产妇产程过程中心理护理的临床应用
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摘要
目的探讨心理护理在产妇产程过程中的应用效果。方法以广州市海珠区妇幼保健院妇产科2015年7月～2016年7月收治的300例产妇为研究对象,依据随机数字表法,将产妇分为试验组、对照组,每组有产妇150例。对照组采取常规护理,试验组在常规护理中增添心理护理,观察两组产妇第一、第二、第三产程用时;比较两组产妇剖宫产、阴道助产、顺产三种分娩方式的比例;统计两组产妇出现的产后出血、新生儿窒息等并发症情况。结果试验组第一产程、第二产程用时小于对照组,差异有统计学意义(P <0.05);试验组第三产程用时较对照组相近,差异无统计学意义(P> 0.05);试验组应用剖宫产例数少于对照组,顺产例数多于对照组,差异有统计学意义(P <0.05);试验组并发症出现几率低于对照组,差异有统计学意义(P <0.05)。结论在产房产程中为产妇行心理护理干预,可缩短第一、第二产程的用时,产妇顺产几率较高,并发症出现几率较小。
Objective To explore the application effect of psychological nursing in stage of labor of parturient women.Methods Three hundred parturient women who were admitted and treated in department of obstetrics and gynecology of Haizhu District Maternal and Child Health Hospital of Guangzhou from July 2015 to July 2016 were selected as research objects.According to the random number table method,they were divided into the experimental group and the control group,with 150 cases in each group.The control group was given routine nursing while the experimental group was given psychological nursing in routine nursing.The first,second,and third stages of labor in the two groups were observed.The proportions of caesarean section,vaginal laborand spontaneous labor of parturient women in two groups were compared.Postpartum hemorrhage,neonatal asphyxia and other complications in two groups were counted.Results The first stage of labor and the second stage of labor in the experimental group were shorter than those in the control group and the difference was statistically significant(P < 0.05).The third stage of labor in the experimental group was similar to that in the control group and the difference was not statistically significant(P>0.05).The number of cesarean section in the experimental group was less than that in the control group and the number of spontaneous labor was more than that in the control group.The difference was statistically significant(P < 0.05).The incidence of complications in the experimental group was lower than that in the control group and the difference was statistically significant(P < 0.05).Conclusion Psychological nursing for parturient women in stage of labor can shorten the first and second stage of labor.In addition,rate of spontaneous labor is higher and the incidence of complications is lower.
Objective To explore the application effect of psychological nursing in stage of labor of parturient women.Methods Three hundred parturient women who were admitted and treated in department of obstetrics and gynecology of Haizhu District Maternal and Child Health Hospital of Guangzhou from July 2015 to July 2016 were selected as research objects.According to the random number table method,they were divided into the experimental group and the control group,with 150 cases in each group.The control group was given routine nursing while the experimental group was given psychological nursing in routine nursing.The first,second,and third stages of labor in the two groups were observed.The proportions of caesarean section,vaginal laborand spontaneous labor of parturient women in two groups were compared.Postpartum hemorrhage,neonatal asphyxia and other complications in two groups were counted.Results The first stage of labor and the second stage of labor in the experimental group were shorter than those in the control group and the difference was statistically significant(P < 0.05).The third stage of labor in the experimental group was similar to that in the control group and the difference was not statistically significant(P>0.05).The number of cesarean section in the experimental group was less than that in the control group and the number of spontaneous labor was more than that in the control group.The difference was statistically significant(P < 0.05).The incidence of complications in the experimental group was lower than that in the control group and the difference was statistically significant(P < 0.05).Conclusion Psychological nursing for parturient women in stage of labor can shorten the first and second stage of labor.In addition,rate of spontaneous labor is higher and the incidence of complications is lower.
引文
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[13]郁彩琴,张丽娟,任凤玲.激励式心理干预对高龄产妇分娩自我效能及母婴结局的影响[J].医学临床研究,2017,34(12):2488-2490.
[14]靳宝兰,刘亚玲,鱼海,等.心理护理干预对孕产妇的妊娠结局及产后抑郁状况的影响[J].国际精神病学杂志,2017,44(2):301-303.
[15]李群立.产前护理教育对初产妇心理状态及分娩结局的影响[J].蚌埠医学院学报,2015,40(7):981-983.
[2]邓丽环,何锦卿.舒适护理在产房助产护理中的应用[J].实用医技杂志,2016,23(6):686-687.
[3]倪娟娟,徐惠芳,黄显芬,等.心理护理干预对产前抑郁初产妇妊娠和分娩的影响[J].解放军护理杂志,2015,32(22):28-30.
[4]潘雪莲.护理风险管理在产房助产过程中的应用[J].黑龙江医药科学,2016,39(1):45-46.
[5]焦桂秀.产科心理护理对孕产妇妊娠结局的影响[J].解放军预防医学杂志,2016,27(s1):236-237.
[6]刘欣.初产妇产前焦虑抑郁情绪对产程行为、顺产率的影响[J].护理研究,2016,30(10):1276-1277.
[7]李红梅,王宝红,孙金梅.心理护理干预联合椎管内麻醉镇痛分娩对产后出血和泌乳的影响[J].中国药物与临床,2016,16(3):450-451.
[8]杨亚琼.心理护理在助产护理中的应用效果分析[J].世界中医药,2016,10(b03):473-473.
[9]罗正平.高龄初产妇围生期全程陪伴式护理效果观察[J].蚌埠医学院学报,2015,40(5):689-691.
[10]林小瑜.刍议心理护理对顺产产妇产程的影响[J].中外医疗,2017,36(21):125-127.
[11]岳风枝.心理护理干预在初产妇分娩过程中的应用效果分析[J].医学理论与实践,2016,29(4):532-534.
[12]常红侠,王瑞,潘丽.临产前孕妇心理及护理的调查[J].中华全科医学,2015,13(1):136-137.
[13]郁彩琴,张丽娟,任凤玲.激励式心理干预对高龄产妇分娩自我效能及母婴结局的影响[J].医学临床研究,2017,34(12):2488-2490.
[14]靳宝兰,刘亚玲,鱼海,等.心理护理干预对孕产妇的妊娠结局及产后抑郁状况的影响[J].国际精神病学杂志,2017,44(2):301-303.
[15]李群立.产前护理教育对初产妇心理状态及分娩结局的影响[J].蚌埠医学院学报,2015,40(7):981-983.