舒适护理结合风险护理对无痛分娩产妇分娩结局及并发症的影响

Effect of comfort nursing combined with risk nursing on delivery outcomes and complications of puerperae undergoing painless delivery

目的 分析舒适护理结合风险护理对无痛分娩产妇分娩结局及并发症的影响。方法 采用随机数字表法将华中科技大学同济医学院附属同济医院于2019年1月至2021年1月收治的106名拟行无痛分娩的产妇分别纳入观察组(53例)、对照组(53例)。2组产妇均行舒适护理,观察组加用风险护理。对比2组产妇的分娩结局、产程、并发症发生情况、新生儿结局,以及产后7d、 28d后的爱丁堡产后抑郁量表(EPDS)评分变化。结果 观察组的自然分娩率较对照组更高,存在统计学差异(P<0.05)。观察组的第一产程、第二产程、第三产程均短于对照组,均存在统计学差异(P均<0.05)。观察组自然分娩产妇的并发症总发生率低于对照组(P<0.05),比较2组经自然分娩的新生儿不良结局发生率,未见统计学差异(P> 0.05)。2组自然分娩产妇在产后28d的EPDS评分均较产后7d降低;观察组自然分娩产妇在产后7d、产后28d的EPDS评分均低于对照组,均存在统计学差异(P均<0.05)。结论 舒适护理结合风险护理较单纯舒适护理能够进一步改善无痛分娩产妇的分娩结局,降低剖宫产率,缩短产程时间,并降低产妇的并发症发生率,改善其产后抑郁状态。

Objective To analyze the effect of comfort nursing combined with risk nursing on the delivery outcomes and complications of women undergoing painless delivery. Methods From January 2019 to January 2021, 106 puerperae who were scheduled to undergo painless delivery at Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology were assigned into an observation group(53 cases)and a control group(53 cases)by using a random number table. Both groups were given comfort nursing,while the observation group was additionally given risk nursing. The delivery outcomes,labor duration,incidence of complications,neonatal outcomes,and the changes of Edinburgh Postpartum Depression Scale(EPDS)scores on the 7th and 28th day after delivery were compared between the two groups. Results The natural delivery rate of the observation group was higher than that of the control group,with a significant difference(P< 0. 05). The first,second,and third stage of labor in the observation group were shorter than those in the control group,with significant differences(all P< 0. 05). The total incidence of complications of natural delivery puerperae in the observation group was lower than that in the control group(P< 0. 05). There was no significant difference in the incidence of adverse outcomes of neonates by natural delivery between the two groups(P> 0. 05). The EPDS scores of the natural delivery puerperae in the two groups on the 28th day after delivery were lower than those on the 7th day after delivery,and the EPDS scores of the natural delivery puerperae in the observation group were lower than those in the control group on the 7th and 28th day after delivery,with significant differences(all P< 0. 05). Conclusion Compared with comfort nursing alone,comfort nursing combined with risk nursing can further improve the delivery outcomes of puerperae undergoing painless delivery,reduce the cesarean section rate,shorten the labor duration,reduce the incidence of maternal complications,and relieve the postpartum depression.