高龄二孩产妇应用中心群组化孕期保健干预后对其分娩结局的影响  

The Effect of Senile Second-born Mothers on Delivery Outcome after Applying Central Group-based Health Care Intervention during Pregnancy

作　　者：黄伟妍 李文君[1] 夏斌[1] HUANG Weiyan;LI Wenjun;XIA Bin(Department of Obstetrics,Puji District,Dongguan People's Hospital,Dongguan,Guangdong Province,523000 China)

机构地区：[1]东莞市人民医院普济院区产科,广东东莞523000

出　　处：《中外医疗》2021年第36期175-178,共4页China & Foreign Medical Treatment

摘　　要：目的探讨采用中心群组化孕期保健方式对高龄二孩产妇进行干预后对其分娩结局等产生的影响。方法方便选取2018年1月—2020年12月收治的70名高龄二孩产妇进行干预研究;随机分为常规组(采用常规方式进行干预)和研究组(采用中心群组化孕期保健方式进行干预),各35名;比较两组产妇分娩结局、心理状态评分、产妇总满意度、阴道分娩产妇产程时间以及产后2 h出血量。结果研究组阴道分娩率(68.57%)高于常规组,阴道助产率(11.43%)、剖宫产率(20.00%)均低于常规组,差异有统计学意义(χ^(2)=12.899、4.158、4.242,P<0.05);经干预后,研究组SDS评分、SAS评分均低于常规组,差异有统计学意义(P<0.05);研究组产妇总满意度高于常规组,差异有统计学意义(P<0.05);研究组第一产程时间、第二产程时间、第三产程时间、总产程时间均短于常规组,研究组产后2 h出血量少于常规组,差异有统计学意义(P<0.05)。结论有效应用中心群组化孕期保健干预后,可有效改善产妇分娩结局、心理状态,缩短产程时间,减少产后2 h出血量,提高产妇满意度,促进高龄二孩产妇总体预后水平。Objective To explore the impact of the use of central group-based health care during pregnancy to intervene in the delivery outcome of elder second-born women.Methods A total of 70 elderly women with second births who were admitted from January 2018 to December 2020 were conveniently selected for intervention research.Randomly divided into routine group(intervention by conventional means)and study group(intervention by central group-based pregnancy health care),each with 35 people.The delivery outcomes,mental status scores,total satisfaction of the mothers,the time of vaginal delivery and the amount of bleeding in the 2 h postpartum were compared between the two groups.Results The vaginal delivery rate(68.57%)of the study group was higher than that of the conventional group,and the vaginal delivery rate(11.43%)and the cesarean section rate(20.00%)were lower than those of the routine group,the difference was statistically significant(χ^(2)=12.899,4.158,4.242,P<0.05).After intervention,the SDS score and SAS score of the study group were lower than those of the routine group,and the difference was statistically significant(P<0.05).The total satisfaction of the mothers in the study group was higher than that in the routine group,and the difference was statistically significant(P<0.05).The time of the first stage of labor,the time of the second stage of labor,the time of the third stage of labor,and the total duration of labor of the study group were shorter than those of the routine group,the bleeding volume in the study group was less than that of the conventional group at 2 h postpartum,and the difference was statistically significant(P<0.05).Conclusion After effective application of central group-based health care intervention during pregnancy,it can effectively improve maternal delivery outcome,psychological state,shorten the delivery time,reduce the amount of bleeding in the 2h postpartum,and improve maternal satisfaction,promote the overall prognosis of elder second-born mothers.

关 键 词：中心群组化孕期保健方式 高龄二孩产妇 产妇分娩结局 心理状态评分 产妇总满意度 阴道分娩产妇产程时间 产后2 h出血量 

分 类 号：R473.71[医药卫生—护理学]