摘要
目的：探讨个体化护理干预对初产妇分娩依从性及分娩结局的影响。方法选取2013年1月~2014年1月我院收治的初产妇100例，采用随机数字表法分为干预组和对照组，每组各50例。对照组行常规随机对症护理，干预组除接受常规护理外，主要行个性化护理干预，包括心理干预、加强产程指导、待产姿势指导、产后护理，比较两组产妇的依从性、产妇分娩结局、产程所用时间。结果干预组产妇的依从率达98.0%，显著高于对照组（82.0%），差异有统计学意义（X2=4.386，P〈0.05）。干预组剖宫产率达10.0%，显著低于对照组（20.0%），差异有统计学意义（P〈0.05）。干预组产妇产后出血率显著低于对照组，差异有统计学意义（P〈0.05）。干预组第一产程、第三产程、总产程时间虽然短于对照组，但差异无统计学意义（P〉0.05）；但干预组产妇第二产程时间较对照组显著缩短，差异有统计学意义（P〈0.05）。结论个体化护理干预能够提高初产妇分娩依从性，降低剖宫产和产后出血的发生率，缩短产程，从而提高产科质量。
Objective To explore the effect of individualized nursing intervention on the compliance of early maternity and childbirth outcomes. Methods A total of 100 cases of primipara from January 2013 to January 2014 in our hospi-tal,were divided into intervention group and control group,50 cases in each group, the control group underwent con-ventional random symptomatic care, the intervention group in addition to routine care, mainly for personalized nursing intervention, including psychological intervention, strengthen the production process guiding, labor posture guidance,postpartum care, compared two groups of maternal compliance, childbirth, knot ending labor time were compared. Results The intervention group maternal compliance rate of 98.0%, significantly higher than that in the control group（82.0%）, the difference was statistically significant （χ2=4.386,P0.05）; but the intervention group parturient women during the second stage of labor time was obviously shortened compared with the control, the difference was statistically significant （P〈0.05）. Conclusion Individualized nursing intervention can improve the early maternity compliance,reduce the incidence of cesarean and postpartum hemorrhage, shorten the production process,so as to improve the quality of obstetrics.
出处
《中国现代医生》
2015年第12期137-139,143,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划(2011KYA098)
关键词
初产妇
个体化护理干预
分娩依从性
分娩结局
产程
Primipara
Individualized nursing intervention
Compliance of delivery
Delivery outcome
Birth process
