分层次责任护理对产程、母婴预后以及产科护理满意度的影响

Effect of Hierarchical Responsibility Nursing on Labor Process,Maternal and Infant Prognosis and Obstetric Nursing Satisfaction

目的观察分层次责任护理对产程、母婴预后以及产科护理满意的影响。方法选取2020年3月-2021年3月在我院分娩的72例孕产妇为研究对象,采用随机数字表法分为对照组和观察组,各36例。对照组采用常规护理,观察组在对照组基础上实施分层次责任护理,比较两组不同产程时间、分娩方式、母婴妊娠结局、新生儿Apgar评分以及产科护理满意度。结果观察组第一、第二产程时间短于对照组(P<0.05);两组第三产程时间比较,差异无统计学意义(P>0.05);观察组剖宫产率低于对照组,阴道分娩率高于对照组(P<0.05);观察组产妇产后出血率、下肢静脉血栓、宫颈裂伤、会阴裂伤总发生率为13.89%,低于对照组的25.00%(P<0.05);观察组新生儿窒息、肺炎以及胎儿窘迫、缺氧缺血性脑病不良妊娠结局总发生率为8.33%,低于对照组的22.22%(P<0.05);观察组新生儿Apgar评分高于对照组(P<0.05);观察组产科护理满意度为94.44%,高于对照组的80.56%(P<0.05)。结论分层次责任护理可促进产程进展,缩短第一、第二产程时间,降低剖宫产率,提高阴道分娩率,降低产妇产后并发症发生率,改善母婴妊娠结局,提高产科护理满意度,具有重要的临床应用价值。

Objective To observe the effect of hierarchical responsibility nursing on labor process,maternal and infant prognosis and obstetric nursing satisfaction.Methods A total of 72 pregnant women who gave birth in our hospital from March 2020 to March 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 36 pregnant women in each group.The control group was given routine nursing,and the observation group was given hierarchical responsibility nursing on the basis of the control group.The different labor time,delivery mode,maternal and infant pregnancy outcome,neonatal Apgar score and obstetric nursing satisfaction were compared between the two groups.Results The first and second stages of labor in the observation group were shorter than those in the control group(P<0.05),while There was no significant difference in the third stage of labor between the two groups(P>0.05).The cesarean section rate of the observation group was lower than that of the control group,and the vaginal delivery rate was higher than that of the control group(P<0.05).The total incidence of postpartum hemorrhage,lower extremity venous thrombosis,cervical laceration and perineal laceration in the observation group was 13.89%,which was lower than 25.00%in the control group(P<0.05).The total incidence of adverse pregnancy outcomes of neonatal asphyxia,pneumonia,fetal distress and hypoxic-ischemic encephalopathy in the observation group was 8.33%,which was lower than 22.22%in the control group(P<0.05).The Apgar score of newborns in the observation group was higher than that in the control group(P<0.05).The obstetric nursing satisfaction of the observation group was 94.44%,which was higher than 80.56%of the control group(P<0.05).Conclusion Hierarchical responsibility nursing can promote the progress of labor,shorten the time of the first and second stages of labor,reduce the rate of cesarean section,increase the rate of vaginal delivery,reduce the incidence of postpartum complications,improve the outcome of maternal and infant pregnancy,and improve the satisfaction of obstetric care.It has important clinical application value.