产时体位护理与一对一责任制助产的联合应用对剖宫产率的影响分析  

Analysis of the influence of the combined application of body position nursing during labor and one-on-one responsibility midwifery on the cesarean section rate

作　　者：张海晶[1] ZHANG Haijing(Familiarization Delivery Room,Taian Maternity and Child Health Hospital,Shandong,Taian 271000,China)

机构地区：[1]山东省泰安市妇幼保健院家庭化产房,山东泰安271000

出　　处：《中国医药科学》2024年第23期151-154,共4页China Medicine And Pharmacy

摘　　要：目的探讨分娩产妇接受产时体位护理+一对一责任制助产干预后对其剖宫产率的影响。方法选取2020年3月至2022年4月泰安市妇幼保健院收治的68例分娩产妇作为研究对象,以投掷硬币法作为护理研究分组依据,展开所有分娩产妇不同组别划分。其中的设为参照组(n=34)施以常规护理模式+自由体位干预,研究组(n=34)施以产时体位护理+一对一责任制助产干预。比较两组分娩产妇分娩方式(经阴助产、经阴顺产以及剖宫产)、平均出血量、产程用时(第一产程、第二产程以及第三产程)、护理总满意度、分娩结局(新生儿窒息发生率、胎儿窘迫发生率、阴道壁血肿发生率、产妇宫颈撕裂发生率)以及护理质量评分(护理态度评分、护理技术评分、护患沟通评分、护患配合评分)。结果两组分娩产妇经阴助产率比较,差异无统计学意义(P>0.05);研究组分娩产妇经阴顺产率高于参照组,剖宫产率低于参照组,差异有统计学意义(P<0.05);研究组分娩产妇平均出血量少于参照组,差异有统计学意义(P<0.05);研究组分娩产妇第一产程、第二产程以及第三产程均短于参照组,差异有统计学意义(P<0.05);研究组分娩产妇护理总满意度高于参照组,差异有统计学意义(P<0.05);两组分娩产妇宫颈撕裂发生率比较,差异无统计学意义(P>0.05);研究组新生儿窒息、胎儿窘迫、阴道壁血肿发生率均低于参照组,差异有统计学意义(P<0.05);研究组分娩产妇护理态度、护理技术、护患沟通、护患配合评分高于参照组,差异有统计学意义(P<0.05)。结论临床对分娩产妇进行护理干预期间,产时体位护理与一对一责任制助产的联合应用,可显著提高产妇的经阴顺产率,有效缩短产程用时,显著提升护理质量,从而有效提高分娩产妇护理满意度。Objective To explore the influence of the parturients’body position nursing+one-on-one responsibility midwifery intervention on the cesarean section rate.Methods A total of 68 parturients in Taian Maternity and Child Health Hospital from March 2020 to April 2022 were selected as the research objects.The method of tossing a coin was used as the basis for nursing research grouping,and all the parturients were divided into different groups.Among them,the control group(n=34)was administered routine nursing mode and free position intervention.The study group(n=34)was administered body position nursing during labor and one-on-one responsibility midwifery intervention.The delivery mode(vaginal midwifery,vaginal delivery and caesarean section),average amount of bleeding,duration of labor(the first,second and third stages of labor),total satisfaction of postpartum nursing,and delivery outcome(incidences of neonatal asphyxia,fetal distress,vaginal wall hematoma and cervical laceration),as well as nursing quality score(nursing attitude score,nursing technique score,nurse-patient communication score and nurse-patient cooperation score)were compared between the two groups.Results The rate of vaginal midwifery between the two groups of parturients was compared,without statistically significant difference(P>0.05).The rate of vaginal delivery in the study group was higher than that in the control group,and the cesarean section rate was lower than that in the control group,with statistically significant differences(P<0.05).The average bleeding volume of parturients in the study group was less than that in the control group,with statistically significant difference(P<0.05).The first,second,and third stages of labor in the study group were shorter than those in the control group,with statistically significant differences(P<0.05).The overall satisfaction of postpartum nursing in the study group was higher than that in the control group,with statistically significant difference(P<0.05).The incidence of cervical laceration between t

关 键 词：产时体位护理 一对一责任制助产 剖宫产率 应用效果 

分 类 号：R473.71[医药卫生—护理学]