产科新护理模式对高龄产妇负性情绪、分娩结局和护理质量的影响

Influence of the New Nursing Model on the Negative Emotion,Delivery Outcomes and Nursing Quality of the Elderly Parturient Women

目的探讨产科新护理模式对高龄产妇负性情绪、分娩结局和护理质量的影响。方法抽选2010年2月—2016年2月在我院住院分娩的高龄产妇198例,随机分为对照组(n=99例,采用传统护理方法)和观察组(n=99例,实施产科护理新模式),比较两组产妇负性情绪、分娩结局、产妇疼痛、对护理满意度的差异。结果观察组干预后焦虑(SAS)、抑郁(SDS)评分明显低于对照组(P<0.05)。观察组各产程时间、产后2 h的出血量、并发症发生率、Ⅱ-Ⅲ疼痛人数均明显低于对照组(P<0.05)。观察组新生儿Apgar评分、自然分娩率、对护理满意度明显高于对照组(P<0.05)。结论对高龄产妇实施护理新模式,可消除其焦虑、抑郁症状,并缩短产程,减少产后出血,改善高龄产妇分娩结局,提高护理质量,值得临床推广。

Objective To study the influence of the new nursing model on the negative emotion,delivery outcome and nursing quality of the elderly parturient women. Methods 198 cases of advanced maternal childbirth from February 2010 to February 2016 in our hospital were selected and randomly divided into control group （n = 99 cases） and the observa-tion group （ n = 99 ） , treated with traditional nursing and a new nursing model, respectively. The maternal negative emotions, delivery outcomes, maternal pain, the difference in nursing satisfaction of the two groups were compared. Results The scores on anxiety （ SAS） and depression （SDS） in the observation group were significantly lower than that of the control group （P 〈0. 05） . In the observation group, the time of labor, the amount of postpartum hemorrhage, the incidence of complica-tions, and the number of patients 2h after delivery were significantly lower than that of the control group （P 〈0. 05）. In the observation group, the Apgar score, the natural delivery rate and the nursing satisfaction level were significantly higher than that of the control group （ P 〈 0. 05 ） . Conclusion The implementation of a new nursing model for elderly parturient women can eliminate their anxiety and depression, shorten the labor process, reduce postpartum hemorrhage, and improve the deliv-ery outcome of elderly parturient women and the quality of care, which is worthy of clinical promotion.