个体化护理在硬膜外麻醉无痛分娩产妇中的应用

Application of individualized nursing in parturients with epidural anesthesia painless delivery

目的分析个体化护理在硬膜外麻醉无痛分娩产妇中的应用效果。方法选取2020年1月至2022年12月西安三桥精诚医院收治的80例产妇作为研究对象,按照随机数字表法分为对照组(40例)与观察组(40例)。对照组采取常规护理,观察组采取个体化护理。比较两组分娩相关指标、分娩恐惧量表(CAQ)评分及围产期不良事件发生情况。结果观察组第一产程、第二产程短于对照组,疼痛评分低于对照组,产后2 h出血量少于对照组,新生儿5 min Apgar评分高于对照组(P<0.05)。观察组CAQ各项评分及总分均低于对照组(P<0.05)。观察组软产道损伤、会阴侧切、新生儿窒息、胎儿宫内窘迫的发生率均低于对照组(P<0.05)。结论个体化护理在硬膜外麻醉无痛分娩产妇中的应用效果较好,值得推广。

Objective To analyze the application effect of individualized nursing in parturients with epidural anesthesia painless delivery.Methods A total of 80 parturients admitted to Xi’an Sanqiao Jingcheng Hospital from January 2020 to December 2022 were selected as the study objects.All the parturients were divided into the control group(40 cases)and the observation group(40 cases)according to the random number table method.The control group received routine nursing,and the observation group received individualized nursing.The parturience related indicators,childbirth attitude questionaire(CAQ)score,and incidence of adverse events during the perinatal period 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,the pain score was lower than that in the control group,2-hour postpartum bleeding volume was less than that in the control group,and the 5-minute Apgar score of newborns was higher than that in the control group(P<0.05).The CAQ scores and total score of the observation group were lower than those of the control group(P<0.05).The incidence of soft birth canal injury,lateral episiotomy,neonatal ventricular rest,and fetal intrauterine distress in the observation group was lower than that in the control group(P<0.05).Conclusion The application effect of individualized nursing service in parturients with epidural ane sthesia painless delivery is good,which is worth promoting.