摘要
目的分析产房助产士面对产后出血情况的应急能力,并探讨护理干预措施。方法该次研究时间范围确立于2019年5月—2020年5月方便抽选该院产科收治分娩产妇61名作为研究目标,根据入院时间先后顺序进行分组,对照组产妇予以常规护理,观察组产妇予以产房助产士应急护理,对比两组分娩结局情况,记录各组产妇分娩各个产程用时,分析统计学差异性,另外记录对比两组产妇临床相关指标差异情况。结果观察组早产儿3.23%、新生儿窒息概率0.00%、呼吸窘迫发生率0.00%、围生儿死亡0.00%,均明显低于对照组,但差异无统计学意义(χ^2=0.945、1.473、1.473、0.000,P>0.05);观察组第一产程(5.34±1.02)h、第二产程(60.34±11.05)min、第三产程(6.12±0.44)min、总产程(6.85±1.23)h均明显短于对照组,差异有统计学意义(t=8.460、17.470、5.590、9.330,P<0.05);观察组产妇产后24 h出血量(130.45±11.04)mL、48 h出血量(229.45±20.23)mL均少于对照组,止血时间(3.24±0.35)h、住院总时间(6.95±1.09)d均短于对照组,差异有统计学意义(t=25.040、22.790、8.110、9.940,P<0.05)。结论产妇发生产后出血后通过产房助产士应急护理能够优化分娩结局,缩短产程,减少出血量,促进产妇恢复,值得应用推广。
Objective To analyze the emergency response ability of midwives in the delivery room in the face of postpartum hemorrhage and discuss nursing intervention measures.Methods The time frame of this study was established from May 2019 to May 2020.61 cases of delivery women admitted to the hospital's obstetrics department were conveniently selected as the research target.The groups were grouped according to the order of admission time.The control group received routine care,and the observation group provided with emergency care by midwives in the delivery room,compared the outcomes of the two components of delivery,record the time spent in each delivery of the mothers in each group,analyzed the statistical differences,and record and compared the differences in clinical indicators between the two groups.Results The observation group was 3.23%of premature infants,the probability of neonatal asphyxia was 0.00%,the incidence of respiratory distress was 0.00%,and the death rate of perinatal infants was 0.00%.They were all significantly lower than those of the control group,but the difference was not statistically significant(χ^2=0.945,1.473,1.473,0.000,P>0.05);the observation group's first stage of labor(5.34±1.02)h,the second stage of labor(60.34±11.05)min,the third stage of labor(6.12±0.44)min,and total labor(6.85±1.23)h were significantly shorter compared with the control group,the difference was statistically significant(t=8.460,17.470,5.590,9.330,P<0.05);in addition,the 24 h postpartum bleeding volume(130.45±11.04)mL and 48 h blood volume(229.45±20.23)mL of the observation group were less than the control group,the hemostasis time(3.24±0.35)h and the total hospitalization time(6.95±1.09)d were shorter than those in the control group.The difference was statistically significant(t=25.040,22.790,8.110,9.940,P<0.05).Conclusion Emergency care by the midwife in the delivery room can optimize the delivery outcome,shorten the delivery process,reduce the amount of bleeding,and promote the recovery of the parturient.It
作者
龚惠芳
GONG Hui-fang(Delivery room,Changshu Traditional Chinese Medicine Hospital,Changshu,Jiangsu Province,215500 China)
出处
《中外医疗》
2020年第35期160-162,共3页
China & Foreign Medical Treatment
关键词
产房
助产士
产后出血
应急能力
护理干预
Delivery room
Midwife
Postpartum hemorrhage
Emergency capacity
Nursing intervention
