导乐式家庭化产科护理模式的应用及效果分析  

Application and effect analysis of Doula maternity care patterns of family

作　　者：麦莉华[1] 沈健[1] 黄美凌[1] 

机构地区：[1]广州医科大学附属第三医院,广东广州510150

出　　处：《中医临床研究》2017年第21期113-115,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:分析导乐式家庭化产科护理模式的应用效果,以为导乐式家庭化产科护理模式在产科护理工作中推广使用提供科学依据。方法:选取2015年5月-2016年5月前往我院分娩的6000例产妇作为研究对象,在征得本院伦理委员会批准及产妇知情同意下采用等距随机抽样法分为对照组(常规护理)及观察组(导乐式家庭化产科护理模式)各3000例,比较不同护理模式下两组临床护理效果。结果:观察组产后出血率7.5%、剖宫产率20%、Apgar评分<7分5%,同期对照组产后出血率22.5%、剖宫产率45%、Apgar评分<7分15%,二者相比较,观察组各指标数值更低且差异有统计学意义(P<0.05);护理后观察组焦虑评分(50.44±1.36)分、抑郁评分(51.22±1.08)分、疼痛评分(1.97±1.03)分,对照组焦虑评分(56.72±1.38)分、抑郁评分(57.28±1.10)分、疼痛评分(3.29±1.01)分,差异有统计学意义(P<0.05)。结论:在产科临床护理工作中应用导乐式家庭化产科护理模式能够明显降低产后出血、剖宫产、窒息发生率,提高负性心理的改善效果并降低疼痛程度,促使其积极配合护理工作开展,为缓解当前紧张的医患对立形势、构建和谐的护患关系提供强有力的帮助,可作为今后产科临床护理的优选方案加以推广使用。Objective:To analyze the application effect of Doula maternity care patterns of family and provide scientific basis for the use of Doula maternity care patterns of family in the obstetrical nursing work.Methods:6000pregnant women who were sent to and delivered in our hospital from June2015to May2016were selected as the research subjects.The patients were divided into the control group(routine nursing)and the observation group(Doula maternity care patterns of family)by applying the equidistant random sampling method with the approval of the ethics committee and the informed consent of the maternity,with3000cases in each group.The clinical nursing effect of different nursing modes of the two groups was compared.Results:In the observation group,the postpartum hemorrhage rate was7.5%;the rate of cesarean section was20%;Apgar score of5%women was less than7points.And in the control group,the postpartum hemorrhage rate was22.5%;the rate of cesarean section was45%;Apgar score15%women was less than7points;the indexes in the observation group were lower and the difference was statistically significant(P<0.05).The score of anxiety was(50.44±1.36);the depression score was(51.22±1.08)and pain score was(1.97±1.08)in the observation group;those were significantly lower than(56.72±1.38),(57.28±1.10)and(3.29±1.01)respectively in the control group;the difference was statistically significant(P<0.05).Conclusions:The application of Doula maternity care patterns of family in obstetric clinical care could significantly reduce the incidence of postpartum hemorrhage,cesarean section,asphyxia,improve the effect of negative psychological state and reduce the degree of pain,and promote its active participation in nursing work,it was helpful to alleviate the current tension between the patients and doctors and to build a harmonious relationship between the nurses and patients,which could be used as an optimal pattern in the clinical nursing in the future.

关 键 词：导乐式家庭化产科护理模式 产后出血 焦虑 抑郁 疼痛 

分 类 号：R248.3[医药卫生—中医临床基础]