激励式护理联合产前分娩预演对无痛分娩产妇产程时间、母婴不良结局的影响  

The Impact of Incentive Based Nursing Combined with Prenatal Delivery Rehearsal on the Duration of Labor and Adverse Outcomes of Mother and Baby in Painless Delivery Women

作　　者：王钦 汤洁 WANG Qin;TANG Jie(Department of Gynecology and Obstetrics,Nanping City Jianyang First Hospital,Nanping 354200,China;Department of Gynecology and Obstetrics,The First Affiliated Medical School of Xiamen University,Xiamen 361000,China)

机构地区：[1]南平市建阳第一医院妇产科,南平354200 [2]厦门大学附属第一医院妇产科,厦门361000

出　　处：《中国医药指南》2024年第34期165-167,共3页Guide of China Medicine

摘　　要：目的对无痛分娩产妇实施激励式护理、产前分娩预演联合干预方案,探索分析联合干预对产程时间、母婴不良结局的影响。方法选取南平市建阳第一医院2022年6月至2024年6月开展的无痛分娩产妇239例,以随机数表法分为对照组(n=120)、观察组(n=119)。其中对照组单纯采取常规护理干预,在此基础上观察组采取激励式护理、产前分娩预演联合干预,探索分析不同干预模式的临床应用效果,即不同产程时间、心理状态、自我管控能力、不良妊娠结局发生率以及剖宫产率。结果观察组干预后第一、二、三产程时间及总产程时间均短于对照组(均P<0.05);观察组焦虑自评量表评分(SAS)、抑郁自评量表评分(SDS)、母婴不良妊娠结局发生率、剖宫产率均低于对照组(均P<0.05);干预后观察组胎心监护、自我防护、遵医行为、日常生活行为与自我管控能力总评分均高于对照组(P<0.05)。结论激励式护理、产前分娩预演联合干预可有效缩短无痛分娩产妇产程时间,改善其心态的同时,加强自我管控能力,有效降低剖宫产率,有利于降低母婴不良结局的发生概率。Objective To implement a combined intervention program of incentive based nursing and prenatal delivery rehearsal for painless delivery mothers,and explore and analyze the clinical impact of the combined intervention on delivery time and adverse outcomes of mother and baby.Methods A total of 239 women with painless delivery in Jianyang First Hospital of Nanping City from June 2022 to June 2024 were selected and divided into control group(n=120)and observation group(n=119)by random number table method.Among them,the control group only adopted routine nursing intervention,and on this basis,the observation group adopted combined intervention with incentive nursing and prenatal delivery rehearsal,to explore and analyze the clinical application effects of different intervention modes,namely,different labor duration,psychological state,self-control ability,incidence of adverse pregnancy outcomes and cesarean section rate.Results The time of the first,second and third stages of labor and the total time of labor in the observation group were shorter than those in the control group(all P<0.05).The self-rating Anxiety Scale(SAS),self-rating Depression Scale(SDS),incidence of adverse pregnancy outcomes and cesarean section in observation group were all lower than those in control group(all P<0.05).After intervention,the total scores of fetal heart monitoring,self-protection,compliance behavior,daily life behavior and self-control ability in the observation group were higher than those in the control group(P<0.05).Conclusions The combined intervention of incentive nursing and prenatal delivery rehearsal can effectively shorten the labor time of parturients in painless delivery,improve their mentality,strengthen their self-control ability,effectively reduce the rate of cesarean section,and help reduce the probability of adverse outcomes of mothers and infants.

关 键 词：无痛分娩 激励式护理 产前分娩预演 产程时间 母婴不良结局 

分 类 号：R473.71[医药卫生—护理学]