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人性化模式护理在自由体位分娩中的临床效果分析

Analysis of clinical effect of humanized nursing in free position delivery

  • 摘要: 目的 探讨人性化模式护理在自由体位分娩中的临床效果。方法 收集自2016年9月-2017年12月在焦作市妇幼保健院妇产科进行自由体位分娩的113例产妇的临床资料,将采取常规护理的产妇作为对照组,将采取人性化模式护理的产妇作为观察组。比较两组产妇的产程耗时、出血量、VAS疼痛评分、新生儿感染率、呼吸窘迫率、护理满意度等情况。结果 观察组产妇第一产程耗时(t=2.625,P=0.010)、第二产程耗时(t=10.61,P<0.001)、第三产程耗时(t=14.01,P<0.001)、总产程耗时(t=3.580,P<0.001)、分娩过程出血量(t=13.17,P<0.001)均显著低于对照组,且差异有统计学意义(P<0.05)。观察组产妇VAS疼痛评分(t=8.897,P<0.001)、新生儿感染率(χ2=4.540,P=0.033)、新生儿呼吸窘迫率(χ2=5.100,P=0.024)均显著低于对照组,产妇对护理满意度(χ2=4.154,P=0.042)显著高于对照组,且差异有统计学意义(P<0.05)。结论 人性化模式护理可以优化自由体位分娩过程,改善分娩结局,提升护理满意度。

     

    Abstract: Objective To explore the clinical effect of humanized model nursing in free posture delivery.Methods The clinical data of 113 parturients who delivered with free position in our gynecology and obstetrics department from September 2016 to December 2017 were collected. The parturients who received routine nursing were taken as the control group and the parturients who received humanized nursing as the observation group. The duration of labor,amount of bleeding,VAS pain score,neonatal infection rate,respiratory distress rate and nursing satisfaction were compared between the two groups.Results The first stage of labor time(t=2.625,P=0.010),the second stage of labor time(t=10.61,P<0.001),the third stage of labor time(t=14.01,P<0.001),the total stage of labor time(t=3.580,P<0.001),the amount of bleeding during delivery(t=13.17,P<0.001) in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The VAS pain score(t=8.897,P<0.001),neonatal infection rate(χ2= 4.540,P=0.033),neonatal respiratory distress rate(χ2= 5.100,P=0.024) of the observation group were significantly lower than those of the control group,and the satisfaction degree of the puerpera to nursing(χ2= 4.154,P=0.042) was significantly higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Humanized nursing mode can optimize the process of delivery in free position,improve the outcome of delivery and enhance nursing satisfaction.

     

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