支持性护理在产妇分娩中的应用效果及对疼痛程度的影响  

Application effect of supportive nursing in puerpera delivery and its influence on pain degree

作　　者：刘媛媛 闫瑞 LIU Yuanyuan;YAN Rui(South Hospital of People's Hospital of Tongchuan,Tongchuan 727100,China)

机构地区：[1]铜川市人民医院南院,陕西铜川727100

出　　处：《临床医学研究与实践》2024年第23期171-174,共4页Clinical Research and Practice

摘　　要：目的探讨支持性护理在产妇分娩中的应用效果及对疼痛程度的影响。方法选取于本院产科分娩的100例产妇为研究对象,按随机数字表法将其分为对照组(50例,常规护理)和观察组(50例,支持性护理)。比较两组的护理效果。结果观察组的第一、二、三产程耗时短于对照组,产后2 h出血量少于对照组,新生儿并发症总发生率低于对照组(P<0.05)。护理后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)及视觉模拟疼痛量表(VAS)评分低于对照组(P<0.05)。护理后,观察组的Kolcaba舒适状况量表(GCQ)各维度评分高于对照组(P<0.05)。护理后,观察组的屈服、回避评分低于对照组,面对评分高于对照组(P<0.05)。结论支持性护理可明显缓解产妇负性情绪与疼痛程度,增强舒适度,改善应对方式,缩短产程时间,改善分娩结局。Objective To explore the application effect of supportive nursing in puerpera delivery and its influence on pain degree.Methods A total of 100 puerperae delivery in the obstetrics department of our hospital were selected as the research objects,and the puerperae were divided into control group(50 cases,routine nursing)and observation group(50 cases,supportive nursing)according to the random number table method.The nursing effects of the two groups were compared.Results The first,second and third stages of labor in the observation group were shorter than those in the control group,the amount of bleeding at 2 h after delivery was less than that in the control group,and the total incidence of neonatal complications was lower than that in the control group(P<0.05).After nursing,the scores of Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Visual Analogue Scale(VAS)in the observation group were lower than those in the control group(P<0.05).After nursing,the scores of each dimension of Kolcaba General Comfort Questionnaire(GCQ)in the observation group were higher than those in the control group(P<0.05).After nursing,the yield and avoidance scores of the observation group were lower than those of the control group,and the face score was higher than that of the control group(P<0.05).Conclusion Supportive nursing can significantly alleviate the negative emotions and pain of puerpera,elevate comfort,improve coping style,shorten the duration of labor,and improve the outcome of delivery.

关 键 词：支持性护理 产妇 分娩 疼痛度 舒适度 

分 类 号：R473.71[医药卫生—护理学]