解放军护理杂志
解放軍護理雜誌
해방군호리잡지
NURSING JOURNAL OF CHINESE PEOPLE'S LIBERATION ARMY
2015年
11期
23-25
,共3页
初产妇%自然分娩%身心培训%母婴结局%心理状态
初產婦%自然分娩%身心培訓%母嬰結跼%心理狀態
초산부%자연분면%신심배훈%모영결국%심리상태
primipara%natural childbirth%physical and mental training%maternal and neonatal outcomes%psychological status
目的：探讨产前身心培训对初产妇母婴结局及身心状况的影响，为提高初产妇临床护理质量提供依据。方法便利选取2012年7月至2014年6月在本院产前检查并分娩的426例初产妇，根据入组时间将初产妇分为对照组(2012年7月至2013年6月)210例和干预组(2013年7月至2014年6月)216例，对照组给予产科常规护理，干预组在此基础上进行产前身心培训。观察两组初产妇自然分娩率、产程时间、分娩时及分娩后2 h 出血量及新生儿状况，并评估初产妇分娩前后焦虑和抑郁状况，以及家属对护理服务的满意度。结果干预组自然分娩率、新生儿 Apgar 评分、家属对护理服务的满意度高于对照组，总产程时间及各产程时间短于对照组，出血量、新生儿窒息发生率、分娩后 SAS 及 SDS 评分低于对照组，差异均有统计学意义(P ＜0．05)。结论对初产妇进行产前身心培训可显著提高分娩质量，改善初产妇的心理状态及母婴结局。
目的：探討產前身心培訓對初產婦母嬰結跼及身心狀況的影響，為提高初產婦臨床護理質量提供依據。方法便利選取2012年7月至2014年6月在本院產前檢查併分娩的426例初產婦，根據入組時間將初產婦分為對照組(2012年7月至2013年6月)210例和榦預組(2013年7月至2014年6月)216例，對照組給予產科常規護理，榦預組在此基礎上進行產前身心培訓。觀察兩組初產婦自然分娩率、產程時間、分娩時及分娩後2 h 齣血量及新生兒狀況，併評估初產婦分娩前後焦慮和抑鬱狀況，以及傢屬對護理服務的滿意度。結果榦預組自然分娩率、新生兒 Apgar 評分、傢屬對護理服務的滿意度高于對照組，總產程時間及各產程時間短于對照組，齣血量、新生兒窒息髮生率、分娩後 SAS 及 SDS 評分低于對照組，差異均有統計學意義(P ＜0．05)。結論對初產婦進行產前身心培訓可顯著提高分娩質量，改善初產婦的心理狀態及母嬰結跼。
목적：탐토산전신심배훈대초산부모영결국급신심상황적영향，위제고초산부림상호리질량제공의거。방법편리선취2012년7월지2014년6월재본원산전검사병분면적426례초산부，근거입조시간장초산부분위대조조(2012년7월지2013년6월)210례화간예조(2013년7월지2014년6월)216례，대조조급여산과상규호리，간예조재차기출상진행산전신심배훈。관찰량조초산부자연분면솔、산정시간、분면시급분면후2 h 출혈량급신생인상황，병평고초산부분면전후초필화억욱상황，이급가속대호리복무적만의도。결과간예조자연분면솔、신생인 Apgar 평분、가속대호리복무적만의도고우대조조，총산정시간급각산정시간단우대조조，출혈량、신생인질식발생솔、분면후 SAS 급 SDS 평분저우대조조，차이균유통계학의의(P ＜0．05)。결론대초산부진행산전신심배훈가현저제고분면질량，개선초산부적심리상태급모영결국。
Objective To explore the effects of prenatal physical and mental training courses on the mater-nal and neonatal outcomes and the physical and mental condition of primipara,and to provide the basis for the improvement of clinical nursing quality for primipara.Methods By convenience sampling method,426 cases of primipara were selected and divided into control group (n =210)and intervention group (n =21 6) according to the admission time.Control group were given routine obstetric nursing,while intervention group was received additional prenatal physical and mental training on the basis of routine nursing.Natural delivery rate,time of birth process,hemorrhage volume during delivery and 2 h after delivery,neonatal sta-tus of two groups were observed and compared,the anxiety and depression of primipara before and after delivery,the nursing service satisfaction of family member were also evaluated.Results The natural birth rate,neonatal Apgar score,nursing service satisfaction of the families in intervention group were signifi-cantly higher than that in the control group,the total and each duration time of labor,the amount of bleed-ing,the occurrence of neonatal asphyxia rate,SAS and SDS scores after delivery were significantly lower than that in control group (P <0.05).Conclusion Prenatal physical and mental training for primipara can improve the quality of delivery remarkably,ameliorate the maternal psychological status,maternal and neo-natal outcomes of primipara.
