顺产产程中运用不同护理模式对产程的影响及效果分析

Analysis of Effect of Different Nursing Models in the Easy Labor Course on the Labor Course

目的分析顺产产程中运用不同护理模式对产程的影响及效果,提出改进对策。方法采用前瞻性研究对象,从2015年2月筛选产妇,以医院自然分娩的产妇作为研究对象,截止2016年10月,共完成研究514例,采用随机数字表达法分组,奇数(n=257)纳入对照组,偶数(n=257)纳入观察组,对照组路径处理,观察组安排优质护理服务,观察分娩护理质量指标。结果观察组阴道分娩成功214例,对照组170例;观察组阴道分娩成功者活跃期、第一产程、第二产程分别为(18.56±4.63)、(20.41±3.88)、(0.74±0.36)h低于对照组(22.02±4.35)、(23.62±5.31)h、(0.92±0.45)h,观察组羊水污染、剖宫产、产后并发症发生率分别为18.3%、16.7%、6.2%低于对照组28.8%、33.9、13.2%,观察组优质分娩率71.4%高于对照组58.4%,差异有统计学意义(P<0.05)。结论在顺产中采用优质护理,制定个体化的护理干预措施,可改善分娩结局,降低中转剖宫产风险。

Objective To analyze the effect of different nursing models in the easy labor course on the labor course and put forwards the improvement measures. Methods 514 cases of delivery women were screened out from February 2015 to October 2016 and randomly divided into two groups with 257 cases in each, the control group adopted the path processing, while the observation group adopted the excellent nursing service, and the delivery nursing quality indicators were observed. Results There were 214 cases with vaginal delivery success in the observation group and 170 cases in the control group, and the active stage, first stage of labor and second stage of labor in the observation group were lower than those in the control group[（18.56±4.63）,（20.41±3.88）,（0.74±0.36）h vs （22.02±4.35）,（23.62±5.31）,（0.92±0.45）h], and the amniotic fluid pollution, cesarean delivery and incidence rate of complications after delivery in the observation group were lower than those in the control group（18.3%,16.7%,6.2% vs 28.8%,33.9%,13.2%）, and the excellent delivery rate in the observation group was higher than that in the control group, （71.4% vs 58.4%）, and the difference had statistical significance（P〈0.05）. Conclusion Adopting the excellent nursing and making the individual nursing intervention measures in the course of labor can improve the delivery outcome and reduce the risk of transferring to cesarean delivery.