CAJ | 학술논문

目的：探讨护理干预对自然分娩初产妇焦虑及产后疼痛、出血的影响，提高分娩质量。方法：选择合适的产妇100例，随机分为观察组和对照组各50例，观察组实施护理干预，对照组实施常规护理，比较两组产妇焦虑、疼痛及产后出血情况。结果：入院时两组产妇SAS评分相似，差异无统计学意义（ P＞0．05）；临产前及产后24h，观察组产妇SAS 评分均低于对照组，差异有统计学意义（ P＜0．05）。产后24h、48h及72h，观察组产妇VAS评分均低于对照组，差异有统计学意义（ P＜0．05）。观察组产妇产后2h、产后24h出血量及出血率均低于对照组，差异有统计学意义（ P＜0．05）。结论：护理干预能有效减轻自然分娩初产妇的焦虑负性情绪，减轻分娩后疼痛，降低产后出血量，值得临床推广应用。
목적：탐토호리간예대자연분면초산부초필급산후동통、출혈적영향，제고분면질량。방법：선택합괄적산부100례，수궤분위관찰조화대조조각50례，관찰조실시호리간예，대조조실시상규호리，비교량조산부초필、동통급산후출혈정황。결과：입원시량조산부SAS평분상사，차이무통계학의의（ P＞0．05）；임산전급산후24h，관찰조산부SAS 평분균저우대조조，차이유통계학의의（ P＜0．05）。산후24h、48h급72h，관찰조산부VAS평분균저우대조조，차이유통계학의의（ P＜0．05）。관찰조산부산후2h、산후24h출혈량급출혈솔균저우대조조，차이유통계학의의（ P＜0．05）。결론：호리간예능유효감경자연분면초산부적초필부성정서，감경분면후동통，강저산후출혈량，치득림상추엄응용。
Objective:To investigate the effects of nursing intervention on the anxiety , postpartum pain and hemorrhage in primiparas with spontaneous delivery , and to elevate the quality of childbirth .Methods:A total of 100 eligible puerperas were selected and randomly divided into observation group and control group, with 50 puerperas in each group .The observation group used nursing intervention , while the control group used usual care , and the anxieties , pains and postpartum hemorrhages were compared between the pu-erperas of the two groups .Result:On admission , the puerperas of the two groups had similar self-rating anx-iety scale (SAS) scores, and the difference was statistically insignificant (P>0.05);both just before child-birth and at 24h after childbirth, the puerperas of the observation group had lower SAS scores than the con-trol group, and the differences were statistically significant (P<0.05).Both at 2h and 24h after childbirth, the puerperas of the observation group had lower volumes and incidences of hemorrhage than the control group, and the differences were statistically significant ( P<0.05) .Conclusion:Nursing intervention can ef-fectively ease the anxiety and postpartum pain , and decrease the postpartum hemorrhage volume in primipa-ras with spontaneous delivery , and consequently is worthy of clinical application .