循证护理模式在产科分娩中的应用效果

Effect of evidence-based nursing on obstetrics childbirth

目的：比较循证护理与单纯全程陪产护理模式在产科分娩中的应用效果。方法选取我院产科2011年5月至2013年6月收治的428例产妇为研究对象。其中，2011年5月至2012年3月228例产妇为对照组，采取了单纯全程陪产护理模式；2012年4月至2013年6月200例产妇为观察组，采取了循证护理模式。比较两组产妇的产程时间和分娩结局。结果护理后，观察组产妇的第一产程、第二产程、第三产程均明显低于对照组，差异有统计学意义（ P＜0.05）；观察组自然分娩产妇产后24 h出血量＞500 ml发生率明显低于对照组，差异有统计学意义（ P＜0.05）；而观察组剖宫产产妇产后24 h出血量＞500 ml发生率为7.50％，与对照组自然分娩产妇发生率9.86％基本相当，差异无统计学意义（ P＞0.05）。结论与单纯全程陪产护理模式相比，循证护理模式在产科分娩中具有更为重要的地位，其可有效缩短产妇分娩的产程，增加阴道分娩率而降低剖宫产率，并减少产妇分娩过程阴道出血量，值得临床应用。

Objective To compare the effects of evidence based nursing and simple accompanying nursing mode in obstetrics childbirth.Methods A total of 428 cases of pregnant women were taken as the research objects , of which , from 2011 May to 2012 March a-dopted a simple accompanying nursing mode on 228 cases （control group）, from 2012 April to 2013 June, 200 cases of maternal adopt evi-dence-based nursing （observation group）, maternal labor time and delivery address were compared between two groups .Results after nursing, the observation group the first stage of labor , the second stage of labor and the third stage of labor respectively were significantly lower than those of the control group （ P＆lt;0.05 ） .In the observation group the natural childbirth parturient 24 hours postpartum bleeding a-mount was 3.33%, significantly lower than that of the control group （ P〈0.05 ） , and in the observation group cesarean section postpartum hemorrhage 24 hours the incidence of more than 500 ml was 7.50%, and the incidence of it in the control group was 9.86%（ P〉0.05 ） .Conclusions Compared with simple accompanying nursing measures , evidence-based nursing has the more important status in the obstet-ric delivery, which can effectively shorten the delivery process , increase the rate of vaginal delivery and reduce the rate of cesarean section and it is worthy of clinical application.