医护协同模式在临床的运用对孕产妇本人、家庭及社会资源的影响  

The Effect of the Applying of Coordination-competition Model of Health Care in Clinical Practice on Maternal Herself,Family and Social Resources.

作　　者：李云云[1] 包影[1] 张文淼[1] 

机构地区：[1]温州医学院附属第一医院妇产科,325000

出　　处：《医学研究杂志》2011年第6期94-97,共4页Journal of Medical Research

基　　金：温州市科技局计划项目资助(2008S0600)

摘　　要：目的将医护协同模式运用于临床，了解其在降低社会因素剖宫产中的作用及其对孕产妇本人、家庭及社会资源的影响。方法选择2008年5月-2010年5月间在笔者医院产检、分娩的904位孕妇随机分为干预组（456人）及对照组（448人），用医护协同的模式进行干预。结果干预组的剖宫产率显著低于对照组（P〈0．05）；心理评分显示干预组心理焦虑明显小于对照组（P〈0．05）；干预组孕产妇及围生儿并发症除产伤、新生儿重度窒息外均明显低于对照组（P〈0．05）；干预组平均住院日及住院费用明显低于对照组（P〈0．05）；干预组女性孕前6个月及产后6个月的生活质量评分在疼痛、情感、睡眠及身体活动方面均优于对照组（P〈0．05）。结论医护协同模式是一种值得推广的能有效降低社会因素剖宫产率的方法。Objective Coordination - competition model will be applied in clinical practice to understand the effect in reducing the rate of cesarean section from social factors and the effect on maternal herself, family and social resources. Methods Nine hundred and four pregnant women who gave birth in our hospital from May 2008 to May 2010 were randomly divided into intervention group （456 peo- ple） and the control group （448 people）. Coordination - competition model of health care was applied in intervention group. Results Cesarean section rate in intervention group was significantly lower than that in the control group （ P 〈 0.05 ）. Psychological intervention group showed lower anxiety scores than the control group （ P 〈 0.05 ）. Maternal and perinatal complications besides production injury, severe neonatal asphyxia were significantly lower in intervention group than the control group （ P 〈 0.05 ）. The average length of hospitalization and costs of intervention group were significantly lower than the control group （ P 〈 0.05 ）. Life quality, scores in pain, emotion, sleep and physical activity of women before pregnancy and postpartum were better in intervention group than the control group （ P 〈 0.05 ）. Conclu- sion Coordination - competition model is a way which can effectively reduce the rate of cesarean section of social factors and is worthy to promote.

关 键 词：剖宫产率 医护协同模式 干预 

分 类 号：R-052[医药卫生]