以家庭为中心的产科监护结合待产-分娩-产后护理一体化的产房护理模式对初产妇妊娠结局的影响  

Effects of FCMC+LDR delivery-room nursing on pregnancy outcomes of primiparas

作　　者：董利敏[1] 贾美云[2] 白文静[2] 李智伟 侯思聪 DONG Limin;JIA Meiyun;BAI Wenjing;LI Zhiwei;HOU Sicong(Family-oriented Delivery Room,Zhengzhou People′s Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州人民医院家庭化产房,郑州450000 [2]郑州人民医院产科,郑州450000

出　　处：《中国临床护理》2024年第2期92-95,共4页Chinese Clinical Nursing

摘　　要：目的探讨以家庭为中心的产科监护(family-centered maternity care,FCMC)结合待产-分娩-产后护理(labor-delivery-recovery,LDR)一体化的产房护理模式对初产妇妊娠结局的影响。方法选取2021年10月-2022年3月在郑州人民医院东部院区家庭化产房住院分娩的248例初产妇为观察组,给予FCMC+LDR产房护理模式。选取同期在产科普通病房住院分娩的300例初产妇为对照组,行传统护理。比较2组分娩方式、新生儿结局、纯母乳喂养情况、母亲角色适应能力及住院分娩总费用。结果观察组自然分娩率、母亲角色适应能力评分、分娩30 d纯母乳喂养率、住院分娩总费用均高于对照组(χ^(2)=10.861,P=0.001;t=-8.173,P<0.001;χ^(2)=5.156,P=0.023;t=-26.720,P<0.001);2组宫内窘迫发生率、新生儿1 min和5 min Apgar评分比较,差异均无统计学意义(P>0.05)。结论FCMC+LDR产房护理模式能够提高初产妇的自然分娩率和纯母乳喂养率,促进初产妇对母亲角色的适应,但其住院分娩费用较高。Objective To observe the effect of family-centered maternity care(FCMC)and labor-delivery-recovery(LDR)delivery-room nursing on pregnancy outcomes of primiparas.Methods Between October 2021 and March 2022,248 pregnant women delivering in the family-oriented delivery room of the eastern ward of Zhengzhou people′s hospital were selected as the observation group and given FCMC+LDR nursing,while another 300 counterpart pregnant women who delivered in the general ward during the same period were selected into the control group and received routine nursing.The mode of delivery,neonate outcomes,breastfeeding,maternal role adaptation and hospital delivery expenditure were compared between the two groups.Results The natural delivery rate,the score of maternal role adaptation,the exclusive breast feeding rate within 30 days of delivery and the hospital delivery expenditure of the observation group were significantly higher than that of the control group(χ^(2)=10.861,P=0.001;t=-8.173,P<0.001;χ^(2)=5.156,P=0.023;t=-26.720,P<0.001).However,there was no significant difference between the two groups in the incidence of intrauterine distress and Apgar scores at the 1st and 5th minutes(P>0.05).Conclusion The FCMC+LDR delivery-room nursing can improve the natural delivery and breastfeeding rates of primiparas,better their adaptation to the maternal role,but results in higher hospital delivery expenditure.

关 键 词：FCMC LDR 产妇 自然分娩 纯母乳喂养 

分 类 号：R473.71[医药卫生—护理学]