中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2015年
2期
366-367,368
,共3页
助产士全程陪护%分娩%出血率%顺产率
助產士全程陪護%分娩%齣血率%順產率
조산사전정배호%분면%출혈솔%순산솔
midwife’ s full escort delivery%delivery%hemorrhage rate%vaginal delivery rate
目的：探讨助产士全程陪护对降低产妇分娩出血率和提高顺产率的效果。方法选择2012年7月至2013年7月期间收治的480例产妇为研究对象，并将其随机分为两组。对照组280例给予常规陪护；研究组200例给予助产士全程陪护，实施一对一人性化陪护。比较两组产妇的分娩方式、产程、分娩出血量及满意度。结果研究组的平均分娩时间为（7．31±0．98） h，明显少于对照组的（10．86±2．23）h（t＝16．513，P＜0．05）；研究组的剖宫产率为3．00％，明显低于对照组的16．79％（χ2＝22．573，P＜0．05）。研究组产妇的SAS评分为（46．39±2．65）分，明显少于对照组的（57．36±6．71）分（t＝13．402，P＜0．05）；研究组的产后出血率为3．50％，明显低于对照组的8．93％（χ2＝5．526，P＜0．05）；但两组新生儿Apgar评分比较无显著性差异（ P＞0．05）。研究组产妇的回访满意度为94．00％，明显高于对照组的76．43％，两组比较有显著性差异（χ2＝26．468，P＜0．05）。结论助产士全程陪护能够有效的缩短分娩时间，提高产妇的分娩质量，稳定产妇的情绪，降低产妇分娩出血率，值得临床推广。
目的：探討助產士全程陪護對降低產婦分娩齣血率和提高順產率的效果。方法選擇2012年7月至2013年7月期間收治的480例產婦為研究對象，併將其隨機分為兩組。對照組280例給予常規陪護；研究組200例給予助產士全程陪護，實施一對一人性化陪護。比較兩組產婦的分娩方式、產程、分娩齣血量及滿意度。結果研究組的平均分娩時間為（7．31±0．98） h，明顯少于對照組的（10．86±2．23）h（t＝16．513，P＜0．05）；研究組的剖宮產率為3．00％，明顯低于對照組的16．79％（χ2＝22．573，P＜0．05）。研究組產婦的SAS評分為（46．39±2．65）分，明顯少于對照組的（57．36±6．71）分（t＝13．402，P＜0．05）；研究組的產後齣血率為3．50％，明顯低于對照組的8．93％（χ2＝5．526，P＜0．05）；但兩組新生兒Apgar評分比較無顯著性差異（ P＞0．05）。研究組產婦的迴訪滿意度為94．00％，明顯高于對照組的76．43％，兩組比較有顯著性差異（χ2＝26．468，P＜0．05）。結論助產士全程陪護能夠有效的縮短分娩時間，提高產婦的分娩質量，穩定產婦的情緒，降低產婦分娩齣血率，值得臨床推廣。
목적：탐토조산사전정배호대강저산부분면출혈솔화제고순산솔적효과。방법선택2012년7월지2013년7월기간수치적480례산부위연구대상，병장기수궤분위량조。대조조280례급여상규배호；연구조200례급여조산사전정배호，실시일대일인성화배호。비교량조산부적분면방식、산정、분면출혈량급만의도。결과연구조적평균분면시간위（7．31±0．98） h，명현소우대조조적（10．86±2．23）h（t＝16．513，P＜0．05）；연구조적부궁산솔위3．00％，명현저우대조조적16．79％（χ2＝22．573，P＜0．05）。연구조산부적SAS평분위（46．39±2．65）분，명현소우대조조적（57．36±6．71）분（t＝13．402，P＜0．05）；연구조적산후출혈솔위3．50％，명현저우대조조적8．93％（χ2＝5．526，P＜0．05）；단량조신생인Apgar평분비교무현저성차이（ P＞0．05）。연구조산부적회방만의도위94．00％，명현고우대조조적76．43％，량조비교유현저성차이（χ2＝26．468，P＜0．05）。결론조산사전정배호능구유효적축단분면시간，제고산부적분면질량，은정산부적정서，강저산부분면출혈솔，치득림상추엄。
Objective To investigate the effect of full escort delivery on the reduction of maternal delivery hemorrhage and improvement of vaginal delivery rate.Methods A total of 480 pregnant women admitted during the period of July 2012 to July 2013 were randomly divided into two groups, 280 cases in control group accepting routine nursing and 200 cases in study group treated with midwife’ s full escort delivery nursing.The mode of delivery, maternal labor, postpartum bleeding and satisfaction degree of two groups were compared.Results The average delivery time of the study group was 7.31 ±0.98h, which was significantly shorter than that in the control group (10.86 ± 2.23h) (t=16.513,P<0.05).The cesarean section rate of the study group was 3.00%, and it was significantly lower than that in the control group (16.79%) (χ2 =22.573,P<0.05).The SAS score of the study group was significantly less than that in the control group (46.39 ±2.65 vs 57.36 ±6.71) (t=13.402,P<0.05).The postpartum hemorrhage rate of the study group was 3.50%, and it was lower than 8.93%in the control group (χ2 =5.526,P<0.05), but there was no significant difference between two groups in neonatal Apgar score (P>0.05).Visit satisfactory degree of the study group was 94.00%, which was remarkably higher than that in the control group (76.43%), and the difference was significant (χ2 =26.468,P<0.05).Conclusion The midwife’s full escort delivery nursing can effectively shorten delivery time, improve delivery quality and maternal mood stability, and reduce hemorrhage rate, so that it is worthy of clinical promotion.
