产前护理干预对高危妊娠初产妇及新生儿的影响
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摘要
目的探讨产前护理对高危妊娠初产妇的分娩结局及新生儿的影响。方法选择我院2017年3月—2018年3月收治的高危妊娠初产妇270例,依据随机数字表法均分成两组。对照组(135例)实施常规产检,观察组(135例)在对照组的基础上给予产前护理干预。记录比较两组分娩过程指标(包括产程时间、产后2h出血量)、分娩结局(分娩类型、新生儿窒息率)、焦虑自评量表(SAS量表)、疼痛视觉模拟量表(VAS量表)、分娩应对能力量表(CCB量表)评分情况。结果与对照组相比,观察组产程时间、产后2 h出血量降低(P <0.01);观察组顺产率高于对照组(P <0.01),剖宫产率和新生儿窒息率低于对照组(P <0.01);相比于对照组,观察组的SAS、VAS、CCB评分更优(P <0.01)。结论产前护理干预可有效缩短高危妊娠初产妇的产程时间,减少产后出血量,提高顺产率,降低新生儿窒息率,减轻产妇焦虑和疼痛感,改善产妇生产应对能力,母婴结局均良好。
Objective To explore the effect of prenatal nursing on the delivery outcome of high-risk primipara and newborn. Methods 270 cases of high-risk pregnant primipara who were admitted in our hospital from March 2017 to March 2018. According to random digital table method divided into two groups, The control group(135 cases) received routine birth examination, and the observation group(135 cases) received prenatal antenatal nursing intervention based on the control group, the indexes of labor process(the time of labor, blood loss of 2 hours postpartum), delivery outcome(the type of delivery, asphyxia rate of newborn), self rating anxiety scale(SAS scale), visual analogue scale of pain(VAS scale),Childbirth coping ability scale(CCB scale)scores were recorded and compared of the two groups. Results Compared with the control group, the time of labor and blood loss of 2 hours postpartum in the observation group were significantly lower(P < 0.01). The natural yield in the observation group were significantly higher than the control group(P < 0.01); The cesarean section rate and neonatal asphyxia rate were significantly lower than the control group(P < 0.01); Compared with the control group,the scores of SAS,VAS,CCB in the observation group was significantly better(P < 0.01). Conclusion Prenatal nursing intervention can effectively shorten the labor time of high-risk primipara, reduce the amount of postpartum bleeding, increase the rate of spontaneous deliveryIncrease the rate of natural yield and reduce the rate of neonatal asphyxia. In order to alleviate the anxietyand pain of parturient, improve the childbirth coping ability, and the outcome of mother and child is good.
Objective To explore the effect of prenatal nursing on the delivery outcome of high-risk primipara and newborn. Methods 270 cases of high-risk pregnant primipara who were admitted in our hospital from March 2017 to March 2018. According to random digital table method divided into two groups, The control group(135 cases) received routine birth examination, and the observation group(135 cases) received prenatal antenatal nursing intervention based on the control group, the indexes of labor process(the time of labor, blood loss of 2 hours postpartum), delivery outcome(the type of delivery, asphyxia rate of newborn), self rating anxiety scale(SAS scale), visual analogue scale of pain(VAS scale),Childbirth coping ability scale(CCB scale)scores were recorded and compared of the two groups. Results Compared with the control group, the time of labor and blood loss of 2 hours postpartum in the observation group were significantly lower(P < 0.01). The natural yield in the observation group were significantly higher than the control group(P < 0.01); The cesarean section rate and neonatal asphyxia rate were significantly lower than the control group(P < 0.01); Compared with the control group,the scores of SAS,VAS,CCB in the observation group was significantly better(P < 0.01). Conclusion Prenatal nursing intervention can effectively shorten the labor time of high-risk primipara, reduce the amount of postpartum bleeding, increase the rate of spontaneous deliveryIncrease the rate of natural yield and reduce the rate of neonatal asphyxia. In order to alleviate the anxietyand pain of parturient, improve the childbirth coping ability, and the outcome of mother and child is good.
引文
[1]宋亚琴,徐惠英,冯桂兰.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.
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[8]陈益明,张闻,卢莎,等.早中孕期风险筛查与妊娠结局分析[J].预防医学,2018,30(3):240-243,247.
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[11]李婷婷,黄为民.高危妊娠与早产胎盘病理缺氧性改变及新生儿结局的研究[J].中国妇幼保健,2016,31(17):3469-3471.
[12]沈敏,郭梅,郑雅宁.产前护理干预对妊娠高血压综合征患者分娩结局及生活质量的影响[J].山西医药杂志,2016,45(5):499-503.
[13]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.
[14]张福荣,李翠兰,梅琼芳.护理干预对初产妇分娩结局的影响[J].中国实用护理杂志, 2014,30(z2):68-69.
[15]李彩虹,李秋侠,李小会.综合护理干预对产妇自我效能感及分娩情况的影响[J].实用临床医药杂志,2016,20(20):204-205.
[16]徐赛英.综合护理干预对枕横位及枕后位产妇产程和分娩结局的影响[J].中国计划生育学杂志,2016,24(3):183-186.
[2]叶瑛.优质护理服务应用于高危妊娠孕妇产前护理中的效果[J].全科护理,2017,15(14):1740-1741.
[3]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.
[4]张作记.行为医学量表手册[M].北京:中华医学电子音像出版社,2005:123-127.
[5]黄海波.互动式孕晚期护理干预对产妇产时认知能力及分娩结局的影响研究[J].中国医药指南,2014,12(8):196-197.
[6]刘展.高危妊娠的筛查管理与妊娠结局分析[J].中国妇幼保健,2016,31(3):501-502.
[7]陈俊龙,张春丽,武书丽,等.高危妊娠与新生儿疾病的相关性分析[J].中国小儿急救医学,2015,22(1):59-60.
[8]陈益明,张闻,卢莎,等.早中孕期风险筛查与妊娠结局分析[J].预防医学,2018,30(3):240-243,247.
[9]杨素芬,杨苗苗,何丽莲. 1506例高危妊娠孕产妇住院分娩情况分析[J].检验医学与临床,2017,14(4):547-549.
[10]刘霞,李明.连续细致化护理模式对高危初产妊娠结局及体质量、产前产后自我效能的影响[J].中国煤炭工业医学杂志,2016,19(5):752-756.
[11]李婷婷,黄为民.高危妊娠与早产胎盘病理缺氧性改变及新生儿结局的研究[J].中国妇幼保健,2016,31(17):3469-3471.
[12]沈敏,郭梅,郑雅宁.产前护理干预对妊娠高血压综合征患者分娩结局及生活质量的影响[J].山西医药杂志,2016,45(5):499-503.
[13]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.
[14]张福荣,李翠兰,梅琼芳.护理干预对初产妇分娩结局的影响[J].中国实用护理杂志, 2014,30(z2):68-69.
[15]李彩虹,李秋侠,李小会.综合护理干预对产妇自我效能感及分娩情况的影响[J].实用临床医药杂志,2016,20(20):204-205.
[16]徐赛英.综合护理干预对枕横位及枕后位产妇产程和分娩结局的影响[J].中国计划生育学杂志,2016,24(3):183-186.