系统护理干预在初产妇自然分娩中的应用

Systematic nursing intervention in the application of primipara’ s natural childbirth

目的：探讨系统护理干预对初产妇自然分娩的应用效果。方法选择孕期定期产检、准备自然分娩的初产妇360例，按照自愿的原则分为干预组和对照组，每组180例。干预组实施以分娩球、全程陪产、拉玛泽呼吸法、系统健康教育为主要内容的系统护理干预；对照组接受常规的自然分娩护理。比较两组产妇分娩情况及满意度。结果干预组产妇自然分娩155例，产后下床时间≤48 h 130例，均高于对照组130例，89例，差异有统计学意义（χ2值分别为26．2，17．89；P＜0．05）；干预组产妇产程时间（7．6±0．5）h，产后出血（160．0±30．0）ml，对照组分别为（9．8±0．7）h和（230．0±70．0）ml，两组比较差异有统计学意义（t值分别为3．14，5．60；P＜0．05）。结论实施系统护理干预能提高自然分娩率，缩短产程，减少产后出血，促进产后恢复。

Objective To investigate the effects of the systematic nursing intervention in the application of primipara’ s natural childbirth.Methods A randomized controlled trial study design was conducted .360 primipara received periodic check-ups during pregnancy and prepared natural childbirth were selected as the study subjects, and divided into the control group and the intervention group , with 180 cases each.The intervention group received the labor ball in childbirth , full paternity , Lamaze breathing method and systematic health education .The control group received conventional natural childbirth care .The maternal mental state , pain severity , mode of delivery , duration of labor , postpartum hemorrhage , neonatal Apgar score , satisfaction and postpartum recovery indicators were compared between groups .Results In the intervention group , 155 primipara had natural delivery , within which 130 primipara could get out of the bed after 48 hours, which were significantly higher than those in the control group （130,89） （χ2 =26.2,17.89, respectively;P〈0.05）.The labor period, the volume of postpartum bleeding were （7.6 ±0.5） hours and （160.0 ±30.0） ml in the intervention group, and （9.8 ±0.7） hours and （230.0 ±70.0） ml in the control.There were significant differences between groups （t=3.14,5.60, respectively;P〈0.05）.Conclusions The implementation of the systematic nursing intervention can reduce pain and improve the natural birth rate , shorten labor , reduce postpartum complications , reduce neonatal morbidity and promote post-natal recovery .