无痛联合体位管理在初产妇分娩中的效果

Study on the effect of painless joint position management in primipara labor

目的探究无痛联合体位管理在分娩初产妇中的临床应用效果。方法选取苏州市立医院本部产房在2022年1~10月收治的120例初产妇作为观察对象。根据就诊时间不同将其分为参照组(2022年1~5月)和干预组(2022年6~10月)。参照组60例采取无痛分娩护理干预,干预组60例在此基础上联合给予体位管理分娩护理干预,对两组产妇产程、母婴结局、护理服务质量满意度等情况进行对比分析。结果干预组初产妇在第一产程、第二产程、第三产程、总产程等短于参照组,差异有统计学意义(P<0.05)。干预组初产妇在会阴撕裂、产后出血、胎儿窘迫、新生儿窒息等母婴不良结局发生率低于参照组(P<0.05)。干预组在助产士言语态度、技能操作水平、分娩减痛指导、主动巡视与关心等护理服务质量满意总得分高于参照组(P<0.05)。结论对初产妇实施无痛联合体位管理分娩护理,有助于缩短产妇总产程,降低母婴不良结局发生率,提高护理服务质量满意度。

Objective To explore the clinical effect of painless joint position management of labor in primipara.Methods A total of 120 primiparas admitted to the maternity ward of the hospital from January 2022 to October 2022 were selected as the objects of observation.The patients were divided into the reference group(from January 2022 to May 2022)and the intervention group(from June 2022 to October 2022)according to the time of visit.In the reference group,60 patients received nursing intervention for painless delivery,60 cases in the intervention group were given combined position management delivery nursing intervention on this basis,the labor process,maternal and infant outcome,nursing service quality satisfaction of the two groups were compared and analyzed.Results The first stage of labor,the second stage of labor,the third stage of labor and the total stage of labor in the intervention group were shorter than those in the reference group,and the differences were statistically significant(P<0.05).The incidence of maternal and infant adverse outcomes in the intervention group was lower than that in the reference group,such as perineal tear,postpartum hemorrhage,fetal distress and neonatal asphyxia(P<0.05).The total score of the intervention group was higher than that of the reference group in the midwives'speech attitude,skill operation level,labor pain relief guidance,active visit and care(P<0.05).Conclusions The implementation of painless combination management of labor nursing for primiparums is helpful to shorten the total labor process of primiparums,reduce the incidence of adverse outcomes of maternal and infant,and improve the satisfaction of nursing service quality.