基于IKAP模式的护理对初产妇心理状态及分娩结局的影响  

Impact of IKAP Model-based Care on Psychological Status and Labor Outcomes of Primiparous Women

作　　者：李文勤 韩晓霞[2] 赵文君[1] 张秋君[2] LI Wen-qin;HAN Xiao-xia;ZHAO Wen-jun;ZHANG Qiu-jun(Obstetrics Department of Zhengzhou University Fifth Affiliated Hospital,Zhengzhou 450052,Henan Province,China;Nursing Department of Zhengzhou University Fifth Affiliated Hospital,Zhengzhou 450052,Henan Province,China)

机构地区：[1]郑州大学第五附属医院产科,河南郑州450052 [2]郑州大学第五附属医院护理部,河南郑州450052

出　　处：《罕少疾病杂志》2024年第5期122-124,共3页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关计划项目(2018020231)。

摘　　要：目的观察基于IKAP模式的护理对初产妇心理状态及分娩结局的影响。方法选取2020年6月~2023年6月于本院进行定期产检并分娩的初产妇120例,按护理方案进行分组,对照组64例初产妇采用常规护理方案,观察组56例初产妇采用基于IKAP模式的护理方案。比较两组的各产程时间、心理状态、母亲角色适应能力评分以及分娩结局。结果干预前两组各指标差异均无显著性(P>0.05)。干预后,与对照组相比,观察组第一产程、第二产程、总产程时间、SAS、SDS评分、剖宫产率、产后出血、宫缩乏力发生率均显著降低(P<0.05);母亲角色适应能力评分、自然分娩率均显著升高(P<0.05)。结论基于IKAP模式的护理可显著缩短初产妇各产程时间,有效改善初产妇的心理状态和分娩结局,同时利于初产妇母亲角色的转变,值得临床推广应用。Objective To observe the effect of nursing care based on IKAP model on the psychological state of primigravid women and delivery outcomes.Methods 120 cases of primigravid women who underwent regular obstetric examination and delivered in our hospital from June 2020 to June 2023 were selected and grouped according to the nursing program;64 primigravid women in the control group adopted the conventional nursing program,and 56 primigravid women in the observation group adopted the nursing program based on the IKAP model.The time of each labor process,psychological status,scores of mother's role adaptability,and delivery outcomes were compared between the two groups.Results The differences between the two groups in each index before intervention were not significant(P>0.05).After the intervention,compared with the control group In the observation group,the first stage of labor,the second stage of labor,the total duration of labor,SAS,SDS scores,cesarean section rate,postpartum hemorrhage,and the incidence of contraction weakness were all significantly lower(P<0.05);the score of the mother's role adaptability,and the rate of natural delivery were all significantly higher(P<0.05).Conclusion Nursing care based on the IKAP model can significantly shorten the duration of each stage of labor for primigravid women,effectively improve the psychological state of primigravid women and the outcome of labor,and at the same time facilitate the change of the role of motherhood for primigravid women,which is worthy of clinical promotion and application.

关 键 词：IKAP 护理 初产妇 心理状态 分娩结局 

分 类 号：R473.71[医药卫生—护理学]