头位难产护理中实施循证护理的可行性分析  

Feasibility analysis of implementation of evidence-based nursing in head dystocia nursing

作　　者：刘清云 刘霞[2] LIU Qing-yun;LIU Xia(Delivery Room, The Eighth People＇ s Hospital of Qingdao, Qingdao 266100, China)

机构地区：[1]青岛市第八人民医院产房,266100 [2]青岛市第八人民医院体检中心,266100

出　　处：《中国实用医药》2018年第19期135-137,共3页China Practical Medicine

摘　　要：目的探讨头位难产护理中实施循证护理的可行性。方法 50例头位难产产妇,根据不同护理方法分为对照组和观察组,各25例。对照组采取常规护理措施,观察组在对照组基础上实施循证护理,观察比较两组产妇分娩结局、母婴并发症及护理满意度。结果观察组剖宫产率为16.0%(4/25),阴道助产分娩率为28.0%(7/25),阴道分娩率为56.0%(14/25);对照组剖宫产率为44.0%(11/25);阴道助产分娩率为36.0%(9/25);阴道分娩率为20.0%(5/25);观察组产妇分娩结局优于对照组,差异有统计学意义(P<0.05)。观察组母婴并发症发生率4.0%低于对照组的28.0%,差异有统计学意义(P<0.05)。观察组护理满意度92.0%(23/25)高于对照组的68.0%(17/25),差异具有统计学意义(P<0.05)。结论头位难产护理中实施循证护理具有十分重要的临床价值和意义。Objective To investigate the feasibility of implementation ot evlclence-Dasea nursing m head dystocia nursing： Methods A total of 50 head dystocia parturients were divided into the control group and the observation group according to different methods of nursing, 25 cases in each group. The control group was given routine nursing measures, the observation group was given evidence-based nursing on the basis of control group. The delivery outcome, maternal and infant complications and nursing satisfaction between the two groups of parturients were observed and compared. Results The cesarean section rate, vaginal midwifery delivery rate and vaginal delivery rate of observation group were 16.0% （4/25）, 28.0% （7/25） and 56.0% （14/25） respectively, above indicators of the control group were 44.0% （11/25）, 36.0% （9/25） and 20.0% （5/25） respectively, the delivery outcome of parturient in observation group were significantly better than those of control group, the differences were statistically significant （P〈0.05）. The incidence of maternal and infant complications in the observation group was 4.0%, which was significantly lower than 28.0% in the control group, the difference was statistically significant （P〈0.05）. The nursing satisfaction of the observation group was 92.0% （23/25）, which was significantly higher than 68.0% （17/25） of the control group, the difference was statistically significant （P〈0.05）. Conclusion The implementation of evidence-based nursing in head dystocia nursing has great clinical value and significance.

关 键 词：头位难产 循证护理 实施效果 可行性 

分 类 号：R-03[医药卫生] R473.71