孕妇产检中应用产科流程化护理的效果观察

Observation on the Effect of Applying Obstetric Process Nursing in Maternity Examination

目的 观察孕妇产检中应用产科流程化护理的效果。方法 选入2021年1月至2022年1月在本院产检的孕妇50例,将使用产科流程化护理的25例孕妇作为流程化组,将使用产科常规护理的25例孕妇作为常规组,对比两组孕妇产检效率、汉密尔顿焦虑量表得分、抑郁自评量表得分、差错发生状况、并发症、分娩方式、母婴结局、满意度、新生儿护理知识得分、孕妇角色适应率及护患纠纷发生率。结果 平均产检时间、候诊时间、医师诊疗时间流程化组都比常规组短,P<0.05;产检依从性评分流程化组比常规组高,P<0.05;汉密尔顿焦虑量表和抑郁自评量表护理后得分流程化组都比常规组低,P<0.05;差错发生率流程化组比常规组低,P<0.05;孕妇并发症流程化组比常规组少,P<0.05;自然分娩人数流程化组比常规组多,P<0.05;剖宫产人数流程化组比常规组少,P<0.05;母婴结局流程化组比常规组好,P<0.05;母乳喂养人数流程化组比常规组多,P<0.05;护理满意度流程化组比常规组高,P<0.05;孕妇对新生儿护理知识得分流程化组都比常规组高,P<0.05;母亲角色适应率流程化组比常规组高,P<0.05;护患纠纷发生率流程化组比常规组低,P<0.05。结论 孕妇产检中应用产科流程化护理的效果理想,能够有效缩短孕妇的候诊时间、医师诊疗时间和平均产检时间,提升孕妇的依从性和护理满意度,改善孕妇的负面心理情绪和母婴结局,减少产检的差错率和孕妇的并发症以及护患纠纷,提高孕妇的自然分娩率和母乳喂养率。

Objective To observe the effect of obstetrical process nursing in pregnant women. Methods A total of 50 pregnant women who underwent labor examination in our hospital from January 2021 to January 2022 were selected. 25 pregnant women who received obstetric process nursing were selected as process group and 25 pregnant women who received routine obstetric care were selected as conventional group.The efficiency of obstetric examination, the score of Hamilton Anxiety Scale, the score of self-rating Depression Scale, the occurrence of errors,complications, delivery methods, maternal and infant outcomes, satisfaction, the score of neonatal nursing knowledge, the role adaptation rate of pregnant women and the incidence of nursing-patient disputes were compared between the two groups. Results The average labor and examination time, waiting time and doctor’s treatment time in the process group were shorter than those in the conventional group, P<0.05. The compliance score of the process group was higher than that of the conventional group, P<0.05;The post-nursing scores of Hamilton Anxiety Scale and self-rating Depression scale in the process group were lower than those in the conventional group, P<0.05;The error rate of the process group was lower than that of the conventional group, P<0.05;There were fewer complications in the process group than in the conventional group, P<0.05;The number of natural delivery in the process group was higher than that in the conventional group, P<0.05;The number of cesarean section in the process group was lower than that in the conventional group, P<0.05;The outcome of the process group was better than that of the conventional group, P<0.05;The number of breast-feeding in the process group was higher than that in the conventional group, P<0.05;Nursing satisfaction in the process group was higher than that in the conventional group, P<0.05;The scores of maternal knowledge of neonatal nursing in the process group were higher than those in the conventional group, P<0.05;The maternal role adaptation rate in the process group was higher than that in the conventional group,P<0.05;The incidence of nurse-patient disputes in the process group was lower than that in the conventional group, P<0.05. Conclusion The application of obstetrical process nursing is ideal, which can effectively shorten the waiting time of pregnant women, the doctor’s treatment time and the average time of obstetrical examination, improve the compliance and nursing satisfaction of pregnant women, improve the negative psychological emotions and maternal and infant outcomes of pregnant women, reduce the error rate of obstetrical examination and complications of pregnant women and nursion-patient disputes. Increase the rate of natural delivery and breastfeeding among pregnant women.