摘要
目的探讨以助产士为主导的产时护理对初产妇分娩质量的影响。方法 106例初产妇随机分为对照组和观察组,各53例。给予对照组初产妇围产期常规护理及助产,观察组在对照组基础上安排助产士实施人性化助产护理。观察2组初产妇分娩方式、产程、产后出血量、产后并发症及抑郁情绪等变化情况,比较2组新生儿产后窒息发生情况。结果观察组剖宫产率11.32%(6/53),低于对照组26.41%(14/53),差异有统计学意义(P<0.05);观察组产后并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组总产程时间、产后出血量、住院时间均少于对照组,差异有统计学意义(P<0.01)。观察组汉密尔顿抑郁量表(HAMD)评分(9.25±1.98)分,低于对照组的(14.27±2.69)分,差异有统计学意义(P<0.01)。结论围产期实施助产士人性化护理,可有效改善初产妇分娩质量,并缓解初产妇产后抑郁情绪。
Objective To investigate the effect of midwife-oriented intrapartum nursing on delivery quality of parturient. Methods A total of 106 primiparas were randomly divided into the con-trol group and the observation group, with 53 cases in each group. Both two groups received routing nursing care during perinatal stage, while the midwife-oriented intrapartum nursing interventions were applied in the observation. The delivery outcome, stages of labor, postpartum bleeding, postpartum complication and mental status were observed, and the neonatal asphyxia was compared between two groups. Results The cesarean section rate was 11. 32 % （6/53） in the observation group and was 26. 41% （14/53） in the control group, with a significant different （P 〈0. 05） . The postpartum com-plication rate was lower in the observation group than that in the control group, with a significant differ-ence （P 〈 0. 05 ）. The primiparas in the observation group had shorter total labor time, lower amount of postpartum hemorrhage and shorter length of stay compared with those in the control group （ P 〈 0. 01 ） . The Hamilton depression scale （ HAMD） was （9. 25 ± 1.98 ） in the observation group and was （14. 27 ±2. 69） in the control group, with a significant difference （ P 〈0. 01 ） . Conclusion Mid-wife-oriented intrapartum nursing can effectively improve the quality of maternal delivery and reduce the risk of postpartum depression.
出处
《中西医结合护理（中英文）》
2016年第12期39-41,共3页
Journal of Clinical Nursing in Practice
关键词
助产士
护理
分娩方式
产后并发症
抑郁情绪
midwives
nursing
delivery mode
postpartum complications
depressive
