围产期综合护理干预对孕产妇分娩认知及分娩结局的影响  

Effects of perinatal comprehensive nursing intervention on maternal childbirth cog-nition and childbirth outcomes

作　　者：温雪珍[1] 李利平[1] 吴成勇[1] 杨满[1] 

机构地区：[1]广东省梅州市人民医院妇产科,514031

出　　处：《国际护理学杂志》2015年第15期2094-2097,共4页international journal of nursing

摘　　要：目的：探讨围产期综合护理干预对孕产妇的分娩认知及分娩结局的影响。方法将研究对象分为对照组和观察组各50例。对照组进行常规护理，观察组采用综合护理干预后，对两组孕产妇分娩知识、分娩态度、产时应对行为、分娩结局、阴道分娩情况及对护理工作的满意度进行分析。结果对照组分娩知识、分娩态度、产时应对行为评分明显少于观察组，差异均有统计学意义（ P〈0.05）。观察组剖宫产率仅为16.3%，其中仅1例为社会因素剖宫产。对照组剖宫产率高达39.6%。其中10例均因为社会因素选择剖宫产。剖宫产率及剖宫产指征比较差异均有统计学意义（P〈0.05）。两组第一、二产程和总产程比较差异均有统计学意义（P〈0.05），第三产程比较差异无统计学意义（ P〉0.05）。观察组总满意率高达98.0%，对照组总满意率为68.8%，差异有统计学意义（ P〈0.05）。结论加强孕产妇综合护理干预，可有效促进孕产妇分娩认知行为，缩短产程，改善妊娠结局，提高孕产妇满意度。Objective To explore the effects of perinatal comprehensive nursing intervention on maternal childbirth cognition and childbirth outcomes. Methods The study subjects were divided into 2 groups： control group and observation group. 60 cases in the control group were conducted by conventional care, 60 cases in the observation group adopt comprehensive nursing intervention, maternal knowledge, childbirth attitude, maternity behaviors, birth outcomes, vaginal delivery situation were analyzed. Results Childbirth knowledge, delivery attitude, maternity behav-iors scores in the observation group were significantly less than those in the control group, there were statistically signifi-cant （P〈0. 05） . Cesarean delivery rate was 16. 3% in the observation group, of which only one case for social fac-tors. Cesarean delivery rate was up to 39. 6% in the control group, of which 10 cases for social factors. There were statis-tically significant about the cesarean section rate and indications （ P〈0. 05 ） . There were statistically significant about the first, second labor and total stage of labor between two groups （P〈0. 05）, there was not significant about the third labor （P＆gt;0. 05） . Satisfaction rate was 98. 0% in the observation group and 68. 8% in the control group, there was sta-tistically significant （ P〈0. 05 ） . Conclusions Strengthening perinatal nursing intervention can be effective in promo-ting maternal cognitive behavior, shorten labor, improve pregnancy outcomes, increase maternal satisfaction.

关 键 词：综合护理干预 妊娠 自然分娩 剖宫产 结局 

分 类 号：R473.71[医药卫生—护理学]