“一对一”全程陪伴责任制助产模式的实施效果

The effect of implementing the obstetrical mode of "one-on-one" whole process-accompany responsibility system

目的探讨"一对一"全程陪伴责任制助产模式在分娩过程中的实施效果。方法将2014年1月~2016年1月于我院进行分娩的无妊娠合并症的足月产妇纳入本研究,根据干预方法不同随机分为观察组和对照组,每组各50例。对照组采用常规产程观察和处理,观察组应用"一对一"全程陪伴责任制助产模式,比较两组产妇干预后的分娩方式、产程时间、分娩疼痛程度及护理满意度。结果观察组产妇的自然分娩率为80.0%,明显高于对照组的64.0%,观察组产妇的剖宫产率为18.0%,显著低于对照组的30.0%,两组组间比较差异显著(P<0.05)。观察组产妇的第一产程、第二产程显著短于对照组,组间比较差异显著(P<0.05)。观察组产妇的轻度疼痛率明显高于对照组,剧烈疼痛率明显低于对照组,组间比较差异显著(P<0.05)。观察组的护理满意度为98.0%,明显高于对照组的78.0%,组间比较差异显著(P<0.05)。结论在分娩过程中实施"一对一"全程陪伴责任制助产模式,有利于提高自然分娩率、缩短产程、减轻疼痛及提高护理满意度。

Objective To explore the effect of implementing the obstetrical mode of ＂one-on-one＂ whole process-accompany responsibility system. Methods The full-term puerpera without pregnancy complications who underwent delivery in our hospital from January 2014 to January 2016 were included in our study. According to the intervention method, the patients were randomly divided into observation group and control group, with 50 cases in each group. The control group was given routine labor observation and treatment, and the observation group was given the obstetrical mode of ＂one-on-one＂ whole process-accompany responsibility system. The delivery mode, labor time, childbirth pain degree and nursing satisfaction were compared between the two groups of puerpera after the intervention. Results The natural delivery rate of puerpera in the observation group was 80.0%, which was significantly higher than that of 64.0% in the control group. The rate of cesarean section in the observation group was 18.0%, which was significantly lower than that of 30.0% in the control group. There was significant difference between the two groups （P〈0.05）. The first and second stages of labor in the observation group were significantly shorter than those in the control group, and there were significant differences between the two groups（P〈0.05）. The mild pain rate in the observation group was significantly higher than that in the control group. The severe pain rate in the observation group was significantly lower than that in the control group, and the differences between groups were significant （P〈0.05）. The nursing satisfaction in the observation group was 98.0%, which was significantly higher than that of 78.0% in the control group. There was significant difference between the two groups （P〈0.05）. Conclusion The implementation of the obstetrical mode of ＂one-on-one＂ whole process-accompany responsibility system during delivery process is helpful to improve the rate of natural childbirth, shorten the labor, reduce the pain and improve the nursing satisfaction.