中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
12期
137-139,143
,共4页
初产妇%个体化护理干预%分娩依从性%分娩结局%产程
初產婦%箇體化護理榦預%分娩依從性%分娩結跼%產程
초산부%개체화호리간예%분면의종성%분면결국%산정
Primipara%Individualized nursing intervention%Compliance of delivery%Delivery outcome%Birth process
目的：探讨个体化护理干预对初产妇分娩依从性及分娩结局的影响。方法选取2013年1月~2014年1月我院收治的初产妇100例，采用随机数字表法分为干预组和对照组，每组各50例。对照组行常规随机对症护理，干预组除接受常规护理外，主要行个性化护理干预，包括心理干预、加强产程指导、待产姿势指导、产后护理，比较两组产妇的依从性、产妇分娩结局、产程所用时间。结果干预组产妇的依从率达98.0%，显著高于对照组(82.0%)，差异有统计学意义(字2=4.386，P<0.05)。干预组剖宫产率达10.0%，显著低于对照组(20.0%)，差异有统计学意义(P<0.05)。干预组产妇产后出血率显著低于对照组，差异有统计学意义(P<0.05)。干预组第一产程、第三产程、总产程时间虽然短于对照组，但差异无统计学意义(P跃0.05)；但干预组产妇第二产程时间较对照组显著缩短，差异有统计学意义(P<0.05)。结论个体化护理干预能够提高初产妇分娩依从性，降低剖宫产和产后出血的发生率，缩短产程，从而提高产科质量。
目的：探討箇體化護理榦預對初產婦分娩依從性及分娩結跼的影響。方法選取2013年1月~2014年1月我院收治的初產婦100例，採用隨機數字錶法分為榦預組和對照組，每組各50例。對照組行常規隨機對癥護理，榦預組除接受常規護理外，主要行箇性化護理榦預，包括心理榦預、加彊產程指導、待產姿勢指導、產後護理，比較兩組產婦的依從性、產婦分娩結跼、產程所用時間。結果榦預組產婦的依從率達98.0%，顯著高于對照組(82.0%)，差異有統計學意義(字2=4.386，P<0.05)。榦預組剖宮產率達10.0%，顯著低于對照組(20.0%)，差異有統計學意義(P<0.05)。榦預組產婦產後齣血率顯著低于對照組，差異有統計學意義(P<0.05)。榦預組第一產程、第三產程、總產程時間雖然短于對照組，但差異無統計學意義(P躍0.05)；但榦預組產婦第二產程時間較對照組顯著縮短，差異有統計學意義(P<0.05)。結論箇體化護理榦預能夠提高初產婦分娩依從性，降低剖宮產和產後齣血的髮生率，縮短產程，從而提高產科質量。
목적：탐토개체화호리간예대초산부분면의종성급분면결국적영향。방법선취2013년1월~2014년1월아원수치적초산부100례，채용수궤수자표법분위간예조화대조조，매조각50례。대조조행상규수궤대증호리，간예조제접수상규호리외，주요행개성화호리간예，포괄심리간예、가강산정지도、대산자세지도、산후호리，비교량조산부적의종성、산부분면결국、산정소용시간。결과간예조산부적의종솔체98.0%，현저고우대조조(82.0%)，차이유통계학의의(자2=4.386，P<0.05)。간예조부궁산솔체10.0%，현저저우대조조(20.0%)，차이유통계학의의(P<0.05)。간예조산부산후출혈솔현저저우대조조，차이유통계학의의(P<0.05)。간예조제일산정、제삼산정、총산정시간수연단우대조조，단차이무통계학의의(P약0.05)；단간예조산부제이산정시간교대조조현저축단，차이유통계학의의(P<0.05)。결론개체화호리간예능구제고초산부분면의종성，강저부궁산화산후출혈적발생솔，축단산정，종이제고산과질량。
Objective To explore the effect of individualized nursing intervention on the compliance of early maternity and childbirth outcomes. Methods A total of 100 cases of primipara from January 2013 to January 2014 in our hospi-tal,were divided into intervention group and control group,50 cases in each group, the control group underwent con-ventional random symptomatic care, the intervention group in addition to routine care, mainly for personalized nursing intervention, including psychological intervention, strengthen the production process guiding, labor posture guidance,postpartum care, compared two groups of maternal compliance, childbirth, knot ending labor time were compared. Results The intervention group maternal compliance rate of 98.0%, significantly higher than that in the control group(82.0%), the difference was statistically significant (χ2=4.386,P<0.05). The cesarean section rate in the intervention group was 10.0%,significantly lower than that in the control group(20.0%),the difference was statistically significant(P<0.05). The intervention group's maternal postpartum hemorrhage rate was significantly lower than that in control group(P<0.05). The intervention group during the first stage of labor,the third stage of labor,total labor time although shorter than that in control group, but the difference was not statistically significant (P>0.05); but the intervention group parturient women during the second stage of labor time was obviously shortened compared with the control, the difference was statistically significant (P<0.05). Conclusion Individualized nursing intervention can improve the early maternity compliance,reduce the incidence of cesarean and postpartum hemorrhage, shorten the production process,so as to improve the quality of obstetrics.
