摘要
目的了解人性化管理在分娩中的应用效果。方法将2003年3~9月足月分娩的产妇302例设为对照组,选择2003年10月~2004年3月足月分娩的产妇342例设为观察组,观察组营造温馨舒适的人文环境、实施以家属陪伴分娩、一对一助产士全程陪伴分娩为主的人性化管理;对照组按常规产程处理;对两组产妇的分娩方式、分娩结局进行动态观察。结果观察组自然分娩率、剖宫产率分别为85.09%、14.91%,对照组分别为73.84%、26.16%,两组比较,均P<0.01,差异有统计学意义;对照组与观察组新生儿窒息率分别为3.64%、1.17%,两组比较,P<0.05,差异有统计学意义;对照组与观察组对护理人员的满意度分别为95.70%、99.12%,两组比较,P<0.05,差异有统计学意义。结论人性化管理可降低剖宫产率,增加自然分娩率及改善母婴预后,提高产妇及家属的满意度,使产房护理质量得到保证。
Objective To explore the effect of humanized management on parturition. Methods Six hundred and forty four laboring women from March 2003 to March 2004 were randomly divided into the study group (342 cases) and the control group (302 cases). In the study group, we supplied comfortable environment for pregnant women. The husband could company his wife and midwives companied laboring women in the whole course of birth. Mothers in the control group received traditional management. The mode and outcome of delivery were observed dynamically. Results In the study group, the spontaneous delivery rate (85.09%) was significantly higher than that of the control group (73.84%). In the study group the cesarean section rate was significantly lower than that of the control group (14.91% vs 26.16%, P < 0.05). Conclusions Appropriate mode of intrapartum care can decrease the cesarean section rate and promote the vaginal delivery, and it can improve the maternal and neonatal outcomes. It can improve the satisfaction degree of pregnant women and their relatives, and can ensure the quality of care in the delivery room.
出处
《现代临床护理》
2005年第1期48-49,F003,共3页
Modern Clinical Nursing