摘要
目的研究在产妇分娩过程中使用改良版疼痛量表评估其疼痛状态,并根据评估结果制定用药及护理方案。方法将本院妇产科于744例待产孕妇,分为一般组和研究组,每组372例,一般组为其提供传统疼痛评估法判断,并提供一般产程护理,研究组依据VAS疼痛评估表,根据产妇不同症状的表现方式和类型,制定出改良版产程疼痛评估量表,为产妇提供相应的止痛措施,观察两组产妇满意度。结果研究组接受改良版疼痛评估表,64.52%的产妇在生产期间出现严重程度的内心恐惧感;有15.86%的产妇存在呼吸时及伴随疼痛;灼痛及挤压痛、撕裂痛的分布包括9.14%、5.65%、4.84%。一般组产妇372例中,中度疼痛为151例(40.59%),重度为221例(59.41%)。一般组患者对于护理服务满意度为80.38%,研究组满意度为93.01%,研究组满意度较高,P<0.05。结论对于产妇生产期间采用改良版疼痛评估表判断,并采用适宜的镇痛方式,根据疼痛指标为产妇制定护理干预计划,大部分产妇经干预后,对临床护理模式表示满意。
Objective To assess the pain status of the women during childbirth using an improved version of the pain scale,according to the evaluation result,formulate the medication and nursing plan.Methods 744 pregnant women in department of obstetrics and gynecology were divided into normal group and study group,372 cases in each group,general group provided traditional pain assessment methods and provided general labor care,study group was based on the VAS pain assessment form,according to the different manifestations and types of maternal symptoms,to develop an improved pain assessment scale for birth process,provide the corresponding analgesia measure for the parturient woman,satisfaction degree of the two groups was observed.Results The study group received an improved version of pain assessment,and 64.52% of women had a severe internal fear during production;15.86% of the women had breathing and concomitant pain;Burning pain,tearing pain and distribution of extrusion including were 9.14%,5.65%,4.84%.Among the 372 women in the general group,moderate pain occurred in 151 cases（40.59%） and severe in 221 cases（59.41%）.The satisfaction rate of the patients in the general group was 80.38%,satisfaction of the study group was 93.01%,satisfaction rate of the study group was higher,P〈0.05.Conclusion For women during the production of modified version of pain assessment judgment,and the suitable way of analgesia,pain index according to the nursing intervention program for pregnant women,the majority of pregnant women after intervention,satisfied with clinical nursing model.
出处
《中国继续医学教育》
2017年第20期213-214,共2页
China Continuing Medical Education
基金
重庆市万州区科学技术项目(201503045)
关键词
分娩
疼痛评估
产程
并发症
delivery
pain assessment
stage of labor
complications
