新产程标准指导下的潜伏期管理对初产妇身心状态及分娩结局的影响

The effect of management of incubation period on the physical and mental state of primipara and the outcome of delivery under the guidance of new labor standards

目的探讨新产程标准指导下的潜伏期管理对初产妇身心状态及分娩结局的影响。方法选择2016年1月至2017年6月于我院待产的200例初产妇为研究对象,随机将其等分为观察组与对照组。对照组实施常规产程管理,观察组在对照组的基础上实施新产程标准指导下的潜伏期管理。比较两组产妇干预前后宫缩痛、腰背痛、焦虑、下腹压力评分,分娩方式,产后2 h出血量,新生儿1,5 min Apgar评分及护理满意度评分。结果干预前两组宫缩痛、腰背痛、焦虑、下腹压力评分比较差异无统计学意义(P> 0. 05),干预后观察组均低于干预前且低于对照组(P <0. 05);观察组正常分娩情况优于对照组,阴道助产与剖宫产情况低于对照组,差异有统计学意义(P <0. 05);观察组产后2 h出血量少于对照组,差异有统计学意义(P <0. 05),两组Apgar 1 min、5 min评分比较差异无统计学意义(P> 0. 05)。观察组护理满意度评分高于对照组,差异有统计学意义(P <0. 05)。结论新产程标准指导下的潜伏期管理有利于缓解初产妇宫缩痛、焦虑、下腹压力、提高正常分娩率,降低剖宫产率及阴道助产率,提高护理满意度,值得临床推广应用。

Objective To discuss the effect of management of incubation period on the physical and mental state of primipara and the outcome of delivery under the guidance of new labor standards. Methods To select 200 cases of primiparas who were waiting for labor in our hospital from January 2016 to June 2017 as the study subjects. They were divided into observation group and control group with the same number of patients randomly. The control group was given routine labor management, while the observation group was treated by the management of the incubation period under the guidance of the new labor standards on the basis of the control group. The uterine contraction pain, low back pain, anxiety, lower abdominal pressure score, delivery mode, hemorrhage volume at 2 hours after the delivery, neonatal Apgar score at 1 minute and 5 minutes, as well as nursing satisfaction score were compared before and after the maternal intervention. Results There was no significant statistical difference in uterine contraction pain,low back pain, anxiety and lower abdominal pressure score between the two groups before intervention(P>0.05). The condition of the observation group was lower than that before the intervention group, and it was lower than that of the control group(P<0.05). The normal delivery condition of the observation group was better than that in the control group, the uterine output and cesarean delivery condition was lower than that in the control group, and the difference was statistically significant(P<0.05). The hemorrhage volume at 2 hours after the delivery in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).There was no statistical difference in the Apgar scores at 1 minute and 5 minutes(P>0.05). The nursing satisfaction score of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion The management of incubation period under the guidance of new labor standards is beneficial to alleviate uterine contractions, anxiety, lower abdominal pressure, and increase normal delivery rate. Meanwhile, it can reduce cesarean section rate and vaginal delivery rate, and improve nursing satisfaction,which was worthy of clinical promotion and application.