摘要
目的了解河南省助产工作及助产适宜技术应用现状。方法采用便利抽样法,利用河南省护理学会妇产科护理分会平台,选取河南省三级医院32所,二级医院47所,一级医院11所进行问卷调查。结果河南省各级医院助产士外出培训率为16.0%(0.07%,30.00%),有80.2%的医院认为需要增加助产士,各级医院的自然分娩率为(50.84±12.16)%、会阴侧切率为(40.14±21.15)%,不同等级医院产妇自然分娩率和会阴侧切率差异有统计学意义(P<0.05);医院开展各项助产适宜技术的比例分别为:导乐陪伴分娩(49.4%)、自由体位分娩(35.8%)、硬膜外麻醉(56.8%)、水中分娩(4.9%),拉玛泽呼吸法(60.5%)、音乐疗法(24.7%);未开展导乐陪伴分娩的原因主要为助产士人员不足(75.6%)等,未开展自由体位分娩的原因主要有助产士未经过培训(57.7%)、存在安全隐患(57.7%)等。结论河南省各医院助产士规范化培训率低,大部分医院有增加助产士的需求,各项助产适宜技术有待推广普及,医院需加强对助产士进行相关知识与技能的培训,提高助产士工作能力,促进自然分娩和助产适宜技术的开展。
Objective To investigate the present situation of midwifery and the appropriate technical application of midwifery in Henan Province. Methods Using convenience sampling method,questionnaire survey was conducted among 32 tertiary hospitals,47 secondary hospitals and 11 primary hospitals via the platform of midwifery section of Henan Province nursing association. Results For hospitals of different levels in Henan Province,the training rate of midwives was （19.55±20.28）%,80.2% of the hospitals mentioned there was a need to increase midwives,the rates of natural delivery and pefineal side cutting were （50.84±12.16）% and （40.14±21.15）%,and there were significant differences in the rates of natural delivery and perineal side cutting among hospitals of different levels（P〈0.05）. The pro- portion of application of appropriate techniques of midwifery was as follows： Doula delivery was 49.4% ,labor in liberal position was 35.8%,epidura1 anesthesia was 56.8%,water birth was 4.9%,Lamaze breathing was 60.5%,and music therapy was 24.7%;the main reason for no Doula delivery was the shortage of midwives （75.6%）,and the reasons for no labor in liberal position were the midwife had not been trained（57.7%） and there was safety hazard （57.7%）. Conclusion The rate of standardized training for midwives was low,and there was a need of increasing midwives in hospitals of all levels in Henan Province. The appropriate technologies of midwifery need to be popu- larized,and the hospital should strengthen the training of related knowledge and skills for midwives in order to im- prove work ability,promote natural delivery,and enhance application of appropriate techniques of midwifery.
出处
《中华护理杂志》
CSCD
北大核心
2018年第2期158-161,共4页
Chinese Journal of Nursing
基金
河南省医学教育研究课题(Wjlx2016064)
关键词
河南
助产适宜技术
自然分娩
问卷调查
HENAN
Appropriate Technologies of Midwifery
Natural Childbirth
Questionnaires
