摘要
目的探讨基于产科快速康复理念的产房管理模式在阴道分娩产妇中的应用效果。方法选取2023年1—6月在徐州市中心医院接受阴道顺产的产妇208例,将其随机分为研究组(n=126,快速康复护理理念+综合护理)与对照组(n=82,常规护理)。比较2组产妇的产程时间、会阴裂伤情况、产后并发症、疼痛、心理状态及住院时间与满意度相关情况。结果研究组与对照组第一产程[(393.75±18.32)min vs.(401.65±19.21)min]、第二产程[(40.12±18.43)min vs.(45.54±19.54)min]、第三产程[(19.97±2.89)min vs.(21.12±3.02)min]比较,差异有统计学意义(P<0.05)。2组会阴Ⅰ度、会阴侧切、≥会阴Ⅱ度例数比较,差异无统计学意义(P>0.05)。研究组产后出血和产后尿潴留的比率分别为15.1%、6.3%,对照组为26.8%和14.6%,差异有统计学意义(P<0.05)。研究组的新生儿窒息比例为7.1%,对照组为3.6%,2组差异无统计学意义(P>0.05)。研究组产妇的分娩疼痛评分为(4.14±1.23)分,对照组为(4.65±1.49)分,差异有统计学意义(P<0.05)。对照组与研究组焦虑评分[(44.23±5.12)分vs.(42.54±4.98)]、抑郁评分[(41.23±3.81)分vs.(39.92±3.67)分]比较,差异均有统计学意义(P<0.05)。研究组产后住院时间为(4.64±0.35)d,对照组为(4.82±0.56)d,差异有统计学意义(P<0.05)。研究组的满意度为92.9%,高于对照组的84.1%,差异有统计学意义(P<0.05)。结论在快速康复理念的指导下,实施综合性护理干预可以有效改善产妇出血、疼痛、焦虑和抑郁等症状,快速康复理念综合性护理的效果优于传统护理方法。
Objective To explore the application effect of a delivery room management model based on the concept of rapid recovery in obstetrics in vaginal delivery mothers.Methods A total of 208 postpartum women who underwent vaginal delivery at Xuzhou Central Hospital from January to June 2023 were randomly divided into a study group(n=126,fast recovery nursing concept+comprehensive nursing)and a control group(n=82,routine nursing).The duration of labor,perineal lacerations,postpartum complications,pain,psychological status,and hospital stay with satisfaction between two groups of parturients were compared.Results There were statistically significant differences between the study group and the control group in terms of the first stage of labor[(393.7518.32)min vs.(401.65±19.21)min],second stage of labor[(40.12±18.43)min vs.(45.54±19.54)min],and third stage of labor[(19.97±2.89)min vs.(21.12±3.02)min](P<0.05).There was no statistically significant difference in the number of cases with perineal degreeⅠ,episiotomy,and≥perineal degreeⅡbetween the two groups(P>0.05).The delivery pain scores of the study group were(4.14±1.23)points,while those of the control group were(4.65±1.49)points,and the difference was statistically significant(P<0.05).There were statistically significant differences in anxiety scores(44.23±5.12)vs.(42.54±4.98)and depression scores(41.23±3.81)vs.(39.92±3.67)between the control group and the study group(P<0.05).The postpartum hospitalization time of the research group was(4.64±0.35)days,while that of the control group was(4.82±0.56)days,with a statistically significant difference(P<0.05).Thesatisfaction percentage of the research group was 92.9%,which was greater than84.1%of the control group,and the difference was statistically significant(P<0.05).Conclusion Implementing comprehensive nursing interventions,guided by the idea of speedy recovery,can successfully reduce postpartum women's symptoms,including pain,anxiety,depression,and bleeding.The effectiveness of comprehensive nursing based on the concept of rapid rehabilitation is superior to traditional nursing methods.
作者
赵艳庆
李捷
秦童
施君瑶
王映苏
ZHAO Yanqing;LI Jie;QIN Tong;SHI Junyao;WANG Yingsu(Department of Obstetrics,Xuzhou Central Hospital,Xuzhou Jiangsu 221000,China;Department of Obstetrics,Pudong New Area Maternal and Child Health Care Institute,Shanghai City,Shanghai 200120,China)
出处
《中国卫生标准管理》
2025年第2期17-20,共4页
China Health Standard Management
基金
徐州中心医院2022年度院级课题培育项目(20230214)
上海市浦东新区第二轮医学学科建设立项项目(PWY gts2021-02)。
关键词
快速康复护理理念
综合护理
产房
阴道顺娩
产妇
康复
rapid rehabilitation nursing concept
comprehensive nursing
delivery room
vaginal delivery
maternity
recovered
