摘要
目的:观察基于风险评估的护理干预对高龄产妇分娩方式、产程及分娩结局的影响。方法:选取2018年5月-2019年5月泉州市妇幼保健院产科收治的90例高龄产妇作为研究对象,按照随机数表法分为对照组和研究组,各45例。对照组采用常规护理干预,研究组采用基于风险评估的护理干预。对两组产妇分娩方式、产程时间、产后出血发生率、产后尿潴留发生率、新生儿窒息发生率、黄疸发生率、护理满意度进行对比分析。结果:研究组自然分娩率高于对照组,剖宫产率低于对照组,产程时间短于对照组,差异均有统计学意义(P<0.05);研究组产妇产后出血发生率、产后尿潴留发生率均低于对照组,差异均有统计学意义(P<0.05);研究组新生儿窒息发生率、黄疸发生率均低于对照组,差异均有统计学意义(P<0.05);研究组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:基于风险评估的护理干预对高龄产妇的干预效果良好,能有效提高产妇自然分娩率,降低产妇产后并发症发生率,提高护理满意度,值得临床推广。
Objective:To explore the intervention effect of nursing based on risk assessment on delivery mode,stage of labor and outcome of delivery of elderly parturient,and to provide nursing guidance for elderly parturient.Method:A total of 90 elderly pregnant women admitted to the Obstetrics Department of Quanzhou Women’and Children’Hospital from May 2018 to May 2019 were selected as the research objects.According to the random number table method,the patients were divided into the control group and the study group,with 45 cases each.The control group received routine care,and the study group received nursing interventions based on risk assessment.The delivery mode,stage of labor,postpartum hemorrhage rate,incidence of postpartum urine retention,neonatal asphyxia rate,incidence of jaundice and nursing satisfaction of the two groups were compared and analyzed.Result:The rate of natural delivery in the study group was higher than that in the control group,the rate of cesarean section was lower than that in the control group,and the duration of labor was shorter than that in the control group,the differences were statistically significant(P<0.05).The incidence of postpartum hemorrhage and incidence of postpartum urinary retention in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of neonatal asphyxia and incidence of jaundice in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The nursing satisfaction in the study group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The nursing intervention based on risk assessment can effectively improve the natural delivery rate of the elderly puerpera,reduce the incidence of adverse postpartum conditions of the elderly puerpera,improve nursing satisfaction,the intervention effect is obvious,worthy of clinical promotion.
作者
骆桂梅
戴明娜
LUO Guimei;DAI Mingna(Quanzhou Women’s and Children’s Hospital,Quanzhou 362000,China;不详)
出处
《中外医学研究》
2020年第18期113-115,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
风险护理
高龄产妇
分娩方式
产程时间
分娩结局
Nursing based on risk
Elderly parturient
Delivery way
Stage of labor
Delivery outcome
