摘要
目的分析一对一全程健康指导对孕产妇分娩方式及新生儿的影响。方法选取2016年1~10月到我院进行产检及分娩的孕产妇132例,随机分为对照组和干预组,各66例。对照组接受常规分娩护理指导,干预组在常规护理指导基础上实施一对一全程健康指导。观察两组护理指导后分娩情况、方式及新生儿情况。结果护理指导后,对照组第一产程、第二产程、总产程、第一产程活跃期VAS评分、产后2h内出血量、剖宫产率分别为(465.39±105.75)min、(55.74±13.92)min、(524.38±102.56)min、(5.68±1.36)分、(186.73±45.67)m L、27.27%,均高于干预组的(368.54±99.51)min、(41.58±10.44)min、(424.36±101.25)min、(5.12±1.29)分、(160.25±36.54)m L、15.15%;对照阴道顺产率、新生儿娩出后1min及5min Apgar评分分别为48.48%、(6.74±1.10)分、(7.27±1.53)分,均低于干预组的66.67%、(7.90±1.23)分、(8.47±1.71)分。两组各观察指标分别比较,差异有统计学意义(P<0.05)。结论在孕产妇中进行一对一全程健康指导可有效改善产妇分娩方式,提高阴道顺产率,提高新生儿健康程度。
Objective To analyze the influence of one-on-one health guidance on delivery mode of pregnant women and newborns. Methods 132 pregnant women who antenatal examination and delivery in our hospital from January to October 2016 were selected, and were randomly divided into control group and intervention group, with 66 cases in each group. The pregnant women of control group were given routine delivery nursing guidance, while the pregnant women of intervention group were given one-on-one health guidance based on routine nursing. The delivery situation, mode and neonatal status after nursing guidance were observed in two groups. Results After nursing guidance, the VAS score of first stage of labor, second stage of labor, first stage in active phase, total stage of labor, postpartum 2h bleeding volume, cesarean section rate in control group were （465.39±105.75）min, （55.74 ±13.92） min, （524.38±102.56）rain, （5.68 ±1.36）points, （186.73 ± 45.67）mL and 27.27% respectively, which were higher than （368.54 ±99.51）rain, （41.58± 10.44）rain, （424.36 ± 101.25）min, （5.12 ± 1.29）points, （160.25 ± 36.54）mL, 15.15% in intervention group. The vaginal normal labor rate, neonatal Apgar score after delivery for lmin and 5min in control group were 48.48%, （6.74 ± 1.10） points, （7.27 ± 1.53） points respectively, which were lower than 66.67%, （7.90 ± 1.23） points, （8.47 ± 1.71） points in intervention group. The observation indexes between the two groups were compared, there was no statistical difference （P 〈 0.05）. Conclusion One-on-one health guidance in pregnant women can effectively improve delivery mode, increase vaginal normal labor rate, enhance neonatal health status.
出处
《中国医药科学》
2017年第20期127-129,142,共4页
China Medicine And Pharmacy
关键词
孕产妇
分娩方式
新生儿状况
一对一全程健康指导
Pregnant women
Delivery mode
Neonatal birth status
One-on-one health guidance
