河北医科大学学报
河北醫科大學學報
하북의과대학학보
JOURNAL OF HEBEI MEDICAL UNIVERSITY
2014年
5期
530-532
,共3页
张英秀%李霞%郝惠英%崔改英%杨玉秀%于媚
張英秀%李霞%郝惠英%崔改英%楊玉秀%于媚
장영수%리하%학혜영%최개영%양옥수%우미
分娩%医疗服务%影响因素分析
分娩%醫療服務%影響因素分析
분면%의료복무%영향인소분석
parturition%medical services%root cause analysis
目的:探讨导乐分娩、无痛分娩和水中分娩等医疗服务对产妇分娩方式的影响。方法随机抽取单胎初产妇300例,收集其住院资料及分娩情况,并采用焦虑自评量表对其进行产前的心理状况评估,分析影响分娩方式的重要因素。结果导乐分娩、无痛分娩明显降低产妇剖宫产率。产妇年龄、导乐分娩、无痛分娩是影响产妇分娩方式的主要因素。结论提高产妇健康意识、改善产妇心理健康状况、减轻分娩疼痛等医疗服务可降低产妇剖宫产率,有效的社会、心理及医疗干预有利于保证母婴安全。
目的:探討導樂分娩、無痛分娩和水中分娩等醫療服務對產婦分娩方式的影響。方法隨機抽取單胎初產婦300例,收集其住院資料及分娩情況,併採用焦慮自評量錶對其進行產前的心理狀況評估,分析影響分娩方式的重要因素。結果導樂分娩、無痛分娩明顯降低產婦剖宮產率。產婦年齡、導樂分娩、無痛分娩是影響產婦分娩方式的主要因素。結論提高產婦健康意識、改善產婦心理健康狀況、減輕分娩疼痛等醫療服務可降低產婦剖宮產率,有效的社會、心理及醫療榦預有利于保證母嬰安全。
목적:탐토도악분면、무통분면화수중분면등의료복무대산부분면방식적영향。방법수궤추취단태초산부300례,수집기주원자료급분면정황,병채용초필자평량표대기진행산전적심리상황평고,분석영향분면방식적중요인소。결과도악분면、무통분면명현강저산부부궁산솔。산부년령、도악분면、무통분면시영향산부분면방식적주요인소。결론제고산부건강의식、개선산부심리건강상황、감경분면동통등의료복무가강저산부부궁산솔,유효적사회、심리급의료간예유리우보증모영안전。
Objective To explore the role of medical services(Doula delivery,painless labor and water birth)in delivery modes. Methods A cross-sectional study for a total of 300 primipara with delivery,who were hospitalized in the Fourth Hospital of Shijiazhuang,Self-rating Anxiety Scale was administered to these pregnant women before parturition. Logistic regression analysis was used to analyze the related factors. Results Doula delivery,painless labor and water birth significantly reduced the rate of cesarean delivery. Logistic regression analysis showed that age,Doula delivery and painless labor were the main factors influencing delivery mode. Conclusion Better health education for enhancing health knowledge and health awareness of pregnant women,better mental status of pregnant women and releasing pain of delivery related to the pregnancy outcome,and they can bring benefit to the health of mothers and infants.