人性化护理用于初产妇分娩潜伏期动态监护中的应用研究  

Application of humanistic nursing in dynamic monitoring of latent phase of labor in primiparae

作　　者：陈华萍[1] 陈华娟[1] 史骁梁[1] 

机构地区：[1]浙江省绍兴市妇幼保健院分娩室,浙江绍兴312000

出　　处：《中国现代医生》2016年第18期160-163,共4页China Modern Doctor

基　　金：浙江省医药卫生一般研究计划(2014KYB281)

摘　　要：目的探讨人性化护理用于初产妇分娩潜伏期动态监护中的应用情况。方法本研究选取2014年12月～2015年12月我院孕足月（≥37周），单胎，头位行阴道试产的初产孕妇100例作为研究对象，所有产妇根据护理方法不同随机分为干预组和对照组。每组各50例，对照组采取常规护理，干预组实施人性化护理，对两组产妇的焦虑心理及疼痛程度进行评价，并比较两组产妇的分娩结局及护理满意度。结果干预组产妇重度焦虑率显著低于对照组（2％vs18％，P〈O．05）。干预组产妇自然分娩率显著高于对照组，剖宫产率显著低于对照组（P〈0．05）。干预组产妇疼痛程度Ⅲ级率显著低于对照组（16％。s40％，P〈O．05）。干预组产妇在生理、心理及医院环境方面的满意度得分均分别显著高于对照组，差异具有统计学意义（P〈0．05）。结论人性化护理用于初产妇分娩潜伏期动态监护中具有良好的应用效果，可以缓解患者的焦虑心理、减轻疼痛，提高自然分娩率，提高护理工作满意度。Objective To discuss the application of humanistic nursing in dynamic monitoring of latent phase of labor in primiparae. Methods 100 full-term and single-fetus primiparae trying vaginal delivery with fetus in head position admitted in our hospital from December 2014 to December 2015 were selected and randomly divided into intervention group and control group according to their nursing patterns, each with 50 cases. Patients in the control group were given routine nursing, while those in the intervention group were managed by humanistic nursing. The degrees of arrxiety and pain were evaluated in both groups, and the outcome of delivery and satisfaction towards nursing were compared. Re- suits The rate of severe anxiety was significantly lower in the intervention group than in the control group （2% vs 18%, P〈0.05）. The rate of spontaneous labor was significantly higher in the intervention group than in the control group, and the rate of cesarean delivery was significantly lower in the intervention group than in the control group（P〈0.05）. The rate of grade 3 pain in the intervention group was significantly lower than in the control group （16% vs 40%, P〈0.05）. The scores of satisfaction towards physiology,mentality, and hospital environment were significantly higher in the inter- vention group than in the control group（P〈0.05）. Conclusion Humanistic nursing applied in dynamic monitoring of la- tent phase of labor in primiparae can achieve favorable effects, and can relieve anxiety and pain of patients, enhance rate of spontaneous labor, and improve the satisfaction towards nursing.

关 键 词：初产妇 人性化护理 疼痛 满意度 

分 类 号：R473.71[医药卫生—护理学]