产科全程护理干预在无保护会阴接生法中的效果评价

The Evaluation of Obstetric Whole Course Nursing Intervention in Unprotected Perineum Delivery Technique

目的:分析探讨全程产科护理在无保护会阴接生法中的应用效果。方法:将笔者所在医院2017年6月-2018年6月接收的232例经阴道分娩的初产妇随机分为观察组和对照组,所有产妇均采用无保护会阴接生技术分娩,在围生期对照组给予常规产科护理,观察组给予全程产科护理,比较两组产妇的会阴侧切率、产后2 h出血率、会阴裂伤程度和产程时间,并用焦虑自评量表(SAS)和抑郁自评量表(SDS)对分娩后产妇的心理状况进行评价。结果:观察组产妇会阴侧切率、产后2 h出血率、会阴裂伤程度和产程时间均显著优于对照组,组间差异均有统计学意义(P<0.05);观察组产妇分娩后SAS和SDS评分显著优于对照组,组间差异均有统计学意义(P<0.05)。结论:对采用无保护会阴接生技术进行阴道自然分娩的初产妇实施全程护理干预,有助于降低会阴侧切和产后出血发生的风险,减轻分娩中产妇会阴的裂伤程度,缩短产程,对减轻产妇分娩后的心理负担也具有积极意义。

Objective:To discuss and analyze the effect of obstetric whole course nursing intervention in the unprotected perineum delivery technique.Method:A total of 232 primiparas who taken unprotected perineum delivery operation in our hospital from June 2017 to June 2018 were equally divided into the observation group and the control group,116 cases in each group.Primiparas in the control group were given routine obstetric nursing intervention,while primiparas in the observation group were given obstetric whole nursing intervention.The rate of episiotomy,postpartum bleeding,degree of perineal laceration,birth process time between two groups were compared.Self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used for evaluating primiparas’psychologic status.Result:The rate of episiotomy,postpartum bleeding,degree of perineal laceration,birth process time in the observation group were significantly better than those in the control group(P<0.05).SAS and SDS scores in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:The application of obstetric whole nursing intervention in primiparas who taken unprotected perineum delivery operation is not only benefit to decrease the rate of episiotomy and postpartum bleeding,reduce the degree of perineal laceration and birth process time,but also good to improve the psychologic status.