全产程人文关怀式护理对头位顺产高龄产妇并发症发生率的影响

Effect of Whole-stage Humanistic Care Nursing on the Incidence of Complications in Elderly Parturients with Head Position Delivery

目的研究全产程人文关怀式护理对头位顺产高龄产妇并发症发生率的影响。方法选取2020年2月-2023年2月在我院分娩的60例头位顺产高龄产妇为研究对象,采用随机数字表法分为对照组和观察组,各组30例。对照组采用常规护理,观察组采用全产程人文关怀式护理,比较两组产妇并发症发生率、分娩产程时间、产后出血量、疼痛评分(VAS)、产后抑郁和焦虑评分,以及护理满意度。结果观察组产妇并发症发生率为10.00%,低于对照组的23.33%(P<0.05);观察组第一产程、第二产程均短于对照组(P<0.05),第三产程时间与对照组比较,差异无统计学意义(P>0.05);观察组产后出血量、疼痛评分均小于对照组(P<0.05);两组抑郁、焦虑评分均低于干预前,且观察组低于对照组(P<0.05);观察组护理满意度为96.67%,高于对照组的83.33%(P<0.05)。结论全产程人文关怀式护理可降低头位顺产高龄产妇并发症发生率,缩短第一、第二产程时间,减少产后出血量,减轻产妇疼痛评分,提高护理满意度。

Objective To study the effect of whole-stage humanistic care nursing on the incidence of complications in elderly parturient women with head position.Methods From February 2020 to February 2023,60 elderly parturient women with head position and natural childbirth in our hospital were selected as the research objects.They were divided into control group and observation group by random number table method,with 30 parturient women in each group.The control group was treated with routine nursing,and the observation group was treated with whole-stage humanistic care nursing.The incidence of maternal complications,duration of labor,postpartum hemorrhage,pain score(VAS),postpartum depression and anxiety scores,and nursing satisfaction were compared between the two groups.Results The incidence of maternal complications in the observation group was 10.00%,which was lower than 23.33%in the control group(P<0.05).The first stage of labor and the second stage of labor in the observation group were shorter than those in the control group(P<0.05),and there was no significant difference in the time of the third stage of labor between the two groups(P>0.05).The amount of postpartum hemorrhage and pain score in the observation group were lower than those in the control group(P<0.05).The scores of depression and anxiety in the two groups were lower than those before intervention,and those in the observation group were lower those in than the control group(P<0.05).The nursing satisfaction of the observation group was 96.67%,which was higher than 83.33%of the control group(P<0.05).Conclusion Whole-stage humanistic care nursing can reduce the incidence of complications,shorten the time of the first and second stages of labor,reduce the amount of postpartum hemorrhage,reduce the pain score of parturients,and improve the satisfaction of nursing.