CAJ | 학술논문

目的：比较循证护理与单纯全程陪产护理模式在产科分娩中的应用效果。方法选取我院产科2011年5月至2013年6月收治的428例产妇为研究对象。其中，2011年5月至2012年3月228例产妇为对照组，采取了单纯全程陪产护理模式；2012年4月至2013年6月200例产妇为观察组，采取了循证护理模式。比较两组产妇的产程时间和分娩结局。结果护理后，观察组产妇的第一产程、第二产程、第三产程均明显低于对照组，差异有统计学意义（ P＜0.05）；观察组自然分娩产妇产后24 h出血量＞500 ml发生率明显低于对照组，差异有统计学意义（ P＜0.05）；而观察组剖宫产产妇产后24 h出血量＞500 ml发生率为7.50％，与对照组自然分娩产妇发生率9.86％基本相当，差异无统计学意义（ P＞0.05）。结论与单纯全程陪产护理模式相比，循证护理模式在产科分娩中具有更为重要的地位，其可有效缩短产妇分娩的产程，增加阴道分娩率而降低剖宫产率，并减少产妇分娩过程阴道出血量，值得临床应用。
목적：비교순증호리여단순전정배산호리모식재산과분면중적응용효과。방법선취아원산과2011년5월지2013년6월수치적428례산부위연구대상。기중，2011년5월지2012년3월228례산부위대조조，채취료단순전정배산호리모식；2012년4월지2013년6월200례산부위관찰조，채취료순증호리모식。비교량조산부적산정시간화분면결국。결과호리후，관찰조산부적제일산정、제이산정、제삼산정균명현저우대조조，차이유통계학의의（ P＜0.05）；관찰조자연분면산부산후24 h출혈량＞500 ml발생솔명현저우대조조，차이유통계학의의（ P＜0.05）；이관찰조부궁산산부산후24 h출혈량＞500 ml발생솔위7.50％，여대조조자연분면산부발생솔9.86％기본상당，차이무통계학의의（ P＞0.05）。결론여단순전정배산호리모식상비，순증호리모식재산과분면중구유경위중요적지위，기가유효축단산부분면적산정，증가음도분면솔이강저부궁산솔，병감소산부분면과정음도출혈량，치득림상응용。
Objective To compare the effects of evidence based nursing and simple accompanying nursing mode in obstetrics childbirth.Methods A total of 428 cases of pregnant women were taken as the research objects , of which , from 2011 May to 2012 March a-dopted a simple accompanying nursing mode on 228 cases (control group), from 2012 April to 2013 June, 200 cases of maternal adopt evi-dence-based nursing (observation group), maternal labor time and delivery address were compared between two groups .Results after nursing, the observation group the first stage of labor , the second stage of labor and the third stage of labor respectively were significantly lower than those of the control group ( P<0.05 ) .In the observation group the natural childbirth parturient 24 hours postpartum bleeding a-mount was 3.33%, significantly lower than that of the control group ( P<0.05 ) , and in the observation group cesarean section postpartum hemorrhage 24 hours the incidence of more than 500 ml was 7.50%, and the incidence of it in the control group was 9.86%( P>0.05 ) .Conclusions Compared with simple accompanying nursing measures , evidence-based nursing has the more important status in the obstet-ric delivery, which can effectively shorten the delivery process , increase the rate of vaginal delivery and reduce the rate of cesarean section and it is worthy of clinical application.