新产程助产护理服务模式对会阴切开率的影响

Influence of nursing service mode of midwifery on episiotomy rate in new stage of labor

目的探索新产程助产护理服务模式对会阴侧切率的影响。方法选取2020年2~9月江苏省无锡市人民医院收治的80例产妇作为研究对象,采用摸球法分组方式将其分为观察组和对照组组,每组各40例。对照组采用常规化护理服务模式,观察组采用新产程助产护理服务模式。比较两组的产后出血量、第二产程、会阴切开情况、产后疼痛评分和产妇满意度。结果观察组的产后出血量少于对照组,第二产程短于对照组,差异均有统计学意义(P<0.05);观察组的会阴切开率低于对照组,差异有统计学意义(P<0.05);观察组的产后视觉模拟疼痛评分(VAS)低于对照组,差异有统计学意义(P<0.05);观察组的护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论新产程助产护理服务模式对减少产妇产后出血量,缩短第二产程,降低会阴切开率,缓解产后疼痛感及提升产妇满意度有非常明显效果,可在临床推广使用。

Objective To explore the influence of the new delivery midwifery nursing service model on the rate of perineal lateral resection.Methods From February to September in 2020,80 parturients from Wuxi People′s Hospital in Jiangsu Province were selected as the research subjects.They were divided into the observation group and the control group by the method of touching the ball,40 cases in each group.In the control group,routine nursing service model was used,and in the observation group,the new labor midwifery nursing service model was adopted.The volume of postpartum hemorrhage,second stage of labor,episiotomy,postpartum pain score and maternal satisfaction were compared between the two groups.Results The volume of postpartum hemorrhage in the observation group was less than that of the control group,the second stage of labor was shorter than the control group,with statistical differences(P<0.05).The episiotomy rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The postpartum visual analog score(VAS)in pain of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The maternal total satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The new delivery process midwifery nursing service model has a very obvious effect on reducing the volume of postpartum hemorrhage,shortening the second stage of labor,reducing the rate of perineal incision,alleviating postpartum pain and increasing maternal satisfaction.It can be popularized in clinical practice.