产时体位护理联合责任制助产在初产妇中的应用效果

Application effect of intrapartum position nursing combined with responsibility midwifery in primiparas

目的探讨产时体位护理联合责任制助产在初产妇中的应用效果。方法选取2022年8月至2023年7月于菏泽市第六人民医院进行阴道试产的108例初产妇,使用随机数字表法分为两组。对照组(54例)接受常规助产措施,研究组(54例)在常规助产的基础上增加产时体位护理与责任制助产,比较两组正性与负性情绪评分、产程、剖宫产情况及护理满意度。结果产后3 d研究组负性情绪评分低于对照组,正性情绪评分高于对照组(P<0.05);研究组第一产程、第二产程短于对照组(P<0.05);研究组剖宫产率低于对照组,护理满意率高于对照组(P<0.05)。结论产时体位护理联合责任制助产能够改善初产妇的不良心理状况,促进产程,降低剖宫产率,提高护理满意度。

Objective To explore the application effect of intrapartum position nursing combined with responsibility midwifery in primiparas.Methods A total of 108 primiparas who underwent vaginal trial delivery in the Sixth People’s Hospital of Heze City from August 2022 to July 2023 were selected and divided into two groups by random number table method.The control group(n=54)received routine midwifery measures,while the study group(n=54)received intrpartum position nursing and responsibility midwifery on the basis of routine midwifery.The scores of positive and negative emotions,stages of labor,cesarean section and nursing satisfaction were compared between the two groups.Results Three days after delivery,the negative emotion score of the study group was lower than that of the control group,and the positive emotion score was higher than that of the control group(P<0.05).The first and second stages of labor in the study group were shorter than those in the control group(P<0.05).The cesarean section rate of the study group was lower than that of the control group,and the nursing satisfaction rate was higher than that of the control group(P<0.05).Conclusion Intrapartum position nursing combined with responsibility midwifery can improve the adverse psychological status of primiparas,promote the stages of labor,reduce the rate of cesarean section,and improve nursing satisfaction.