助产护理干预对高龄产妇分娩方式及产程的影响

Effects of delivery nursing on the delivery mode and stages of labor of elderly parturient women

目的探究助产护理干预对高龄产妇分娩方式及产程的影响。方法选取甘肃省武威市妇幼保健计划生育服务中心于2014年12月至2016年12月收治的124例高龄产妇为本次探究的对象,将124例高龄产妇随机平均分配为两组,分别为观察组与对照组,对照组产妇采用常规护理方法,在常规护理方式基础上为观察组产妇实施助产护理干预,对比两组产妇分娩方式、产程时间以及产妇对护理工作满意程度。结果观察组有43例产妇最终为自然分娩,仅有17例产妇为剖宫产,而在对照组产妇中共有33例产妇为自然分娩,显著少于观察组自然分娩产妇,剖宫产产妇为20例,多于观察组,且P=0.013<0.05具有统计学意义。观察组自然分娩产妇最终平均总产程时间为(429.8±102.9)min,显著少于对照组产妇平均总产程时间(504.9±141.2)min,且P=0.024差异具有统计学意义。观察组产妇对助产护理干预方式总满意为96.8%,显著高于对照组产妇对常规护理总满意率,且P=0.008差异具有统计学意义。结论为高龄产妇实施助产护理干预有助于产妇实现自然分娩,降低产妇剖宫产概率,同时也有助于缩短产妇产程时间,因此在高龄产妇分娩过程中实施助产护理干预具有积极意义。

Objective To explore the effects of delivery nursing on the delivery mode and stage of labor of elderly parturient women. Methods A total of 124 elderly parturient women treated during Dec. 2014 and Dec. 2016 were randomly divided into two groups： observation group （n = 62） and control group （n = 62）. The control group received routine nursing, while the observation group received delivery nursing intervention based on routine nursing. The mode of delivery, labor time and maternal satisfaction to nursing work were compared between the two groups. Results In the observation group, 43 cases eventually chose natural childbirth, and 17 chose cesarean section. In the control group, 33 cases chose natural childbirth, which was significantly less than that in the observation group, while 20 cases chose cesarean section, which was more than that in the observation group, P〈 0.05. In the observation group, the average total labor time was （429.8±102.9） min, which was significantly shorter than that in the control group （504.9 ± 141.2） min, P〈0. 05. The satisfaction rate was 96.8% in the observation group, which was significantly higher than that in the control group, P〈0.05. Conclusion Delivery nursing helps to increase the rate of natural labor and reduce the rate of caesarean section. At the same time, it can shorten the labor time. Therefore, it is conducive for elderly parturient women.