助产护士产前门诊对孕妇心理状态、分娩结局的影响  

Effect of prenatal clinic of maternity nurses on the mental state of preg-nant women and the outcome of childbirth

作　　者：王婷 

机构地区：[1]江西省南昌市第三医院产科,江西南昌330009

出　　处：《中国当代医药》2017年第28期190-193,共4页China Modern Medicine

摘　　要：目的探讨助产护士产前门诊对孕妇心理状态、分娩结局的影响。方法选取2016年8~12月在我院接受分娩的160名初产妇,根据随机数字表法分为两组,每组各80例。对照组患者实行传统护理模式,观察组患者增加定期产前门诊。比较两组孕妇的顺产率、剖宫产率、产后2 h出血量、新生儿出生后1 min内的Apgar评分、产妇焦虑及抑郁评分、新生儿3个月后各项指标。结果观察组孕妇的剖宫产率(26.2%)低于对照组(47.5%),产后2 h出血量[(156.28±64.71)ml]少于对照组[(192.53±56.31)ml],差异有统计学意义(P<0.05)。两组新生儿出生后1 min内的Apgar评分比较,差异无统计学意义(P>0.05)。分娩后,观察组患者的焦虑、抑郁评分均低于对照组,差异有统计学意义(P<0.05)。3个月后,观察组新生儿的体重增长速度快于对照组,呼吸和脉搏频率少于对照组,差异有统计学意义(P<0.05)。结论由助产护士主导的产前门诊对于改善分娩结局以及孕妇心理状态有较好的效果,有助于降低剖宫产率、减少产妇出血量,提高新生儿健康水平,是一种值得在临床上推广的护理模式。Objective To explore the effect of prenatal clinic of maternity nurses on the mental state of pregnant women and the outcome of childbirth.Methods 160 primiparous women who received delivery in our hospital from August to December 2016 were selected as subjects and were randomly divided into two groups according to the random number table method,80 cases per group.The control group was treated with traditional nursing model.The observation group re- ceived the regular prenatal clinic.The eutocia rate,cesarean section rate,2 h blood volume of postpartum,Apgar score in the first 1 rain after the birth of the newborn,maternal anxiety and depression scores and indicators of neonatal after 3 months were compared between the two groups.Results The cesarean section rate of pregnant women in observation group （26.2%） was lower than that in the control group （47.5%）,the 2 h blood volume of postpartum of pregnant women in observation group [（156.28±64.71）ml] was less than the control group [（192.53±56.31）ml],and the differences were sta- tistically significant （P〈0.05）.The Apgar score in the first 1 min after the birth of the newborn of the two groups were compared,and the difference was not statistically significant （P〉0.05）.After delivery,the anxiety and depression scores in the observation group were lower than those in the control group,and the differences were statistically significant （P〈0.05）. After 3 months,the weight gain of neonates in the observation group was faster than that of the control group,the respi- ration and pulse rate were less than the control group,and the differences were statistically significant （P〈0.05）.Con- clusion The prenatal clinic dominated by midwife nurses has a better effect on improving the outcome of childbirth and the mental state of pregnant women,help to reduce cesarean section rate and maternal bleeding,improve the health of newborns,which is worthy to promote in clinic care for puerpera.

关 键 词：助产护士 剖宫产率 产前门诊 心理状态 

分 类 号：R473[医药卫生—护理学]