基于責任助產模式的優(yōu)質護理干預在改善無痛分娩孕婦母嬰結局中的作用(1)
[摘要]目的 探討基于責任助產模式的優(yōu)質護理干預在改善無痛分娩孕婦母嬰結局中的作用。方法 選取2017年6月~2018年6月我院收治的118例無痛分娩產婦作為研究對象,按照隨機數字表法分為實驗組(59例)與對照組(59例)。對照組采用常規(guī)護理,實驗組在對照組基礎上給予基于責任助產模式的優(yōu)質護理干預。比較兩組產婦的分娩臨床指標、分娩方式、產婦產后并發(fā)癥總發(fā)生率及新生兒并發(fā)癥總發(fā)生率。結果 實驗組的總產程和產后住院時間短于對照組,產后2 h出血量少于對照組,差異均有統(tǒng)計學意義(P<0.05);實驗組的自然分娩率高于對照組,差異有統(tǒng)計學意義(P<0.05);實驗組的產后并發(fā)癥總發(fā)生率低于對照組,差異有統(tǒng)計學意義(P<0.05);實驗組的新生兒并發(fā)癥總發(fā)生率低于對照組,差異有統(tǒng)計學意義(P<0.05)。結論 基于責任助產模式的優(yōu)質護理干預能減少產后出血量、縮短總產程及產后住院時間,提高自然分娩率,改善母嬰結局,值得臨床推廣應用。
[關鍵詞]無痛分娩;優(yōu)質護理;母嬰結局;責任助產模式
[中圖分類號] R714.3 [文獻標識碼] A [文章編號] 1674-4721(2019)10(a)-0237-03
[Abstract] Objective To explore the effect of high-quality nursing intervention based on responsible midwifery model in improving maternal and infant outcomes of painless delivery. Methods A total of 118 cases of painless parturients admitted to our hospital from June 2017 to June 2018 were selected as the research objects, they were divided into experimental group (59 cases) and control group (59 cases) according to random number table method. The control group was given routine nursing, while the experimental group was given high-quality nursing intervention based on responsible midwifery mode on the basis of the control group. The clinical indicators, mode of delivery, total incidence of postpartum complications and total incidence of neonatal complications were compared between the two groups. Results The total labor process and postpartum hospitalization time of the experimental group were shorter than those of the control group, and the amount of postpartum hemorrhage in 2 hours was less than that of the control group, the differences were statistically significant (P<0.05). The natural delivery rate in the experimental group was higher than that in the control group, the difference was statistically significant (P<0.05). The total incidence of postpartum complications in the experimental group was lower than that in the control group, the difference was statistically significant (P<0.05). The total incidence of neonatal complications in the experimental group was lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion High quality nursing intervention based on responsible midwifery model can reduce postpartum hemorrhage, shorten the total labor process and postpartum hospital stay, improving the natural delivery rate, improving maternal and infant outcomes, and is worthy of clinical application.
[Key words] Painless delivery; High quality nursing; Maternal-infant outcome; Responsible midwifery mode, 百拇醫(yī)藥(郭麗嬌 郝會 于菡)
[關鍵詞]無痛分娩;優(yōu)質護理;母嬰結局;責任助產模式
[中圖分類號] R714.3 [文獻標識碼] A [文章編號] 1674-4721(2019)10(a)-0237-03
[Abstract] Objective To explore the effect of high-quality nursing intervention based on responsible midwifery model in improving maternal and infant outcomes of painless delivery. Methods A total of 118 cases of painless parturients admitted to our hospital from June 2017 to June 2018 were selected as the research objects, they were divided into experimental group (59 cases) and control group (59 cases) according to random number table method. The control group was given routine nursing, while the experimental group was given high-quality nursing intervention based on responsible midwifery mode on the basis of the control group. The clinical indicators, mode of delivery, total incidence of postpartum complications and total incidence of neonatal complications were compared between the two groups. Results The total labor process and postpartum hospitalization time of the experimental group were shorter than those of the control group, and the amount of postpartum hemorrhage in 2 hours was less than that of the control group, the differences were statistically significant (P<0.05). The natural delivery rate in the experimental group was higher than that in the control group, the difference was statistically significant (P<0.05). The total incidence of postpartum complications in the experimental group was lower than that in the control group, the difference was statistically significant (P<0.05). The total incidence of neonatal complications in the experimental group was lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion High quality nursing intervention based on responsible midwifery model can reduce postpartum hemorrhage, shorten the total labor process and postpartum hospital stay, improving the natural delivery rate, improving maternal and infant outcomes, and is worthy of clinical application.
[Key words] Painless delivery; High quality nursing; Maternal-infant outcome; Responsible midwifery mode, 百拇醫(yī)藥(郭麗嬌 郝會 于菡)