一对一全产程陪护优质护理在产房护理应用效果及新生儿Apgar评分观察  

Observation on the Effect of One to One Pariah Nursing in Delivery Room and Apgar Score of Newborn

作　　者：张丽娜 李汶蓓 曹瑞红 ZHANG Li-na;LI Wen-bei;CAO Rui-hong(Delivery Room,Maternity Hospital of Kaifeng,Kaifeng 475000,Henan Province,China)

机构地区：[1]开封市妇产医院产房,河南开封475000

出　　处：《罕少疾病杂志》2023年第12期110-112,共3页Journal of Rare and Uncommon Diseases

基　　金：河南省卫健委科研项目(LHGJ20201672)。

摘　　要：目的探讨一对一全产程陪护优质护理在产房护理应用效果及对新生儿Apgar评分的影响。方法收集2019年2月~2022年10月在我院产科就诊的产妇62例作为研究对象,随机分组,即对照组、干预组,均31例。对照组产妇予以常规护理干预,观察组在对照组的基础上予以一对一全产程陪护优质护理干预。统计两组母婴结局、护理前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、第一、二、三产程时长、护理质量及护理满意度。结果观察组产后2h出血量、会阴侧切率、阴道助产率、SAS评分、SDS评分均低于对照组(P<0.05);观察组Apgar评分、阴道分娩率、护理质量、总满意度96.77%均高于对照组(P<0.05)。观察组第一、二、三产程时长均短于对照组(P<0.05)。结论一对一全产程陪护优质护理可以减少产后出血量,提高阴道分娩率,降低会阴侧切率、阴道助产率,缓解产妇不良情绪,缩短产程,提高护理质量及满意度。Objective To investigate the effect of one to one accompanying high quality nursing in the delivery room and the effect on Apgar score of newborn.Methods A total of 62 cases of parturients treated in the obstetrics department of our hospital from February 2019 to October 2022 were collected as research objects.Random number table method was used to divide them into control group and intervention group,with 31 cases in both.The control group was given routine nursing intervention,and the observation group was given one to one high-quality nursing intervention during the whole labor.The maternal and infant outcomes,Self-Rating Anxiety Scale(SAS)scores before and after nursing,Self-Rating Depression Scale(SDS)scores,duration of the first,second and third stages of labor,nursing quality and nursing satisfaction of the two groups were analyzed.Results 2h postpartum blood loss,lateral perineal resection rate,vaginal midwife rate,SAS score and SDS score in the observation group were lower than those in the control group(P<0.05).Apgar score,vaginal delivery rate,nursing quality and total satisfaction in observation group were higher than those in control group(P<0.05).The first,second and third stages of labor in the observation group were shorter than those in the control group(P<0.05).Conclusion One to one nursing care can reduce postpartum blood loss,improve vaginal delivery rate,reduce perineal side incision rate,vaginal midwifery rate,relieve maternal bad mood,shorten labor,improve nursing quality and satisfaction,worthy of promotion and application.

关 键 词：一对一全产程陪护优质护理 产房 新生儿Apgar评分 满意度 母婴结局 

分 类 号：R473.71[医药卫生—护理学]