麻醉医生和麻醉护士一体化管理模式用于硬膜外无痛分娩护理中的效果  

Effect of Integrated Management Model of Anesthesiologist and Nurse Anesthetist in Epidural Painless Delivery Care

作　　者：夏文祯 刘晓芳[2] 冯宇峰[1] 贾俊香 陈瑶[2] 王永洪 王诗庆 陈鑫艺 XIA Wenzhen;LIU Xiaofang;FENG Yufeng;JIA Junxiang;CHEN Yao;WANG Yonghong;WANG Shiqing;CHEN Xinyi(Department of Anesthesia Surgery,the First Affiliated Hospital of Xiamen University,Xiamen Fujian 361003,China;Department of Anesthesiology,Maternal and Children Hospital of Xiamen University,School of Medicine,Xiamen University,Xiamen Fujian 361003,China)

机构地区：[1]厦门大学附属第一医院麻醉手术科,福建厦门361003 [2]厦门大学附属妇女儿童医院/厦门市妇幼保健院麻醉科,福建厦门361003

出　　处：《中国卫生标准管理》2024年第2期186-189,共4页China Health Standard Management

摘　　要：目的探讨麻醉医生和麻醉护士一体化管理模式在硬膜外无痛分娩护理中的应用效果。方法选择2022年10月—2023年5月入住厦门大学附属第一医院和厦门大学附属妇女儿童医院的80例产妇,根据随机数字表法分为2组,各40例。对照组硬膜外阻滞无痛分娩护理中采取常规的麻醉、护理方法,观察组在对照组的基础上实施麻醉医生和麻醉护士一体化管理模式。对比分析2组孕产妇第一、第二和第三产程时间,诊治满意度和新生儿Apgar评分。结果观察组第一产程时间为(522.46±2.71)min,短于对照组的(543.15±2.82)min(P<0.05);观察组诊治总满意度为95.00%,高于对照组的55.00%,差异有统计学意义(P<0.05);2组新生儿Apgar评分比较,差异无统计学意义(P>0.05)。结论麻醉医生和麻醉护士一体化管理模式用于硬膜外无痛分娩安全有效,缩短产妇的产程,提升产妇满意度。Objective To investigate the application effects of integrated management mode of anesthesiologist and nurse anesthetist in epidural painless delivery care.Methods A total of 80 pregnant women admitted to the First Affiliated Hospital of Xiamen University and Maternal and Children Hospital of Xiamen University,School of Medicine,Xiamen University from October 2022 to May 2023 were selected and divided into 2 groups with 40 cases each according to random number table method.In the control group,the conventional anesthesia and nursing methods were adopted in epidural block painless delivery care,and the observation group implemented the integrated management mode of anesthesiologist and nurse anesthetist on the basis of the control group.The first,second and third stages of delivery,treatment satisfaction and neonatal Apgar score were compared and analyzed of two groups.Results The first stage of labor in the observation group was(522.46±2.71)min,which was shorter than that in the control group(543.15±2.82)min(P<0.05).The total satisfaction of diagnosis and treatment in the observation group was 95.00%,higher than that in the control group(55.00%),the difference was statistically significant(P<0.05).There was no statistical significance in neonatal Apgar scores of two groups(P>0.05).Conclusion The integration management mode of anesthesiologist and nurse anesthetist are safe and effective for epidural painless delivery care,shorten the labor process and improve the satisfaction of pregnant women.

关 键 词：麻醉 护理 一体化 孕产妇 硬膜外阻滞 无痛分娩 

分 类 号：R473[医药卫生—护理学]