助产人性化体贴式护理对高龄产妇产程进展和新生儿结局影响

Impact of Midwifery and Humanized Thoughtful Nursing on Maternity Progress and Neonatal Outcome in Elderly Women

目的分析助产人性化体贴式护理对高龄产妇产程进展和新生儿结局影响。方法方便选取2018年2月-2019年2月间在该院分娩高龄产妇132例,随机数字表法分成对照组(66例)行常规护理,观察组(66例)在对照组基础上行助产人性化体贴式护理。观察两组产妇的产程时间、产后2 h出血量、分娩结局、护理满意度与新生儿结局情况。结果观察组产妇第一、第二、第三产程及总产程时间均低于对照组,差异有统计学意义(P<0.05);观察组宫产率为27.27%低于对照组43.94%,自然分娩率对比,观察组为66.67%高于对照组46.97%,差异有统计学意义(χ^2=3.998、5.218,P=0.034、0.017);观察组新生儿胎儿窘迫率为3.03%低于对照组12.12%,差异有统计学意义(χ^2=3.895,P=0.048);观察组正常新生儿率为93.94%显著高于对照组78.79%,数据对比,差异有统计学意义(χ^2=6.433,P=0.010);观察组产妇的护理满意度评分为(8.93±1.06)分,显著高于对照组(6.78±1.25)分,差异有统计学意义(t=10.657,P=0.001)。结论助产人性化体贴式护理有有效缩短高龄产妇产程,降低剖宫产率和新生儿不良结局。

Objective To analyze the impact of midwifery and humanized nursing on the maternity progress and neonatal outcomes of elderly women.Methods A total of 132 elderly women who delivered in the hospital from February 2018 to February 2019 were conveniently selected.The random number table method was used to divide the control group(66 cases)into routine care,and the observation group(66 cases)went to midwifery on the basis of the control group.Humanized and thoughtful care.Observe the time of delivery,2h postpartum hemorrhage,delivery outcome,nursing satisfaction and neonatal outcome in the two groups.Results The maternal first,second,third labor and total labor time in the observation group were all lower than those in the control group,and the differences were statistically significant(P<0.05);Compared with the natural delivery rate,the observation group was 66.67%higher than the control group 46.97%,the difference was statistically significant(χ^2=3.998,5.218,P=0.034;0.017);the neonatal fetal distress rate in the observation group was 3.03%lower than the control group 12.12%,the difference was statistically significant(χ^2=3.895,P=0.048);the normal newborn rate in the observation group was 93.94%significantly higher than that in the control group 78.79%.The data comparison showed a statistically significant difference(χ^2=6.433,P=0.010);the maternal nursing satisfaction score of the observation group was(8.93±1.06)points,which was significantly higher than the control group(6.78±1.25)points.The data pairs were statistically significantly different(t=10.657,P=0.001).Conclusion The humanized and thoughtful nursing of midwifery can effectively shorten the delivery process of elderly women,reduce the cesarean delivery rate and adverse neonatal outcomes.