综合护理干预对初产妇产程及分娩质量的影响观察

Influence of comprehensive nursing intervention on the process and the quality of labor for primipara

目的探讨综合护理干预对初产妇产程及分娩质量的影响。方法以82例初产妇为研究对象,分为干预组和对照组各41例,分别给予常规护理及综合护理干预,观察不同护理措施对分娩的影响。结果干预组产妇从潜伏期到活跃期SAS评分没有上升,对照组上升明显,2组差异有统计学意义(P<0.05)。干预组各个产程的平均持续时间均短于对照组(P<0.01)。干预组新生儿Apgar评分(9.3±0.6)分高于对照组的(9.0±0.7)分(P<0.01),手术助产产妇比例(4.9%,2/41)低于对照组(17.1%,7/41)。结论对初产妇实施心理干预配合产程中的干预,能有效改善产妇的分娩状态,减少手术助产率,提高分娩质量。

Objective To explore the effect of comprehensive nursing intervention on the process and the quality of labor for primipara. Methods 82 cases of primipara as research object were divided into intervention group and control group with 41 cases respectively, given routine nursing and comprehensive nursing intervention, the effect of interventions on parturition was observed. Results The SAS score of intervention group did not rise from incubation period to the active period, but it increased significantly in control group, the difference between two groups was significant （P〈0.05）. The average duration of each production process of the intervention group was shorter than control group （P〈0.01 ）. The Apgar score of neonatal in intervention group （9.3 ± 0.6） was higher than that of the control group （9.0 ± 0.7） （P〈0.01）, and surgical delivery maternal proportion （4.9%, 2/41 ） was shorter than the control group （17.1%, 7/41 ）. Conclusion By undergoing psychological and intrapartum intervention on primiparas,it can effectively improve maternal childbirth state, reduce operative delivery rate, and improve the quality of delivery.