陪伴式分娩护理对分娩方式及预后的影响研究
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摘要
目的研究分析进行全程陪伴式分娩护理对产妇分娩方式的具体影响,并分析分娩护理对产妇产后出血的具体影响。方法选取我院2015年1月—2017年1月接收的60例分娩产妇为本文研究对象,将其随机的分成两组,分别为观察组(n=30)和参照组(n=30)。其中参照组产妇采用常规的分娩护理方式进行临床干预,而观察组则由专职产护士进行全程陪伴式分娩护理,分别对两组产妇护理的效果进行分析评价。结果观察组的自然分娩率为76.67%,剖宫产率为13.33%,两组产妇的分娩方式比较差异有统计学意义(P <0.05);观察组产妇的护理满意度和明显优于参照组,比较差异有统计学意义(P <0.05);观察组产妇产后2 h出血量为(105.71±98.27)mL,参照组产妇在分娩后2 h出血量为(213.93±112.82)mL。观察组产后2 h出血量与参照组相比,明显更少(P <0.05),观察组产程时间为(9.7±1.4)h,与参照组(16.2±1.7)h相比,明显更短(P <0.05)。结论针对分娩产妇实施全程陪伴式分娩护理能提高自然分娩率,产妇的产后出血量和出血发生率都相对减少。
Objective To study and analyze the influence of the whole process accompany childbirth nursing on the delivery mode of the puerpera,and to analyze the specific influence of childbirth nursing on postpartum hemorrhage. Methods 60 cases of maternal and who delivered in our hospital from January 2015 to January 2017 were selected as the research object in this study, and were randomly divided into two groups, the observation group(n=30) and the reference group(n=30). The reference group of parturient were given the routine delivery nursing for clinical intervention, while the observation group were treated with whole process accompany childbirth nursing by full-time nurses. Then, the nursing effect of two groups of maternal were analyzed and evaluated. Results The natural delivery rate in the observation group was 76.67%, and the rate of cesarean section was 13.33%. There was significant difference in mode of delivery between the two groups(P < 0.05); The nursing satisfaction of parturient in the observation group was significantly better than that in the reference group, and the difference was significant(P < 0.05). The amount of postpartum 2 h bleeding in the observation group was(105.71±98.27)mL, while the amount of 2 h bleeding after delivery in the reference group of parturient was(213.93±112.82) mL. The amount of 2 h bleeding in the observation group was significantly less than that in the reference group(P < 0.05). The duration of labor in the observation group was(9.7±1.4) h,which was significantly shorter than that in the reference group of(16.2±1.7)h(P < 0.05). Conclusion For the delivery of maternal care in the whole process of delivery which can improve the rate of natural childbirth, and the amount of postpartum hemorrhage and the incidence of bleeding are reduced.
Objective To study and analyze the influence of the whole process accompany childbirth nursing on the delivery mode of the puerpera,and to analyze the specific influence of childbirth nursing on postpartum hemorrhage. Methods 60 cases of maternal and who delivered in our hospital from January 2015 to January 2017 were selected as the research object in this study, and were randomly divided into two groups, the observation group(n=30) and the reference group(n=30). The reference group of parturient were given the routine delivery nursing for clinical intervention, while the observation group were treated with whole process accompany childbirth nursing by full-time nurses. Then, the nursing effect of two groups of maternal were analyzed and evaluated. Results The natural delivery rate in the observation group was 76.67%, and the rate of cesarean section was 13.33%. There was significant difference in mode of delivery between the two groups(P < 0.05); The nursing satisfaction of parturient in the observation group was significantly better than that in the reference group, and the difference was significant(P < 0.05). The amount of postpartum 2 h bleeding in the observation group was(105.71±98.27)mL, while the amount of 2 h bleeding after delivery in the reference group of parturient was(213.93±112.82) mL. The amount of 2 h bleeding in the observation group was significantly less than that in the reference group(P < 0.05). The duration of labor in the observation group was(9.7±1.4) h,which was significantly shorter than that in the reference group of(16.2±1.7)h(P < 0.05). Conclusion For the delivery of maternal care in the whole process of delivery which can improve the rate of natural childbirth, and the amount of postpartum hemorrhage and the incidence of bleeding are reduced.
