摘要
目的探讨助产士助产心理护理对初产妇分娩质量的研究。方法将2021年7月—2022年3月在梧州市红十字会医院分娩并全程接受分娩期护理的初产妇100例作为研究对象,根据护理方式的不同分为对照组和观察组。对照组(n=50)采取常规分娩护理,观察组(n=50)采取常规护理模式+焦点解决模式,对比初产妇分娩质量。结果观察组初产妇在胎儿娩出后至产后2h的出血量较低,控制在合理范围内,顺转剖的概率偏低;新生儿Apgar评分分别在新生儿降生后1min、5min、10min进行评价,观察组分值偏高,接近于8~10分的正常值;心理统计对比中,观察组经护理后HAMA、SAS量表指数下降较大;满意度问卷调查中,初产妇与家属的满意度评分偏高。结论助产士护理中,为起到最佳的助产效果,除了常规护理模式的施行,还需要焦点解决初产妇的具体问题,帮助初产妇缓解分娩压力与分娩生理不良问题,从而达到提升分娩质量的综合效果。
Objective To investigate and analyze influencing factors of delivery quality of primipara,analyze effective forms of psychological care suitable for midwives,and carry on comprehensive intervention measures guided by focus solution model to intervene during delivery process of primipara,to improve delivery emotions,control psychological and physiological activities consciously,and provide ideas for improving delivery quality of primipara.Methods The paper chose 100 primipara with delivery at Wuzhou City Red Cross Hospital from July 2021 to March 2022 as study subjects,treated with full delivery nursing.Control group(n=50)was treated with routine delivery nursing,while observation group(n=50)with routine nursing and focused solution mode.Delivery quality of primipara was compared.Results Bleeding volume of primipara in observation group from delivery of fetus to 2 hours postpartum was relatively lower,controlled within a reasonable range,and incidence of antegrade cesarean section was relatively lower.Apgar scores of newborns were evaluated at 1 minute,5 minutes,and 10 minutes after birth,observed component values were higher and close to normal values of 8-10 points.Comparison of psychological statistics showed,observation group had significant decrease in HAMA and SAS scales after nursing.Satisfaction questionnaire survey showed,satisfaction scores of primipara and their families were relatively higher.Conclusion During midwife nursing,it is necessary to solve specific problems of primipara based on routine nursing model,to achieve the best midwifery effect,alleviate delivery pressure and adverse delivery physiological problems,and achieve comprehensive effect of improving delivery quality.
作者
杨艳婷
刘洁
YANG Yanting;LIU Jie(Wuzhou Vocational College,Wuzhou,Guangxi 543000;Wuzhou Red Cross Hospital,Wuzhou,Guangxi 543000)
出处
《智慧健康》
2023年第26期222-226,共5页
Smart Healthcare
基金
2021年广西壮族自治区卫生健康委员会自筹经费科研课题《焦点解决助产护理模式对产妇分娩质量的影响研究》研究阶段性成果之一(合同编号:Z20210151)。
关键词
助产士
助产护理
初产妇分娩质量
Midwife
Midwifery nursing
Delivery quality of primipara
