全程陪伴分娩联合体位指导对分娩结局的影响  

Influence of whole-course companionship delivery combined with body position guidance on delivery outcome

作　　者：周秀燕 林春兰 刘辅兰 ZHOU Xiu-yan;LIN Chun-lan;LIU Fu-lan(Delivery Room,the First People′s Hospital of Nankang District of Ganzhou City in Jiangxi Province,Ganzhou 341400,China)

机构地区：[1]江西省赣州市南康区第一人民医院产房

出　　处：《中国当代医药》2019年第29期213-215,共3页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2018ZSF492)

摘　　要：目的探讨全程陪伴分娩联合体位指导对分娩结局的影响。方法选取我院2017年3月~2019年3月收治的120例产妇,按照随机数字表法分为对照组(60例)和实验组(60例)。对照组产妇给予常规分娩指导,且分娩过程中无亲属或责任护士陪伴,实验组在对照组基础上实施全程陪伴分娩联合体位指导,对比分析两组产妇的分娩结局情况。结果实验组产妇的自然分娩率为93.33%,明显高于对照组的80.00%,差异有统计学意义(P<0.05)。实验组产妇的阴道助产率和剖宫产率分别为13.33%、6.67%,明显低于对照组的28.33%、20.00%,差异均有统计学意义(P<0.05)。实验组的总产程时间为(427.85±45.63)min,短于对照组的(514.34±62.56)min,差异有统计学意义(P<0.05)。实验组的产后2 h及24 h出血量为(165.36±27.34)、(336.78±58.95)ml,少于对照组的(216.85±32.47)、(413.54±74.32)ml,差异有统计学意义(P<0.05)。实验组产妇的汉密尔顿抑郁量表(HAMD)评分及汉密尔顿焦虑量表(HAMA)评分明显低于对照组(P<0.05)。实验组的新生儿Apgar评分为(9.74±0.63)分,显著高于对照组的(8.32±0.65)分,差异有统计学意义(P<0.05)。结论在初产妇分娩过程中,加强对其进行全程陪伴分娩联合体位指导干预,不仅有助于确保产妇及新生儿健康,而且还有利于提升产科护理水平,值得在临床广泛推广和应用。Objective To explore the influence of whole-course companionship delivery combined with body position guidance on the outcome of delivery.Methods A total of 120 parturients admitted to our hospital from March 2017 to March 2019 were selected and divided into the control group(60 cases)and the experimental group(60 cases)by the random number table method.The control group was given routine delivery guidance,and there were no relatives or responsible nurses accompanied during delivery.The experimental group was required to implement the whole-course companionship delivery combined body position guidance on the basis of the control group,and the delivery outcomes of the two groups of parturients were compared and analyzed.Results The natural delivery rate of the experimental group was 93.33%,which was significantly higher than that of the control group(80.00%),with significant difference(P<0.05).The vaginal assist rate and cesarean section rate of the experimental group were 13.33%and 6.67%,respectively,which was significantly lower than 28.33%and 20.00%of the control group,with significant differences(P<0.05).The total labor time in the experimental group was(427.85±45.63)min,which was shorter than that in the control group([514.34±62.56]min),the difference was statistically significant(P<0.05).The amount of postpartum bleeding at 2 h and 24 h in the experimental group were(165.36±27.34),(336.78±58.95)ml,which were less than those in the control group([216.85±32.47],[413.54±74.32]ml),the differences between the two groups were statistically significant(P<0.05).The Hamilton depression scale(HAMD)and the Hamilton anxiety scale(HAMA)scores in the experimental group were significantly lower than those in the control group(P<0.05).The Apgar score of the newborns in the experimental group was(9.74±0.63)points,which was significantly higher than that of the control group([8.32±0.65]points),the difference was statistically significant(P<0.05).Conclusion In the process of delivery of primipara,strengthening the guid

关 键 词：全程陪伴 体位指导 分娩结局 

分 类 号：R473.71[医药卫生—护理学]