连续性助产护理对母婴结局影响的研究  

Effect of Continuous Midwifery Care on Maternal and Child Outcomes

作　　者：李莉[1] 罗宇迪[1] 刘伟武[1] 李玉英[1] 肖海燕[1] 陈恒[1] 文红梅 付瑞珍 LI Li;LUO Yudi;LIU Weiwu(Yulin Maternal and Child Health Hospital,Yulin 537000,China)

机构地区：[1]广西玉林市妇幼保健院,广西玉林537000

出　　处：《中国医学创新》2019年第12期114-118,共5页Medical Innovation of China

摘　　要：目的:探究连续性助产护理对母婴结局的影响。方法:选取2017年10月-2018年3月在本院进行生产的初产妇253例。按照护理方式不同将其分为观察组(连续性助产护理)128例、对照组(传统助产护理)125例。比较两组产妇分娩方式、产程、产后2 h出血量、新生儿情况及产妇对助产护理的满意度。结果:观察组自然分娩率高于对照组(P<0.05),观察组巨大儿、低体重儿、新生儿窒息例数均少于对照组,但差异均无统计学意义(P>0.05);观察组产程时间短于对照组(P<0.05),观察组产后2 h出血量虽少于对照组,但差异无统计学意义(P>0.05);观察组服务态度、分娩技巧、护理质量满意度均高于对照组(P<0.05)。结论:连续性助产护理能够在一定程度上改善母婴结局,提高产妇对护理的满意度。Objective:To explore the effect of continuous midwifery care on maternal and child outcomes.Method:A total of 253 primipara who delivered in our hospital from October 2017 to March 2018 were selected. According to different nursing methods,they were divided into 128 cases of observation group(continuous midwifery nursing)and 125 cases of control group(traditional midwifery nursing).The mode of delivery,the course of labor,the amount of bleeding in 2 hours after delivery,the condition of newborn and the satisfaction degree of parturient to midwifery nursing between two groups were compared.Result:The natural delivery rate in observation group was higher than that of control group(P<0.05),the number of macrosomia,low birth weight infants and neonatal asphyxia in observation group were less than those of control group,but the differences were not statistically significant(P>0.05).The duration of labor in observation group was lower than that of control group(P<0.05),the amount of bleeding in 2 hours after delivery in observation group was lower than that of control group,but the differences were not statistically significant(P>0.05).The satisfaction of service attitude, delivery skills and nursing quality in observation group were higher than those of control group(P<0.05). Conclusion:Continuous midwifery nursing can improve maternal and infant outcomes to a certain extent,and improve maternal satisfaction with nursing.

关 键 词：连续性助产护理 母婴结局 助产护理满意度 

分 类 号：R473.71[医药卫生—护理学]