自然分娩护理干预在顺产产妇中的应用效果分析

Application Effect Analysis of Natural Delivery Nursing Intervention in Parturients with Vaginal Delivery

目的:探讨自然分娩护理干预在顺产产妇中的应用效果。方法:选取2020年6月—2022年6月在宾川县人民医院行自然分娩的100例产妇作为研究对象,根据随机数字表法分为观察组与对照组,各50例。对照组给予常规护理,观察组给予自然分娩护理干预。比较两组心理状态、各产程时间、各项分娩及胎儿指标、产后疼痛程度及出血量。结果:护理前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);护理后,观察组SAS、SDS评分低于对照组,差异有统计学意义(P=0.000)。观察组第一、二、三产程时间均短于对照组,差异有统计学意义(P=0.000)。观察组自然分娩率高于对照组,剖宫产率、分娩镇痛率、会阴侧切率、胎儿宫内窘迫率、新生儿窒息率均低于对照组,差异有统计学意义(P<0.05)。观察组产后24、48 h疼痛评分低于对照组,产后2、24 h出血量少于对照组,差异有统计学意义(P=0.000)。结论:自然分娩护理干预可保障顺产产妇顺利分娩,减轻产妇焦虑状态,缩短产程,提高自然分娩率,减轻产后疼痛,减少产后出血量。

Objective:To explore the application effect of natural delivery nursing intervention in parturients with vaginal delivery.Methods:A total of 100 parturients with natural delivery in Binchuan Conty People's Hospital from June 2020 to June 2022 were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 50 cases in each group.The control group was given routine nursing,and the observation group was given natural delivery nursing intervention.The psychological status,each labor time,various delivery and fetal indicators,postpartum pain level and bleeding volume of the two groups were compared.Results:Before nursing,there was no significant difference in the scores of the Self-rating Anxiety Scale(SAS)and the Self-rating Depression Scale(SDS)between the two groups(P>0.05).After nursing,the SAS and SDS scores in the observation group were lower than those in the control group,and the difference was statistically significant(P=0.000).The first,second and third stages of labour in the observation group were shorter than those in the control group,and the difference was statistically significant(P=0.000).The natural delivery rate in the observation group was higher than that in the control group,and the cesarean section rate,labor analgesia rate,episiotomy rate,fetal intrauterine distress rate,and neonatal asphyxia rate in the observation group were all lower than those in the control group,and the differences were statistically significant(P<0.05).The pain scores in the observation group at 24 and 48 h postpartum were lower than those in the control group,and the amount of blood loss in the observation group at 2 h and 24 h postpartum was lower than that in the control group,and the difference was statistically significant(P=0.000).Conclusion:Natural delivery nursing intervention can ensure the smooth delivery of parturients with vaginal delivery,reduce the maternal anxiety state,shorten the labor process,increase the natural delivery rate,reduce postpartum pain,and reduce postpartum bleeding.