摘要
目的:探讨支持性护理在促进自然分娩中的应用效果。方法:将400例经阴道分娩产妇随机分为观察组和对照组各200例,观察组采用支持性护理,推行一系列非损伤措施,包括产前宣教,建立分娩信心支持和产时呼吸调整培训,进入产程后自由体位待产等;对照组采用常规适度产程干预。比较两组总产程时间、胎儿宫内窘迫发生率、新生儿窒息发生率、产时出血量和产后出血发生率,产妇舒适度及满意度。结果:观察组产妇总产程时间、胎儿窘迫发生率、新生儿窒息率、产后出血量及产后出血发生率明显少于对照组(P<0.05);观察组满意度、舒适度明显高于对照组(P<0.05)。结论:支持性护理有助于促进自然分娩,降低剖宫产率,减少胎儿窘迫及新生儿窒息的发生,提升产妇的舒适度及满意度,值得临床推广应用。
Objective：To investigate the effect of nursing support in promoting natural childbirth. Methods：400 parturients who would undergo vaginal delivery were randomly divided into the observation group and the control group（200 parturients in each group）. The sup-portive nursing care was adopted in the observation group,including antenatal health education,confidence support,intrapartum respiratory adjustment training and instruction on awaiting delivery in free position;the moderate routine intervention during birth process was imple-mented in the control group. The total duration of labor,the incidence of intrauterine fetal distress and neonatal asphyxia,the volume of in-trapartum hemorrhage,the incidence of postpartum hemorrhage and the degree of comfort and satisfaction of parturient were compared be-tween the two groups. Results：The total duration of labor,the incidence of intrauterine fetal distress and neonatal asphyxia,the volume of intrapartum hemorrhage and the incidence of postpartum hemorrhage was significantly shorter and less in the observation group than the control group（P〈0. 05）;the degree of comfort and satisfaction of parturient was significantly higher in the observation group than the control group（P〈0. 05）. Conclusion：The supportive nursing care can help to promote natural delivery,reduce the rate of cesarean section and incidence of fetal distress and neonatal asphyxia and can also improve maternal comfort and satisfaction.
出处
《齐鲁护理杂志》
2014年第22期32-33,共2页
Journal of Qilu Nursing
基金
2011年南通市科技局市级应用研究项目(K11906)
关键词
支持性护理
自然分娩
适度产程干预
Supportive nursing care
Natural childbirth
Moderate intervention during birth process
