KTH整合式干预模式对初孕分娩产妇产程进展、母婴结局的影响  

Effects of KTH integrated intervention model on the progress of labor and maternal and infant outcomes of first trimester pregnant women

作　　者：李芳芳[1] 范叔丽 曾海霞[1] LI Fangfang;FAN Shuli;ZENG Haixia(Department of Obstetrics,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,Zhejiang,China)

机构地区：[1]温州医科大学附属第一医院产科,浙江温州325000

出　　处：《中国现代医生》2023年第5期89-92,96,共5页China Modern Doctor

基　　金：温州市科研项目(Y2020508)。

摘　　要：目的分析KTH整合式干预模式对初孕分娩产妇产程进展、母婴结局的影响。方法选取2020年1月至2020年12月在温州医科大学附属第一医院产科建卡并进行正规产检的产妇150例,按照干预方式分为对照组(n=75)和试验组(n=75)。对照组采用常规产前检查门诊干预,试验组给予KTH整合式干预模式。对比两组的产程时间、分娩方式、产后2h出血量、新生儿出生5min Apgara评分、焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)评分和并发症发生情况、满意度。结果与对照组相比,试验组的第一产程、第二产程时间较短,阴道分娩率较高,剖宫产率较低,产后2h出血量较少,新生儿出生5min Apgara评分较高,差异有统计学意义(P<0.05);两组第三产程时间比较,差异无统计学意义(P>0.05);干预前两组的SAS、SDS评分对比,差异无统计学意义(P>0.05);干预后两组的SAS、SDS评分降低,且试验组降低幅度较大,差异有统计学意义(P<0.05);试验组的并发症发生情况低于对照组,产妇及家属满意度高于对照组,差异有统计学意义(P<0.05)。结论运用KTH整合式干预模式,可有效引导初次妊娠孕妇自热分娩的决心,改善分娩结局,降低剖宫产率,提高自然分娩率,改善产后出血,减少产后并发症的发生,具有较好的干预效果。Objective To analyze the effect of KTH integrated intervention model on the progress of labor and maternal and infant outcomes of first trimester pregnant women.Methods A total of 150 women who had their cards established and underwent regular obstetric check-ups at the First Affiliated Hospital of Wenzhou Medical University from January 2020 to December 2020 were selected and divided into the control group(n=75)and the test group(n=75)according to the different intervention Methods.The control group used routine antenatal examination outpatient intervention,and the trial group performed KTH integrated intervention model.The duration of labor,mode of delivery,bleeding volume at 2 hours after delivery,the Apgara score at 5 minutes after birth of newborns,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores,complications,and satisfaction were compared.Results Compared with the control group,the time of the first stage of labor and the second stage of labor in the experimental group was shorter,the vaginal delivery rate was higher,the cesarean section rate was lower,the amount of bleeding in 2 hours after delivery was less,and the Apgara score at 5 minutes after birth of newborns was higher,with statistical difference(P<0.05);There was no statistical difference in the third stage of labor between the two groups(P>0.05);There was no significant difference in SAS and SDS scores between the two groups before intervention(P>0.05);After the intervention,the SAS and SDS scores of the two groups of pregnant women decreased,and the experimental group decreased significantly,with statistical difference(P<0.05);The incidence of complications in the experimental group was lower than that in the control group,and the satisfaction of pregnant women and their families was higher than that in the reference group,and the differences were statistically significant(P<0.05).Conclusion KTH integrated intervention mode can effectively guide the determination of spontaneous delivery of first-time pregnant women,i

关 键 词：KTH整合式干预模式 初孕分娩产妇 产程进展 母婴结局 

分 类 号：R717[医药卫生—妇产科学]