助产责任制护理模式配合体位干预对初产分娩的结局影响

Effect of Midwifery Responsibility System Nursing Model Combined with Positional Intervention on the Outcome of Primiparity Delivery

目的探讨助产责任制护理模式配合体位干预对初产分娩结局的影响。方法选取2015年5月—2017年5月盐城市亭湖区人民医院产科接诊的80例初产妇作为研究对象。根据助产责任制护理模式实施前后将产妇分为两组,2015年5月—2016年4月助产责任制护理模式实施前入院的40例产妇分入对照组并实施轮班制助产护理模式;2016年5月—2017年5月助产责任护理模式实施后入院的40例产妇实施助产责任制护理模式配合体位干预助产。以产程、分娩方式、产妇并发症发生率与新生儿窒息发生率进行对比。结果观察组第一产程时间、第二产程时间与第三产程时间分别为(359.30±27.921)min(37.00±4.422)min,(7.60±1.713)min,均明显比对照组(407.00±37.739)min,(43.09±4.902)min,(9.50±1.354)min短(P<0.05)。观察组选择自然分娩率为90.0%,明显高于对照组72.5%(P<0.05),观察组产妇并发症发生率15.0%、新生儿窒息发生率2.5%均明显低于对照组35.0%,15.0%(P<0.05)。结论助产责任制护理模式配合体位干预能明显缩短各产程时间,提高自然分娩率,降低产妇并发症发生率与新生儿窒息发生率。

Objective This paper tries to explore the effect of midwifery responsibility system nursing model combined with positional intervention on the outcome of primary births.Methods From May 2015 to May 2017,80 cases of primipara admitted in this hospital were selected as the objects.According to before and after the implementation of the midwifery responsibility system nursing model,these objects were divided into two groups,with 40 maternals before the implementation of nursing-care responsibility nursing model,from May 2015 to April 2016,were assigned to the control group and implemented the shift system of midwifery care model;the other 40 maternals were assigned to the observation group,from May 2016 to May 2017,implemented midwifery responsibility system nursing model with positional intervention.Labor,delivery mode,the incidence of maternal complications and neonatal asphyxia were compared between the two groups.Results The first time of labor,the second stage of labor and the third labor time were(359.30±27.921)min,(37.00±4.422)min,(7.60±1.713)min,significantly shorter than(407.00±37.739)min,(43.09±4.902)min,(9.50±1.354)min in the control group(P<0.05).The natural delivery rate was 90.0%in the observation group,which was significantly higher than that in the control group of 72.5%(P<0.05),the incidence of maternal complications in the observation group was 15.0%and the incidence of neonatal asphyxia was 2.5%,significantly lower than that of the control group of 35.0%and 15.0%(P<0.05).Conclusion The nursing model of midwifery responsibility combined with postural intervention can shorten the time of labor,improve the rate of natural childbirth,reduce the incidence of maternal complications and the incidence of neonatal asphyxia.