同感心护理对初产妇分娩结局及卫生经济学指标的影响

Effects of empathy care on delivery outcomes and economic evaluations

目的探讨同感心护理对初产妇分娩结局及卫生经济学指标的影响。方法将2013年11月至2014年4月产科收住的300例初产妇随机分为观察组150例和对照组150例。对观察组实施同感心护理,对照组实行传统护理。比较两组的分娩结局(包括分娩方式、总产程时间、产后2 h出血量及新生儿1 min Apgar评分)和卫生经济学指标(包括住院时间、住院费、药品费、检查费和治疗费)。结果 1观察组阴道分娩率高于对照组,差异具有统计学意义(P<0.05);观察组的总产程时间短于对照组,差异具有统计学意义(P<0.05);2观察组的住院费、药品费和治疗费均低于对照组,差异具有统计学意义(P<0.05)。结论同感心护理相对传统护理在一定程度上改善初产妇的分娩结局,节约了经济成本。

Objective To explore the effects of empathy care on delivery outcomes and economic evaluations on primipara. Methods 300 primiparas were divided into two groups： observation group and control group. Subjects in the observation group received empathy care,and subjects in the control group received the routine nursing care. All subjects were evaluated by delivery outcomes（ including delivery route,total delivery time,postpartum hemorrhage and Apgar score） and economic evaluations（ including length of stay,hospitalization cost, medicine cost, examination, and treatment cost）. Results 1 The rate of natural childbearing in the observation group was higher than that in the control group（ P〈0. 05）. The total delivery time was shorter in the observation group than that in the control group（ P〈0. 05）. 2 The costs of hospitalization,medicine,and examination in the observation group were lower than that in the control group（ P〈0. 05）. Conclusions To some extent,empathy care may help improve delivery outcomes,and release the economic cost for primipara.