中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
1期
143-145
,共3页
责任制助产护理模式%体位管理%分娩结局
責任製助產護理模式%體位管理%分娩結跼
책임제조산호리모식%체위관리%분면결국
Responsibility midwifery model of care%Postural management%Birth outcomes
目的：探讨责任制助产护理模式联合产时体位管理对分娩结局的影响及意义。方法选取2010年7月~2012年6月的250例产妇作为常规组，采用传统轮班制助产护理模式，且不实施产时体位管理。选取2012年7月~2014年6月的250例产妇作为责任制组，采用责任制助产护理模式，并联合实施产时体位管理。观察两组的产程、产后出血及分娩结局。结果责任制组的第一、二产程时间显著短于常规组，差异有统计学意义(P<0.01)；两组的第三产程时间比较，差异无统计学意义(P>0.05)。责任制组的产后出血量为(168.2±34.7)ml，显著少于常规组的(263.2±56.2)ml，差异有统计学意义(P<0.01)。责任制组的阴道分娩率显著高于常规组，差异有统计学意义(P<0.01)。责任制组的新生儿娩出后5 min Apgar评分为(9.5±1.2)分，显著高于常规组的(8.2±1.1)分，差异有统计学意义(P<0.01)。结论联合应用责任制助产护理模式与产时体位管理能够提高分娩安全性，缩短产程，减轻产妇痛苦，使母婴获得更好的结局。
目的：探討責任製助產護理模式聯閤產時體位管理對分娩結跼的影響及意義。方法選取2010年7月~2012年6月的250例產婦作為常規組，採用傳統輪班製助產護理模式，且不實施產時體位管理。選取2012年7月~2014年6月的250例產婦作為責任製組，採用責任製助產護理模式，併聯閤實施產時體位管理。觀察兩組的產程、產後齣血及分娩結跼。結果責任製組的第一、二產程時間顯著短于常規組，差異有統計學意義(P<0.01)；兩組的第三產程時間比較，差異無統計學意義(P>0.05)。責任製組的產後齣血量為(168.2±34.7)ml，顯著少于常規組的(263.2±56.2)ml，差異有統計學意義(P<0.01)。責任製組的陰道分娩率顯著高于常規組，差異有統計學意義(P<0.01)。責任製組的新生兒娩齣後5 min Apgar評分為(9.5±1.2)分，顯著高于常規組的(8.2±1.1)分，差異有統計學意義(P<0.01)。結論聯閤應用責任製助產護理模式與產時體位管理能夠提高分娩安全性，縮短產程，減輕產婦痛苦，使母嬰穫得更好的結跼。
목적：탐토책임제조산호리모식연합산시체위관리대분면결국적영향급의의。방법선취2010년7월~2012년6월적250례산부작위상규조，채용전통륜반제조산호리모식，차불실시산시체위관리。선취2012년7월~2014년6월적250례산부작위책임제조，채용책임제조산호리모식，병연합실시산시체위관리。관찰량조적산정、산후출혈급분면결국。결과책임제조적제일、이산정시간현저단우상규조，차이유통계학의의(P<0.01)；량조적제삼산정시간비교，차이무통계학의의(P>0.05)。책임제조적산후출혈량위(168.2±34.7)ml，현저소우상규조적(263.2±56.2)ml，차이유통계학의의(P<0.01)。책임제조적음도분면솔현저고우상규조，차이유통계학의의(P<0.01)。책임제조적신생인면출후5 min Apgar평분위(9.5±1.2)분，현저고우상규조적(8.2±1.1)분，차이유통계학의의(P<0.01)。결론연합응용책임제조산호리모식여산시체위관리능구제고분면안전성，축단산정，감경산부통고，사모영획득경호적결국。
Objective To explore the influence and significance of responsibility midwifery model of care combined with intrapartum postural management for birth outcomes. Methods 250 puerperas from July 2010 to June 2012 were selected as conventional group,which was given traditional midwifery model of care,and not given intrapartum postural management.250 puerperas from July 2012 to June 2014 were selected as responsibility group,which was given respon-sibility midwifery model of care combined with intrapartum postural management.Maternal labor,postpartum hemorrhage and birth outcomes in two groups was observed respectively. Results The labor through time of the first and second stage in the responsibility group was significantly shorter than that in the conventional group,with significant difference (P<0.01).The third stage time was not statistically significant between two groups (P>0.05).The postpartum blood loss of the responsibility group was (168.2±34.7) ml,which was lower than (263.2±56.2) ml of the conventional group,with sig-nificant difference (P<0.01).The rate of vaginal delivery of the responsibility group was significantly higher than that of conventional group,with significant difference (P<0.01).The Apgar score of neonates after 5 min in the responsibility group was (9.5±1.2) points,which was higher than (8.2±1.1) point in the conventional group,with significant difference (P<0.01). Conclusion The responsibility midwifery model of care combinated with postural management of intrapartum can improve labor safety,shorten borth process,reduce maternal pain,and mother and infant can get a better outcome.
