产科护理新模式对促进自然分娩、降低剖宫产率的影响分析

Analysis of the Effect of New Obstetric Nursing Model on Promoting Natural Delivery and Reducing Cesarean Delivery

目的探讨产科护理新模式对促进自然分娩及降低剖宫产率的影响作用。方法纳入该院2018年1—12月间收治顺产产妇100例作为该次研究对象,随机将产妇分为对照组(n=50)与研究组(n=50)。对照组予以常规护理干预,研究组在常规护理基础上结合予以产科护理新模式。对比两组产妇分娩方式、产程情况及产后出血发生率情况。结果对照组产妇有28例选择剖宫产术、研究组产妇有30例选择剖宫产术生产,两组产妇选择剖宫产率组间比较差异无统计学意义(χ2=0.164,P>0.05)。分析原因发现,产妇选择剖宫产的原因是对阵痛的恐惧、担心顺产的安全性及担心顺产可能导致胎儿发生危险等,两组产妇选择剖宫产原因组间对比差异无统计学意义(χ2=0.162、0.373、0.741、0.278、0.278,P>0.05);研究组产妇经干预后意向顺产率(78.0%)相比对照组(48.0%)明显更高(χ2=9.653,P<0.05);研究组最终进行顺产产妇(41例)、产程顺利产妇(46例)相比对照组明显更高(χ2=12.703、10.187,P<0.05);对照组产妇产程时间(862.1±100.5)min、研究组产妇产程时间(623.0±96.9)min,研究组产妇产程时间相比对照组明显更短(t=12.110,P<0.05);对照组产妇产后9例发生产后出血、产后出血发生率18.0%,研究组产妇产后2例发生产后出血、产后出血发生率4.0%,研究组产妇产后出血发生率相比对照组明显更短(χ2=5.005,P<0.05)。结论产科临床上使用护理新模式有助于降低剖宫产率,并提高产妇自然分娩选择率与自然分娩率,该护理方法值得在临床上进行推广应用。

Objective To explore the effect of a new obstetric nursing model on promoting natural delivery and reducing cesarean delivery.Methods A total of 100 puerpera women who were admitted to the hospital from January to December 2018 were included in this study.The women were randomly divided into the control group(n=50)and the study group(n=50).The control group was given routine nursing intervention,and the research group was given a new model of obstetric nursing based on routine nursing.The two groups of mothers were compared in terms of delivery methods,delivery process and incidence of postpartum hemorrhage.Results There were 28 cases of cesarean section in the control group and 30 cases of cesarean section in the study group.There was no significant difference between the two groups of cesarean section(χ2=0.164,P>0.05).Analysis of the reasons found that the reason for the choice of cesarean section was the fear of pain,the safety of cesarean delivery,and the fear that cesarean delivery may cause the fetus to occur.There was no significant difference between the two groups of cesarean delivery reasons(χ2=0.162,0.373,0.741,0.278,0.278,P>0.05);The maternal intent quasi-birth rate(78.0%)in the study group was significantly higher than the control group(48.0%)after intervention(χ2=9.653,P<0.05);the study group finally delivered the baby(41 cases)and the women who had a smooth birth(46 cases)were significantly higher than the control group(χ2=12.703,10.187,P<0.05);the time of birth of the control group(862.1±100.5)min,the maternal labor time of the study group(623.0±96.9)min,the maternal labor time of the study group was significantly shorter than that of the control group(t=12.110,P<0.05);9 cases of postpartum hemorrhage and postpartum hemorrhage occurred in the control group.The rate was 18.0%.The incidence of postpartum hemorrhage and postpartum hemorrhage in 2 cases of postpartum women in the study group were 4.0%.The incidence of postpartum hemorrhage was significantly shorter in the study group than in the control group(χ2=5.005,P<0.05).Conclusion The use of a new nursing model in obstetrics clinically helps to reduce the rate of cesarean section,and improves the natural delivery rate and natural delivery rate.This nursing method is worthy of clinical application.