摘要
目的探讨产科一体化分娩体验护理模式在初产妇中的应用效果,为指导产科护理实践提供依据。方法选取2018年8月—2019年8月在医院建档并分娩的300例孕妇作为研究对象,按照随机数字表法分为对照组(153例)与观察组(147例),对照组给予常规护理,观察组给予产科一体化分娩护理模式,两组产妇均实施护理干预1个月,统计两组产妇自然分娩率,观察总产程时间及会阴侧切率等分娩结局指标,采用母亲角色适应调查问卷评估产妇产后母亲角色的适应能力,采用医院焦虑抑郁量表(HAD)评估产妇干预前后焦虑抑郁程度。结果观察组产妇自然分娩率为73.47%高于对照组的56.86%(χ2=9.088;P<0.05);观察组总产程时间(8.50±1.28)h、会阴侧切率为15.65%均低于对照组(12.47±2.04)h和30.07%(t=20.274,χ2=11.192;P<0.05);观察组角色认知评分、角色行为评分、亲子依附评分均高于对照组(t=16.016,24.949,19.389;P<0.05);干预前,两组产妇焦虑抑郁率差异无统计学意义(χ2=0.030;P>0.05),干预后,观察组焦虑抑郁率低于对照组(χ2=16.706;P<0.05)。结论产科一体化分娩体验护理模式应用于初产妇可促进其自然分娩率,缩短产程降低会阴侧切率,降低产妇焦虑抑郁发生率,提高产妇母亲角色的适应能力,有利于产妇早期恢复。
Objective To explore the application effect of obstetric integrated delivery experience nursing mode in primipara and provide basis for obstetric nursing practice.Methods 300 pregnant women who were filed and delivered in our hospital from August 2018 to August 2019 were selected as the research objects.According to the method of random number table,they were divided into control group(153 cases)and observation group(147 cases).The control group was given routine nursing,and the observation group was given obstetric integrated delivery nursing mode.Both groups were given nursing intervention for one month,and the natural delivery rate of the two groups was counted,and the total observation was made According to the indicators of delivery outcome,such as delivery time and perineum side cutting rate,the adaptability of maternal role was assessed by maternal role adaptation questionnaire,and the degree of anxiety and depression before and after maternal intervention was assessed by hospital anxiety and Depression Scale(had).Results The natural delivery rate of women in the observation group was 73.47%higher than the control group's 56.86%(χ2=9.088;P<0.05);the total labor time in the observation group was(8.50±1.28)h and the perineal lateral resection rate was 15.65%lower than the control(12.47±2.04)h,30.07%(t=20.274,χ2=11.192;P<0.05);the role cognition score,role behavior score and parent-child attachment score of the observation group were higher than those of the control group(t=16.016,24.949,19.389;P<0.05);before the intervention,the difference of anxiety and depression rate between the two groups was statistically significant The difference was not statistically significant(χ2=0.030;P>0.05).After intervention,the anxiety and depression rate of the observation group was lower than that of the control group(χ2=16.706;P<0.05).Conclusion The application of obstetric integrated delivery experience nursing mode in primipara can promote the natural delivery rate,shorten the labor process,reduce the perineum side cutting rate,reduce the incidence of anxiety and depression,improve the adaptability of maternal role,and is conducive to the early recovery of primipara.
作者
陈玉霞
CHEN Yuxia(Department 1 of Obstetrics,Dongguan Maternal and Child Health Hospital,Dongguan Guangdong 523000,China)
出处
《中国继续医学教育》
2021年第18期177-181,共5页
China Continuing Medical Education
基金
广东省东莞市社会科技发展(一般)项目(2018507150071532)。
