摘要
目的:研究助产士主导疼痛干预及分级授权管理在初产妇中应用效果。方法:选取佛山市妇幼保健院2018年3月-2020年8月待产的初产妇80例作为研究对象。将入选产妇按照随机原则摸球法分为研究组和对照组,各40例。对照组采用分级授权管理,研究组在对照组基础上联合助产士主导疼痛干预。对比两组临床指标,第一、二产程疼痛程度,疼痛控制满意度及不良事件发生率。结果:研究组第二产程用时为(136.23±12.14)min,短于对照组的(167.31±15.20)min,研究组产后2 h出血量为(26.74±3.06)ml,少于对照组的(43.12±8.03)ml(P<0.05);研究组第一、二产程VAS评分分别为(3.54±0.54)、(4.56±0.63)分,均低于对照组的(5.10±0.62)、(7.10±1.02)分(P<0.05);研究组疼痛控制总满意度(92.50%)高于对照组(70.00%)(P<0.05);研究组不良事件发生率(7.50%)低于对照组(25.00%)(P<0.05),结论:在产科实行助产士主导疼痛干预及分级授权管理可改善初产妇疼痛控制效果,降低会阴撕裂等产科不良事件的发生率。
Objective:To study the application effect of midwife-led pain intervention and hierarchical authorization management on primiparas.Method:Eighty primiparas waiting for delivery from March 2018 to August 2020 in Foshan Maternal and Child Health Care Hospital were selected as the research object.The selected parturient women were divided into the study group and the control group by touch the ball method according to the random principle,40 cases in each group.The control group received the hierarchical authorization management,and the study group was combined with midwife-led pain intervention on the basis of the control group.The clinical indicators,the first and second stage of labor pain degree,satisfaction of pain control and incidence of adverse events were compared between the two groups.Result:In the study group,the time of the second stage of labor was (136.23±12.14) min,which was shorter than (167.31±15.20) min of the control group,2 h postpartum hemorrhage volume was (26.74±3.06) ml,which was less than (43.12±8.03) ml of the control group (P<0.05);the VAS scores of the first and second stages of labor in the study group were (3.54±0.54),(4.56±0.63) points,which were lower than (5.10±0.62),(7.10±1.02) points in the control group (P<0.05);the total satisfaction of pain control in the study group (92.50%) was higher than that in the control group (70.00%) (P<0.05);the incidence of adverse events in the study group (7.50%) was lower than that in the control group (25.00%) (P<0.05).Conclusion:The implementation of midwife-led pain intervention and hierarchical authorization management in obstetrics can improve the pain control effect of primipara and reduce the incidence of perineal tears and other obstetric adverse events.
作者
黄桂慧
姜国莹
余梅祥
HUANG Guihui;JIANG Guoying;YU Meixiang(Foshan Maternal and Child Health Care Hospital,Foshan 528000,China;不详)
出处
《中外医学研究》
2022年第4期85-88,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
助产
疼痛干预
分级授权管理
会阴撕裂伤
产科护理
Midwifery
Pain intervention
Hierarchical authorization management
Perineal tears
Obstetric care
