循证护理在产妇分娩中的临床应用效果  

Clinical application of evidence - based care for maternal childbirth

作　　者：宗有莲[1] 

机构地区：[1]陕西省延安大学附属医院,716000

出　　处：《国际护理学杂志》2015年第4期438-440,共3页international journal of nursing

摘　　要：目的探讨循证护理在产妇分娩中的临床应用效果。方法选取2012年3月至2013年8月来我院分娩的180例产妇作为研究对象，将所有产妇按照随机数字表分为两组，其中，观察组90例产妇采用循证护理措施，对照组90例产妇使用常规护理方法，比较两组产妇的分娩方式和产后出血率、新生儿窒息率，并比较两组产妇的产程时间。结果护理后，观察组产妇的剖宫产率仅为24．4％，明显低于对照组产妇，而观察组产妇的阴道分娩率则为61．1％，明显高于对照组产妇，而且观察组产妇的产后出血率和新生儿窒息率也明显低于对照组产妇，组间差异有统计学意义（P〈0．05），观察组产妇的第一产程、第二产程以及第三产程时间均明显低于对照组产妇，组问差异有统计学意义。结论循证护理措施有利于增强产妇分娩信心，提高产妇阴道分娩成功率，减少剖宫产率，从而降低产后母婴并发症，大大提高了产妇的生活质量，值得临床应用。Objective To investigate the clinical application of evidence - based care for maternal childbirth. Methods 180 cases of maternal childbirth were selected as research subjects from March 2012 to August 2013 in the hospital and were randomly divided into two groups according to random number table. 90 cases were treated with evidence - based measures in observation group, while the other 90 cases were with conventional methods of care in control group. Mode of delivery, rates of postpartum hemorrhage, neonatal asphyxia, and delivery time were compared between two groups. Results After treatment, maternal cesarean section rate was 24.4% in observation group, which was significantly lower than that of control group. Maternal vaginal delivery rate in observation group was 61. 1% , which was significantly higher than that of control group, postpartum hemorrhage and neonatal asphyxia rate in observation group were significantly lower than those of control group （ P 〈 0.05 ） . The first, second and third delivery time of observation group were all significantly lower than those of control group. Conclusions Evidence - based care measures are benefit to enhancing maternity confidence and improving the success rate of maternal vaginal delivery, decreasing cesarean section rate, thereby reducing postpartum maternal complications, greatly improving the quality of life of mothers, which is worthy of clinical application.

关 键 词：循证护理 产妇分娩 剖宫产 

分 类 号：R473.71[医药卫生—护理学]