责任助产和整体护理模式在无痛分娩护理中的疗效分析

Analysis of the Effect of Responsibility Midwifery and Holistic Nursing Model in Painless Delivery Nursing

目的探究责任助产和整体护理模式在无痛分娩护理中的效果。方法简单随机选择2019年3月—2020年1月该院102例无痛分娩产妇,以住院床位单双号予以分组(对照组、观察组),各51名,对照组:常规护理,观察组:责任助产+整体护理模式,对两组产妇产程时间、焦虑、抑郁情况、VAS评分、平均出血量对比。结果观察组第一产程(521.98±29.31)min、第二产程(83.91±27.21)min、第三产程(16.82±5.38)min优于对照组,差异有统计学意义(t=35.811、71.733、8.088,P<0.05);两组护理前焦虑、抑郁情况对比差异无统计学意义(P>0.05),护理后两组相较,观察组焦虑评分(31.84±3.51)分、抑郁评分(24.39±2.84)分情况明显优于对照组,差异有统计学意义(t=18.384、42.480,P<0.05);两组VAS评分情况、平均出血量相较,观察组平均出血量(203.51±25.07)mL、VAS评分情况(3.04±1.20)分明显优于对照组,差异有统计学意义(t=11.451、12.353,P<0.05)。结论较于常规护理,责任助产与整体护理临床效果更佳,使产妇产程的时间缩短,术中出血量少,患者的疼痛情况与负面情绪有效改善。

Objective To explore the effect of responsible midwifery and holistic nursing model in painless delivery care.Methods A total of 102 patients with painless delivery in the hospital from March 2019 to January 2020 were simple randomly selected and divided into groups(control group and observation group),with 51 cases in each group,according to hospital bed number.Control group:routine care,observation group:responsibility Midwifery+holistic nursing model,compared the time of labor,anxiety,depression,VAS score,and average bleeding volume of the two groups of women.Results The observation group was better than the control group in the first stage of labor(521.98±29.31)min,the second stage of labor(83.91±27.21)min,and the third stage of labor(16.82±5.38)min.The difference was statistically significant(t=35.811,71.733,8.088,P<0.05);there was no significant difference in anxiety and depression between the two groups before nursing(P>0.05).The two groups were compared after nursing,and the observation group's anxiety score(31.84±3.51)points and depression score(24.39±2.84)points were significantly better than the control group,the difference was statistically significant(t=18.384,42.480,P<0.05);the two groups’VAS scores and average blood loss were compared.The observation group's average blood loss(203.51±25.07)mL and VAS score(3.04±1.20)points were significantly better than those of the control group,and the difference was statistically significant(t=11.451,12.353,P<0.05).Conclusion Compared with conventional nursing,the clinical effect of responsible midwifery and holistic nursing is better,which shortens the time of the parturient process,reduces the amount of bleeding during the operation,and effectively improves the patient's pain and negative emotions.It is worthy of promotion and application.