陪伴式分娩护理对初产妇产程及分娩结局影响
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摘要
目的探讨陪伴式分娩对初产妇产程和分娩结局影响。方法选取2017年8月～2018年5月我院住院分娩初产妇98例进行研究,用随机数字表法分为干预组(陪伴式分娩护理,49例)和常规组(基础护理,49例),比较两组患者产程及不良妊娠结局。结果干预组第一产程、第二产程、总产程均短于常规组(P <0.05)。干预组产程延长、剖宫产、产后出血、胎儿窘迫发生率均低于常规组(0 vs 10.20%,14.29%vs36.73%,0 vs 8.16%,0 vs 12.24%,P <0.05)。干预组护理满意度显著高于常规组(97.96%vs 85.71%,P <0.05)。结论陪伴式分娩护理在初产妇中应用,能有效缩短产妇产程,降低不良分娩结局发生率,有重要临床实施价值。
Objective To explore the effect of companion delivery on primipara maternal labor and delivery outcomes. Methods Ninety-eight primipara in our hospital from August 2017 to May 2018 were selected for the study.All cases were randomly divided into intervention group(accompanying delivery care,49 cases)and routine group(basic care,49 cases).The birth process and adverse pregnancy outcome between the two groups were compared. Results The first stage of labor,the second stage of labor and the total stage of labor in the intervention group were shorter than those in the conventional group(P < 0.05).The incidence of prolonged labor,cesarean section,postpartum hemorrhage and fetal distress in intervention group was lower than that in routine group(0 vs10.20%,14.29% vs 36.73%,0 vs 8.16%,0 vs 12.24%,P < 0.05).The nursing satisfaction of intervention group was significantly higher than that of routine group(97.96% vs 85.71%,P < 0.05). Conclusion The application of accompanying delivery nursing in primipara can effectively shorten the delivery process and reduce the incidence of adverse delivery outcomes,which has important clinical value.
Objective To explore the effect of companion delivery on primipara maternal labor and delivery outcomes. Methods Ninety-eight primipara in our hospital from August 2017 to May 2018 were selected for the study.All cases were randomly divided into intervention group(accompanying delivery care,49 cases)and routine group(basic care,49 cases).The birth process and adverse pregnancy outcome between the two groups were compared. Results The first stage of labor,the second stage of labor and the total stage of labor in the intervention group were shorter than those in the conventional group(P < 0.05).The incidence of prolonged labor,cesarean section,postpartum hemorrhage and fetal distress in intervention group was lower than that in routine group(0 vs10.20%,14.29% vs 36.73%,0 vs 8.16%,0 vs 12.24%,P < 0.05).The nursing satisfaction of intervention group was significantly higher than that of routine group(97.96% vs 85.71%,P < 0.05). Conclusion The application of accompanying delivery nursing in primipara can effectively shorten the delivery process and reduce the incidence of adverse delivery outcomes,which has important clinical value.
引文
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[12]谢颖,戴小红,熊霞,等.第一产程骨盆摇摆辅助干预促进初产妇分娩的效果观察[J].护士进修杂志,2018,33(1):54-56.
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[14]王咏雪,王丽娟,卢晓宁,等.责任制助产护理对初产妇分娩及护理满意度的影响[J].实用临床医药杂志,2016,20(20):208-209,217.
[15]孟春艳,江百灵,苍爽,等.家庭关怀与心理资本对妊娠妇女产前抑郁的影响[J].中国实用护理杂志,2015,31(8):589-591.
[16]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.
[2]桑李叶,敖健臻,丘翠凤,等.围生期综合护理干预对农村初产妇母亲角色适应的影响[J].广东医学,2016,37(15):2374-2375.
[3]张利华.初产妇阴道分娩巨大儿的护理[J].护士进修杂志,2015,30(10):923-924.
[4]黄蓉,侯燕文,刘宏,等.早期母婴皮肤接触1小时对初产妇产后6个月母乳喂养的影响[J].中华护理杂志,2015,50(12):1420-1424.
[5]吕建萍,张帆,方玟,等.康复治疗仪结合乳房按摩对剖宫产术后初产妇泌乳的影响[J].解放军护理杂志,2015,32(2):44-46.
[6]沈其敏.综合护理干预对初产妇分娩结局及护理满意度的影响[J].国际护理学杂志,2015,34(4):489-491.
[7]张丽萍,金玉芳,吴丽敏,等.心理护理干预对初产妇心理状态、分娩方式及产后出血的影响[J].中国农村卫生事业管理,2016,36(9):1207-1209.
[8]贾黎英,戴姜.优质护理对初产妇剖宫产术后母乳喂养的影响[J].河北医药,2015,37(11):1754-1756.
[9]孙任苓,蒲继红,韩志敏,等.基于翻转课堂开展初产妇孕妇学校教育的效果评价[J].护士进修杂志,2016,31(9):833-835.
[10]宋亚琴,徐惠英,冯桂兰,等.产前护理干预对于高危妊娠初产妇分娩结局的影响[J].护士进修杂志,2017,32(3):248-251.
[11]曾慧荣.无保护助产护理在促进初产妇自然分娩中的应用效果观察[J].齐鲁护理杂志,2016,22(10):25-27.
[12]谢颖,戴小红,熊霞,等.第一产程骨盆摇摆辅助干预促进初产妇分娩的效果观察[J].护士进修杂志,2018,33(1):54-56.
[13]李冬利,曲梅,吕彤,等.高龄初产妇产后抑郁症的防治和护理进展[J].中国实用护理杂志,2017,33(34):2713-2716.
[14]王咏雪,王丽娟,卢晓宁,等.责任制助产护理对初产妇分娩及护理满意度的影响[J].实用临床医药杂志,2016,20(20):208-209,217.
[15]孟春艳,江百灵,苍爽,等.家庭关怀与心理资本对妊娠妇女产前抑郁的影响[J].中国实用护理杂志,2015,31(8):589-591.
[16]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.