产前护理干预对高危妊娠初产妇及新生儿的影响  

The Influence of Prenatal Nursing Intervention on High-risk Primipara and Newborn

作　　者：刘琪[1] 王君[2] 崔红[3] LIU Qi;WANG Jun;CUI Hong(Preventive Health Office,Shengjing Hospital Affiliated to China Medical University,Shenyang Liaoning 110004,China;Central Sterile Supply Department,Shengjing Hospital Affiliated to China Medical University,Shenyang Liaoning 110004,China;Department of Obstetrics,Shengjing Hospital Affiliated to China Medical University,Shenyang Liaoning 110004,China)

机构地区：[1]中国医科大学附属盛京医院预防保健办公室,辽宁沈阳110004 [2]中国医科大学附属盛京医院消毒供应中心,辽宁沈阳110004 [3]中国医科大学附属盛京医院产科,辽宁沈阳110004

出　　处：《中国继续医学教育》2019年第5期174-176,共3页China Continuing Medical Education

基　　金：辽宁省卫生和计划生育委员会公益性行业科研专项项目(201402006)

摘　　要：目的探讨产前护理对高危妊娠初产妇的分娩结局及新生儿的影响。方法选择我院2017年3月—2018年3月收治的高危妊娠初产妇270例,依据随机数字表法均分成两组。对照组(135例)实施常规产检,观察组(135例)在对照组的基础上给予产前护理干预。记录比较两组分娩过程指标(包括产程时间、产后2h出血量)、分娩结局(分娩类型、新生儿窒息率)、焦虑自评量表(SAS量表)、疼痛视觉模拟量表(VAS量表)、分娩应对能力量表(CCB量表)评分情况。结果与对照组相比,观察组产程时间、产后2 h出血量降低(P <0.01);观察组顺产率高于对照组(P <0.01),剖宫产率和新生儿窒息率低于对照组(P <0.01);相比于对照组,观察组的SAS、VAS、CCB评分更优(P <0.01)。结论产前护理干预可有效缩短高危妊娠初产妇的产程时间,减少产后出血量,提高顺产率,降低新生儿窒息率,减轻产妇焦虑和疼痛感,改善产妇生产应对能力,母婴结局均良好。Objective To explore the effect of prenatal nursing on the delivery outcome of high-risk primipara and newborn.Methods 270 cases of high-risk pregnant primipara who were admitted in our hospital from March 2017 to March 2018.According to random digital table method divided into two groups,The control group(135 cases)received routine birth examination,and the observation group(135 cases)received prenatal antenatal nursing intervention based on the control group,the indexes of labor process(the time of labor,blood loss of 2 hours postpartum),delivery outcome(the type of delivery,asphyxia rate of newborn),self rating anxiety scale(SAS scale),visual analogue scale of pain(VAS scale),Childbirth coping ability scale(CCB scale)scores were recorded and compared of the two groups.Results Compared with the control group,the time of labor and blood loss of 2 hours postpartum in the observation group were significantly lower(P<0.01).The natural yield in the observation group were significantly higher than the control group(P<0.01);The cesarean section rate and neonatal asphyxia rate were significantly lower than the control group(P<0.01);Compared with the control group,the scores of SAS,VAS,CCB in the observation group was significantly better(P<0.01).Conclusion Prenatal nursing intervention can effectively shorten the labor time of high-risk primipara,reduce the amount of postpartum bleeding,increase the rate of spontaneous deliveryIncrease the rate of natural yield and reduce the rate of neonatal asphyxia.In order to alleviate the anxiety and pain of parturient,improve the childbirth coping ability,and the outcome of mother and child is good.

关 键 词：产前护理干预 高危妊娠 初产妇 分娩 新生儿 

分 类 号：R473[医药卫生—护理学]