基于循证理念下的人文关怀护理在硬膜外分娩镇痛产妇中的应用效果

Application Effect of Humanistic Care Nursing Based on Evidence-based Concepts in Parturients with Epidural Labor Analgesia

目的:分析基于循证理念下的人文关怀护理在硬膜外分娩镇痛产妇中的应用效果。方法:选取2021年5月—2023年4月苏州市立医院收治的103例行硬膜外分娩镇痛产妇作为研究对象,按不同护理方法将其分为对照组(n=52,采取常规护理)和试验组(n=51,采取基于循证理念下的人文关怀护理)。比较两组产程时长、产后出血量及母婴不良结局,依据视觉模拟评分法(VAS)、Ramsay镇静评分比较两组不同时间疼痛和镇静情况,分别于干预前后采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)比较两组焦虑、抑郁程度。结果:试验组各产程及总产程时长短于对照组,差异有统计学意义(P<0.05);两组产后24 h出血量少于产后2 h,且试验组产后2 h、24 h出血量少于对照组,母婴不良结局发生率低于对照组,差异有统计学意义(P<0.05);试验组T_(1)、T_(2)、T_(3) VAS评分低于对照组,Ramsay镇静评分高于对照组,差异有统计学意义(P<0.05);干预后,两组HAMA评分、HAMD评分较干预前降低,且试验组低于对照组,差异有统计学意义(P<0.05)。结论:基于循证理念的人文关怀护理能显著改善硬膜外分娩镇痛产妇的产程、疼痛和心理状态,从而有效减少产后出血量及母婴不良结局。

Objective:To analyze the application effect of humanistic care nursing based on evidence-based concepts in parturients with epidural labor analgesia.Method:A total of 103 parturients with epidural labor analgesia who admitted to Suzhou Municipal Hospital from May 2021 to April 2023 were selected as the research objects,they were divided into the control group(n=52,routine nursing)and the experimental group(n=51,humanistic care nursing based on evidence-based concepts)according to different nursing methods.The duration of labor process,postpartum hemorrhage,maternal and infant adverse outcomes were compared between two groups,the pain and sedation of two groups at different time points were compared according to the visual analogue scale(VAS)and Ramsay sedation score,Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)were used to compare the degree of anxiety and depression between two groups before and after intervention.Result:The duration of labor and total labor in the experimental group were shorter than those in the control group,and the differences were statistically significant(P<0.05);the amounts of bleeding at 24 h after delivery in two groups were less than those at 2 h after delivery,and the amount of bleeding at 2 h and 24 h after delivery in the experimental group were less than those in the control group,and the incidence of maternal and infant adverse outcomes was lower than that in the control group,the differences were statistically significant(P<0.05);the VAS scores in the experimental group at T_(1),T_(2) and T_(3) were lower than those in the control group,and the Ramsay sedation scores were higher than those in the control group,the differences were statistically significant(P<0.05);after intervention,the HAMA scores and HAMD scores of two groups were lower than those before intervention,and those in the experimental group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Humanistic care nursing based on evidence-based concepts can significantly improve the labor process,pain and psychological state of parturients with epidural labor analgesia,so as to effectively reduce the amount of postpartum hemorrhage and maternal and infant adverse outcomes.