循证护理模式在改善自然分娩产妇围生期生存质量和情绪状态中应用的效果评价

Evaluation of the effect of evidence-based nursing model in improvement of the quality of life and emotional state of parturients with natural childbirth during perinatal period

目的探讨循证护理模式对改善自然分娩产妇围生期生存质量和情绪状态的效果。方法选择2009年11月至2010年11月进行自然分娩的产妇120例，将其随机分为对照组和观察组各60例，对照组采用常规护理方法进行护理，观察组采用循证护理方法进行护理，比较2组产妇围生期生存质量评分及焦虑抑郁评分，第一产程疼痛评分。根据评分结果综合评价循证护理对改善自然分娩产妇围生期生存质量及情绪状态的效果。结果经观察，2组产妇产前、产后生存质量评分比较，观察组较对照组均具有明显优势，差异有统计学意义；2组产妇产前、产后的焦虑及抑郁评分比较，观察组均低于对照组，差异有统计学意义；第一产程疼痛评分，观察组的3级疼痛率明显低于对照组，差异有统计学意义。结论循证护理可有效应用临床已经证实有效的护理措施对产妇围生期易出现或已出现的常见问题予以预防和改善，有效提高产妇围生期的生存质量，并改善产妇围生期的情绪状态，利于母婴健康，值得临床推广应用。

Objective To investigate the clinical effect of evidence-based nursing model on im- provement of the quality of life and emotional state of parturients with natural childbirth during perinatal period. Methods 120 cases of parturients with natural childbirth from November 2009 to November 2010 in our hospital were chosen. They were randomly divided into the control group and the observation group with 60 eases in each group. The control group was taken conventional methods of nursing care, and the observation group was given evidence-based nursing. The anxiety and depression scores and quality of life score, pain score of the first labor stage of the two groups were compared. The clinical effect of evi- dence-based nursing on improvement of the quality of life and emotional state of parturients with natural childbirth was evaluated comprehensively. Results After observation, the quality of life prenatal and postnatal for the two groups were compared, the observation group had obvious advantages than the con- trol group, the difference between the two groups was significant. The anxiety and depression scores an- tepartum and postpartum for the two groups were compared, the observation group was lower than the con- trol group, and the difference between the two groups was significant. The labor pain of the first stage was compared, the rate of the third-grade pain in the observation group was significantly lower than the control group. Conclusions Evidence- based nursing has been applied effectively into the clinic. It has been proven that effective measures can prevent and improve the questions that have arisen or prone to arise for perinatal stage. It can improve the quality of life and improve the emotional state for maternal perinatal period. It is conducive to maternal and child health, and is worthy of clinical application.