引文
[1]翁铭娜,刘柯伶.家属及导乐陪伴分娩联合全责任制助产的临床应用效果分析[J].青岛医药卫生,2016,48(5):394-395.
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[8]陈爱容,余勇妙,文春梅,等.导乐式会阴不侧切无保护无创接生技术应用于初产妇的临床研究[J].中国现代药物应用,2017,11(9):195-196.
[9]慎先萍,邵国媛,张恒.导乐陪伴分娩在初产妇阴道分娩中的临床应用[J].医学信息, 2016,29(30):87-88.
[10]王俊霞,赵娟. LDR产房导乐陪伴与镇痛配合无创助产技术的临床效果评价[J].中国妇幼保健,2016,31(22):4693-4695.
[11]黄丹丹,杨玲玲.导乐陪伴联合无保护会阴法促进自然分娩的应用研究[J].中国临床新医学,2016,9(6):502-504.
[12]罗小华,王玲,涂志华.导乐分娩及分娩镇痛在产科临床中的应用[J].医学信息, 2016,29(33):243-244.
[13]魏东红,朱信强,王岩岩.导乐仪镇痛与导乐陪伴在分娩产程中的镇痛效果及其对母婴的影响[J].医学临床研究,2015,32(9):1792-1794.
[14]热米拉·托乎提,阿依尼沙汗·依明,吾力也提·艾比布拉.自控硬膜外镇痛结合导乐氏陪伴分娩的临床效果[J].西部医学,2015,27(5):669-671.
[15]洪群慧,程满琴.导乐陪伴式分娩模式对产妇分娩方式、心理状态及分娩结局的影响[J].中国当代医药,2016,23(32):189-191.
[2]任秀琼,杨康春,马妮,等.全程护理干预对独生女产妇心理状态及分娩质量的影响[J].护理实践与研究,2013,10(1):11-13.
[3]郑静芬.导乐陪伴分娩在自然分娩产妇中的应用效果研究[J].世界最新医学信息文摘(连续型电子期刊),2016,16(24):180-181.
[4]李清蓉.浅谈导乐陪伴分娩的临床应用[J].世界最新医学信息文摘(连续型电子期刊),2016,16(56):67-68.
[5]陈金芝.助产士在导乐陪伴分娩中的作用分析[J].世界最新医学信息文摘(连续型电子期刊),2015,15(38):16,18.
[6]程伟,谢立敏.导乐陪伴联合导乐分娩镇痛仪的应用意义探析[J].中国保健营养, 2016,26(25):307.
[7]和旭华,李云霞,陈垒田.导乐陪伴分娩的临床疗效观察[J].基层医学论坛,2016,20(9):1179-1180.
[8]陈爱容,余勇妙,文春梅,等.导乐式会阴不侧切无保护无创接生技术应用于初产妇的临床研究[J].中国现代药物应用,2017,11(9):195-196.
[9]慎先萍,邵国媛,张恒.导乐陪伴分娩在初产妇阴道分娩中的临床应用[J].医学信息, 2016,29(30):87-88.
[10]王俊霞,赵娟. LDR产房导乐陪伴与镇痛配合无创助产技术的临床效果评价[J].中国妇幼保健,2016,31(22):4693-4695.
[11]黄丹丹,杨玲玲.导乐陪伴联合无保护会阴法促进自然分娩的应用研究[J].中国临床新医学,2016,9(6):502-504.
[12]罗小华,王玲,涂志华.导乐分娩及分娩镇痛在产科临床中的应用[J].医学信息, 2016,29(33):243-244.
[13]魏东红,朱信强,王岩岩.导乐仪镇痛与导乐陪伴在分娩产程中的镇痛效果及其对母婴的影响[J].医学临床研究,2015,32(9):1792-1794.
[14]热米拉·托乎提,阿依尼沙汗·依明,吾力也提·艾比布拉.自控硬膜外镇痛结合导乐氏陪伴分娩的临床效果[J].西部医学,2015,27(5):669-671.
[15]洪群慧,程满琴.导乐陪伴式分娩模式对产妇分娩方式、心理状态及分娩结局的影响[J].中国当代医药,2016,23(32):189-191.