责任助产模式在无痛分娩产妇中的应用效果

Application Effect of Responsible Midwifery Model in Women with Painless Labor

目的:探究责任助产模式在无痛分娩产妇中的应用效果。方法:选取2021年12月—2022年12月于贵港市人民医院接受无痛分娩的产妇180例作为研究对象,随机分为对照组和观察组,各90例。对照组实施常规护理模式,观察组实施责任助产模式。比较两组生活质量、负面情绪、产后并发症发生率、临床指标及护理满意度。结果:护理后,两组躯体功能、角色功能、心理功能评分高于护理前,疼痛评分低于护理前,观察组优于对照组,差异有统计学意义(P<0.05);护理后,两组焦虑自评量表、抑郁自评量表评分低于护理前,观察组低于对照组,差异有统计学意义(P<0.05);观察组产后并发症发生率低于对照组,差异有统计学意义(P=0.034);观察组总产程、产后住院时间短于对照组,产后2 h出血量少于对照组,差异有统计学意义(P<0.001);观察组护理满意度高于对照组,差异有统计学意义(P=0.011)。结论:责任助产模式在无痛分娩产妇中的护理效果较好,可缩短总产程、产后住院时间,减少产后出血量,降低产后并发症发生率,改善产妇的生活质量与负面情绪,提高护理满意度。

Objective:To explore the application effect of responsible midwifery model in women with painless labor.Methods:A total of one hundred and eighty women who received painless delivery in Guigang People's Hospital from December 2021 to December 2022 were selected as the study objects and randomly divided into control group and observation group,with ninety cases in each group.The control group implemented routine nursing mode,and the observation group implemented responsible midwifery mode.The quality of life,negative emotions,incidence of postpartum complications,clinical indicators and nursing satisfaction were compared between the two groups.Results:After nursing,the scores of physical function,role function and psychological function were higher than before nursing,and the scores of pain were lower than before nursing,and the observation group was better than the control group,the difference was statistically significant(P<0.05);after nursing,the scores of Self-rating Anxiety Scale and Self-rating Depression Scale in two groups were lower than before nursing,and the scores of observation group were lower than control group,the difference was statistically significant(P<0.05);the incidence of postpartum complications in the observation group was lower than that in the control group,the difference was statistically significant(P=0.034);the total labor course and postpartum hospital stay in the observation group were shorter than those in the control group,and the blood loss 2 h after delivery was less than that in the control group,the difference was statistically significant(P<0.001);the nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P=0.011).Conclusion:The nursing effect of responsible midwifery mode is better in women with painless delivery,which can shorten the total labor process,postpartum hospital stay,reduce postpartum bleeding,reduce the incidence of postpartum complications,improve the quality of life and negative emotions of the women,and increase the satisfaction of nursing.