家庭化产房护理在初产妇自然分娩中的应用效果  

Application effects of family-centered delivery room nursing in natural delivery of primiparas

作　　者：白文静[1] BAI Wenjing(Department of Obstetrics of People’s Hospital of Zhengzhou,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州人民医院产科,河南郑州450000

出　　处：《中国民康医学》2023年第14期184-186,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨家庭化产房护理在初产妇自然分娩中的应用效果。方法:回顾性分析2019年1月至2022年4月于该院分娩的300例初产妇的临床资料。将产妇按不同护理方法分为对照组140例和观察组160例,对照组采用常规产科护理,观察组采用家庭化产房护理。比较两组产程、产后出血量、分娩疼痛[疼痛数字评分法(NRS)]、分娩前后不良心理状态[状态焦虑问卷(S-AI)、爱丁堡产后抑郁量表(EPDS)]评分,以及母婴不良结局发生率。结果:观察组第一、第二产程均短于对照组,产后出血量少于对照组,差异有统计学意义(P<0.05);观察组第一产程NRS评分及分娩后S-AI评分、EPDS评分均低于对照组,差异有统计学意义(P<0.05);观察组产后出血、乳腺炎、新生儿窒息等母婴不良结局发生率低于对照组,差异有统计学意义(P<0.05)。结论:家庭化产房护理用于初产妇自然分娩中,可缩短产程,减少产后出血量,减轻分娩疼痛及产后不良情绪,改善母婴结局,效果优于常规护理。Objective:To explore application effects of family-centered delivery room nursing in natural delivery of primiparas.Methods:The clinical data of 300 primiparas who gave birth in the hospital from January 2019 to April 2022 were retrospectively analyzed.These primiparas were divided into control group(140 cases)and observation group(160 cases)according to different nursing methods.The control group was given routine obstetric nursing,while the observation group was given the family-centered delivery room nursing.The labor,the amount of postpartum hemorrhage,the degree of labor pain[numerical rating scale(NRS)],the scores of adverse psychological states before and after delivery[state anxiety inventory(S-AI),Edinburgh postpartum depression scale(EPDS)],and the incidence of adverse maternal-infant outcomes were compared between the two groups.Results:The first and second stage of labor in the observation group were shorter than those in the control group,the amount of postpartum hemorrhage was less than that in the control group,and the differences were statistically significant(P<0.05).The NRS score of the first stage of labor as well as the S-AI score and the EPDS score after delivery in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse maternal-infant outcomes such as postpartum hemorrhage,mastitis,and neonatal asphyxia in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:Family-centered delivery room for natural delivery of the primiparas can shorten the labor time,reduce the amount of postpartum hemorrhage,relieve the labor pain and the postpartum adverse emotions,and improve the maternal-infant outcomes.Moreover,it is superior to the routine nursing.

关 键 词：家庭化产房护理 初产妇 自然分娩 不良心理 母婴结局 

分 类 号：R714[医药卫生—妇产科学]