
Objective To evaluate the effect of drug analgesia combined with whole-course nursing in painless delivery in delivery room. Methods200 parturients were randomly divided into two groups. The experimental group and the control group were given analgesic delivery. The control group received general nursing. On the basis of the control group, the experimental group received whole-course nursing. Results The analgesic efficacy(92%) and maternal satisfaction(85%) of the experimental group were higher than those of the control group(81%, 66%). The experimental group was superior to the control group in two evaluation indexes, and the difference was statistically significant(χ~2=5.182, 9.758, P < 0.05). The total duration of labor in the experimental group was(8.18±2.16) h, which was lower than that in the control group(10.17±3.08) h. The difference was statistically significant(t=18.181, P < 0.05). Conclusion Drug analgesia combined with whole-course care is superior to drug analgesia combined with routine nursing. The whole-course nursing measures for painless delivery women can significantly reduce the pain of labor, shorten the total labor time and improve maternal satisfaction.
引文
[1]王利英,赵月涵.无痛分娩对产程与分娩结局的影响探讨[J].中国药物与临床,2016,16(7):1053-1054.
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[12]全紫薇,金华.分娩镇痛在产程中的管理与应用研究[J].医学研究杂志,2018,47(1):179-181.
[13]刘文奎.剖宫产术中舒芬太尼联合小剂量罗哌卡因蛛网膜下腔麻醉的麻醉效果及安全性分析[J].中国妇幼保健,2018,33(17):3899-3901.
[14]陈涛,吴奕涵,敖保林,等.腰硬联合麻醉与硬膜外麻醉在剖宫产术后镇痛中的临床效果[J].中国妇幼保健,2018,33(5):1167-1170.
[15]韩懿,雷巧茹,麦春燕.人文关怀在分娩中的作用与伦理学思考[J].昆明医科大学学报,2015,36(12):128-130.
[16]金爱英,阙墨春,郭惠敏,等.产时护理满意度评价体系的建立和临床应用[J].广东医学,2017,38(23):3701-3704.
[17]车艳芳.全程护理干预对甲状腺癌手术患者术后生存质量的影响价值分析[J].中国继续医学教育,2018,10(5):163-164.
[2]薛莉莉,朱玲玲.基于责任助产模式的优质护理干预对无痛分娩孕妇母婴结局的影响[J].河北医药,2018,40(4):637-640.
[3]刘兰,王金莲,张立敏,等.分娩镇痛结合新产程标准对妊娠结局的临床分析[J].贵州医药,2018,42(1):70-71.
[4]程海燕.循证护理模式在无痛分娩产程护理中的应用分析[J].中国继续医学教育,2016,8(23):216-217.
[5]何燕娟.护理干预预防产后尿潴留效果分析[J].中外医学研究,2016,14(8):86-87.
[6]王立华.无痛分娩对产程及妊娠结局影响的临床观察及效果评价[J].中国处方药,2018,16(5):130-131.
[7]田越.对进行无痛分娩的初产妇实施心理护理干预的效果分析[J].当代医药论丛,2015,13(7):19-20.
[8]唐丽丹.整体护理干预与责任助产对产妇无痛分娩质量的影响研究[J].心理医生,2017,23(10):212.
[9]李小英.盐酸罗哌卡因联合舒芬太尼硬膜外麻醉用于无痛分娩的麻醉效果探究[J].中国继续医学教育,2018,10(13):36-37.
[10]朱全忙.罗哌卡因复合舒芬太尼连续硬膜外镇痛用于无痛分娩的效果[J].中华全科医学,2015,13(9):1550-1551.
[11]许静芳.无痛分娩护理中责任助产与整体护理的应用分析[J].中外医学研究,2017,15(16):67-68.
[12]全紫薇,金华.分娩镇痛在产程中的管理与应用研究[J].医学研究杂志,2018,47(1):179-181.
[13]刘文奎.剖宫产术中舒芬太尼联合小剂量罗哌卡因蛛网膜下腔麻醉的麻醉效果及安全性分析[J].中国妇幼保健,2018,33(17):3899-3901.
[14]陈涛,吴奕涵,敖保林,等.腰硬联合麻醉与硬膜外麻醉在剖宫产术后镇痛中的临床效果[J].中国妇幼保健,2018,33(5):1167-1170.
[15]韩懿,雷巧茹,麦春燕.人文关怀在分娩中的作用与伦理学思考[J].昆明医科大学学报,2015,36(12):128-130.
[16]金爱英,阙墨春,郭惠敏,等.产时护理满意度评价体系的建立和临床应用[J].广东医学,2017,38(23):3701-3704.
[17]车艳芳.全程护理干预对甲状腺癌手术患者术后生存质量的影响价值分析[J].中国继续医学教育,2018,10(5):163-164.