高龄初产妇围生期综合护理干预研究

Effect of integrative nursing care during perinatal period on elderly primipara

目的探讨对高龄初产妇实施全程综合护理干预的效果。方法将170例高龄初产妇随机分为对照组和观察组,每组85例。对照组初产妇给予常规护理,观察组初产妇实施全程综合护理干预,包括健康宣教、心理护理、分娩期护理干预和产后护理,比较2组产妇剖宫产率、阴道分娩总产程、妊娠并发症及产后母子情况。结果观察组妊娠高血压综合征、胎膜早破、剖宫产、早产的发生率及产后出血量与对照组相比均明显降低(P<0.05);观察组和对照组新生儿Apgar评分分别为9.2±0.5和8.7±0.3,观察组新生儿Apgar评分高于对照组(P<0.05)。结论加强对高龄初产妇全程综合护理干预,可有效控制妊娠并发症的发生,有助于提高母婴健康水平。

Objective To explore the effect of integrative nursing care during perinatal period on elderly primipara.Methods One hundred and seventy elderly primipara were divided into control group and observation group,with 85 cases in each group. The elderly primiparas in control group were given usual care,while elderly primiparas in observation group were given integrative nursing,including healthy education,mental nursing,parturition period nursing and postnatal care. The rate of uterine-incision delivery,total stage of labor of vaginal delivery,pregnancy complications,postnatal condition of puerpera and neonatus were compared between control group and observation group. Results The rates of pregnancy-induced hypertension syndrome,premature rupture of membranes,uterine-incision delivery and premature delivery,and volume of postpartum hemorrhage in observation group were lower than those in control group（ P〈0. 05）. The Apgar score in observation group and control group was 9. 2 ± 0. 5 and 8. 7 ± 0. 3 respectively,the Apgar score of neonatus in observation was higher than that in control group（ P〈0. 05）. Conclusion It can reduce the rate of pregnancy complications to improve the healthy level of puerpera and neonatus by giving integrative nursing care during perinatal period on elderly primipara.