对进行自由体位分娩的产妇实施人性化护理对母婴安全的影响

The influence of humanized nursing on the safety of mother and child in f ree position delivery

目的:探讨对进行自由体位分娩的产妇实施人性化护理对母婴安全的影响。方法:选取2016年10月至2018年10月期间在广东省河源市龙川县妇幼保健院进行自由体位分娩的116例产妇作为研究对象。将这116例产妇分为常规护理组(n=58)和人性化护理组(n=58)。两组产妇均进行自由体位分娩。同时,对两组产妇均进行常规护理。在此基础上,对人性化护理组产妇进行人性化护理。然后,比较两组产妇母婴并发症的发生情况及第二产程的时间、视觉模拟评分法(VAS)的评分。结果:接受治护后,与常规护理组母婴相比,人性化护理组母婴宫颈裂伤的发生率、会阴侧切的发生率、产后大出血的发生率、宫内窘迫的发生率及新生儿窒息的发生率均更低;与常规护理组产妇相比,人性化护理组产妇第二产程的时间更短,其VAS的评分更低,P<0.05。结论:对进行自由体位分娩的产妇实施人性化护理的临床效果较好,可有效地缩短其第二产程的时间,减轻其疼痛感,降低其母婴并发症的发生率。

Objective:To explore the effect of humanized nursing on the safety of mother and child in free position delivery.Methods:From October 2016 to October 2018,116 women who gave birth in free position in Longchuan County Maternal and Child Health Hospital,Heyuan City,Guangdong Province were selected as the research subjects.The 116 women were divided into routine care group(n=58)and humanized care group(n=58).Both groups of women delivered in free position.At the same time,the two groups of pregnant women were given routine nursing.On this basis,the humanized nursing group maternity care.Then,the incidence of maternal and infant complications,the time of second labor,and visual analogue scale(VAS)scores were compared between the two groups.Results:Compared with the routine nursing group,the incidence of cervical laceration,perineal resection,postpartum hemorrhage,intrauterine distress and neonatal asphyxia were all lower in the humanized nursing group.Compared with the conventional nursing group,the humanized nursing group had a shorter time in the second stage of labor and a lower VAS score(P<0.05).Conclusion:The clinical effect of humanized nursing for free position delivery is good,which can effectively shorten the time of the second stage of labor,reduce the pain and reduce the incidence of maternal and infant complications.