一对一助产陪护模式对初产妇心理状态、满意度及分娩结局的影响

Influence of One-to-one Midwifery Care on Mental Status,Satisfaction and Birth Outcomes in Primipara Women

目的探讨一对一助产陪护模式对初产妇心理状态、对护理工作满意度及分娩结局的影响。方法将480例正常分娩的初产妇按随机数字表法分为观察组和对照组,每组240例。对照组在传统助产模式下,按照常规护理方式进行分娩;观察组采取一对一全程助产陪护模式进行分娩。对2组产妇的心理状态(焦虑、恐惧),产后出血、对护理工作满意度及新生儿Apgar评分进行比较。结果观察组产妇的焦虑、恐惧情绪,产后出血、产程异常及新生儿窒息发生率均显著少于对照组,对护理工作的满意度明显高于对照组(均P<0.05)。结论在产科护理中实施一对一全程助产陪护,可明显缓解产妇的恐惧、焦虑情绪,减少产后出血和新生儿窒息的发生,有利于母婴健康以及整体护理质量的提高。

Objective To investigate the influence of one-to-one midwifery care on the mental status, satisfaction and birth outcomes in primipara women. Methods A total of 480 primipara women were randomly divided into two groups, with 240 women in each group. Primiparas in control group were nursed under traditional midwifery mode. Primiparas in observation group were nursed under one- to-one midwifery care mode. Maternal mental state （anxiety and fear）, postpartum hemorrhage, nursing satisfaction and neonatal Apgar scores were compared between the two groups. Results Compared with control group, the feelings of anxiety and fear and the incidences of postpartum hemorrhage, labor abnormalities and neonatal asphyxia obviously decreased and nursing satisfaction significantly increased in observation group （P〈0.05）.Conclusion The implementation of the one-to-one midwifery care can significantly relieve the hemorrhage and neonatal improvement of maternal feelings asphyxia. and child of anxiety and fear and reduce the incidences of postpartum Therefore, the one-to-one midwifery care mode is beneficial to the health and overall quality of care.