孕晚期干预支持对孕妇产时认知行为及分娩结局的影响

The effect of intervention and supporting in the third trimester of pregnancy on maternal cognitive behavior and delivery outcome

目的分析孕晚期干预支持对孕妇产时认知行为及分娩结局的影响。方法选取在我院就诊的180例孕产妇,采用随机数字表法将其分为观察组与对照组,每组90例。对照组孕妇给予常规产前检查和护理,观察组孕妇在常规产前检查和护理的基础上增加干预支持,然后对两组孕妇的分娩态度、知识掌握情况和行为进行评分,比较两组分娩结局及孕晚期干预支持的满意度。结果观察组孕妇的分娩态度得分为(35.17±4.29)分,知识掌握得分为(16.87±2.34)分,产时应对行为得分为(24.61±3.49)分,分别高于对照组的(29.25±4.05)分、(10.28±2.15)分、(17.52±3.13)分,差异具有统计学意义(P<0.05);观察组孕妇的顺产率(84.4%)高于对照组(71.1%),产后2 h出血量少于对照组,总满意度(94.4%)高于对照组(83.3%),差异均具有统计学意义(P<0.05)。结论孕晚期干预支持可以提高孕妇认知行为得分,提高孕妇自然分娩率和满意度,减少产后出血量,推荐在临床上应用。

Objective To analyze the effect of intervention and supporting in the third trimester of pregnancy on maternal cognitive behavior and delivery outcome. Methods One hundred and eighty cases of pregnant women admitted in our hospital were divided into observation group and control group according to random number table method, with 90 cases in each group. The control group was given routine prenatal examination and care, while the observation group received routine prenatal examination and care combined with intervention support, the labor attitude, knowledge and behavior scores, the outcome of delivery and the degree of satisfaction with the intervention were compared between the two groups. Results The pregnant women＇s delivery attitude score was（35.17±4.29）, knowledge score was（16.87±2.34） and the yield of coping behavior scores was（24.61 ±3.49） in the observation group, which were higher than（29.25 ±4.05）,（10.28 ±2.15）,（17.52±3.13） in the control group（P〈0.05）; the virginal delivery rate（84.4%） in the observation group was higher than that in the control group（71.1%）, postpartum hemorrhage after 2 hours was lower than that in the control group, the total satisfaction rate（94.4%） was higher than that in the control group（83.3%）（P〈0.05）. Conclusion Intervention and supporting in the third trimester of pregnancy can improve the cognitive behavior, and improve the natural delivery rate and satisfaction of pregnant women, reduce the amount of postpartum hemorrhage, which coule be recommended in the clinical nursing.