摘要
目的探讨助产士围生期一体化护理实践模式对初产妇分娩结局的影响。方法选取2018年01月~2019年12月间于徐州市贾汪区人民医院产科128例足月单胎分娩初产妇,随机均分为对照组和观察组(每组64例)。对照组产妇接受传统助产专科护理,观察组产妇接受助产士围生期一体化护理实践模式。对比两组产妇总产程、自然分娩率、中转剖宫产率、产后出血率、新生儿窒息率、围生期产妇焦虑抑郁评分、母乳喂养率及满意评价结果。结果观察组产妇自然分娩率、满意度评分及母乳喂养率均明显高于对照组(P<0.05);观察组自然分娩中转剖宫产率、产后出血率、新生儿窒息发生率、产时疼痛评分及围生期焦虑抑郁评分均明显低于对照组(P<0.05),两组产妇总产程时间及产后感染率比较无明显差异(P>0.05)。结论于初产妇围生期实施助产士围生期一体化护理实践模式,初产妇自然分娩率、母乳喂养率、满意度评分及产科护理工作质量均得到明显提升,自然分娩中转剖宫产率、产后出血率、产后感染率及新生儿窒息发生率明显降低,产妇围生期负性情绪明显缓解,产科护理服务质量明显提高。
Objective To explore the effect of midwife’s perinatal integrated nursing practice model on the delivery outcome of primiparas. Methods A total of 128 full-term singleton primiparas were selected from the obstetrics department of Jiawang District People’s Hospital in Xuzhou from January 2018 to December 2019. They were randomly divided into control group and observation group(64 cases in each group). The mothers in the control group received specialized nursing care of traditional midwifery, and the mothers in the observation group received the integrated nursing practice model of midwife during the perinatal period. The total labor, natural delivery rate, transition cesarean section rate, postpartum hemorrhage rate, neonatal asphyxia rate, perinatal maternal anxiety and depression score, breastfeeding rate and satisfactory evaluation results were compared between the two groups.Results The observation group’s maternal natural delivery rate, satisfaction score and breastfeeding rate were significantly higher than those of the control group(P<0.05);observation group’s transition to cesarean section during natural delivery, postpartum hemorrhage, incidence of neonatal asphyxia, and pain score during delivery The scores of anxiety and depression during the perioperative period and the perioperative period were significantly lower than those of the control group(P<0.05). There was no significant difference in the total labor time and postpartum infection rate between the two groups(P>0.05). Conclusion In the perinatal period of primiparous women, the integrated perinatal nursing practice model of midwife was implemented. The rate of natural delivery, breastfeeding rate, satisfaction score and the quality of obstetric nursing work of primipara has been significantly improved, and the rate of transition from natural delivery to cesarean section and postpartum The bleeding rate, postpartum infection rate and the incidence of neonatal asphyxia were significantly reduced, the negative mood of the perinatal period of parturients was significantly relieved, and the quality of obstetric nursing service was significantly improved.
作者
邵慧娟
Shao Hui-juan(Delivery Room,People's Hospital of Jiawang District,Xuzhou City,Xuzhou,Jiangsu 221011)
出处
《实用妇科内分泌电子杂志》
2020年第3期138-140,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
初产妇
围生期
助产士
一体化
分娩结局
满意度
护理质量
Primipara
Perioperative period
Midwife
Integration
Delivery outcome
Satisfaction
Quality of care
