多维度干预对初产妇分娩及剖宫产率的改善效果研究

Effects of multi-dimensional nursing intervention on delivery quality and rate of cesarean section of primipara

目的研究多维度干预对初产妇分娩质量和剖宫产率的影响。方法选取川北医学院附属医院2012年10月～2013年6月收治的200例初产妇作为研究对象，随机分为对照组和干预组，对照组使用常规产科护理，干预组除常规产科护理外给予多维度干预。分别记录两组初产妇的分娩方式、分娩时间，分娩后使用健康状况调查问卷（SF-36）进行生命质量评估。结果两组生命质量比较，干预组躯体功能[（46．23±26．36）分比（41．53±23．07）分]、躯体健康所致角色限制[（58．14±25．36）分比（53．73±24．47）分]、躯体疼痛[（88．23±15．35）分比（84．23±25．14）分]、总体健康感[（48．23±25．16）分比（34．23±27．37）分]、生命力[（66．23±27．26）分比（46．23±21．07）]、社交能力[（79．23±25．46）分比（66．23±27．27）分]、情感问题所致角色限制[（76．23±29．36）分比（74．29±31．37）分]、心理健康[（78．29±27．36）分比（63．28±24．37）分1得分均明显高于对照组，差异有统计学意义（均P〈0．05）。干预组剖宫产率显著低于对照组（27．0％比46．0％，P〈0．05）；干预组分娩时间短于对照组[（9．26±2．45）h比（15．54±3．24）h]，差异有统计学意义（P〈0．05）。结论多维度干预对于降低剖宫产率效果显著，能够减少分娩时间并且改善产妇的分娩质量。

Objective To investigate the influence of multi-dimensional nursing intervention on the delivery quality and cesarean section rate of primipara. Methods 200 cases of primipara were selected as the research objects from Oc- tober 2012 to June 2013 in Affiliated Hospital of North Sichuan Medical College, which were divided into two groups by random sampling method. The control group was given prenatal routine nursing, and the intervention group received prenatal routine nursing and multi-dimensional nursing intervention. Maternal vaginal delivery rate, total labor time and quality of life evaluated by SF-36 were compared between the two groups. Results The life quality scores in the two groups were compared, the scores of physical functioning [（46.23±26.36） points vs （41.53±23.07） points], role limi- tations due to physical health [（58.14±25.36） points vs （53.73±24.47） points], body pain [（88.23±15.35） points vs （84.23±25.14） points], general health perceptions [（48.23-±25.16） points vs （34.23±27.37） points], vitality [（66.23±_27.26） points vs （46.23±21.07） points], social functioning [（79.23±25.46） points vs （66.23±27.27） points], role limitations due to emotional problems [（76.23±29.36） points vs （74.29±31.37） points], mental health [（78.29±27.36） points vs （63.28± 24.37） points] in the intervention group were significantly higher than that in the control group （P 〈 0.05）. The rate of cesarean section in the intervention group was significantly lower than that in the control group （27.0%vs 46.0%, P 〈 0.05）. The total labor time in the intervention group was significantly shorter than the control group [（9.26±2.45） h vs （15.54± 3.24） h, P 〈 0.05]. Conclusion The multi-dimensional nursing intervention has an obvious effect on reducing cesarean section rate and total labor time, leading to improving the maternal quality of delivery.