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分级管理助产护理模式在高龄二胎产妇中的应用研究 被引量:5

Application of graded management midwifery nursing model in advanced second-born mothers
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摘要 目的探讨分级管理助产护理模式在高龄二胎产妇中的应用效果。方法选取2019年2月至2021年2月于抚州市妇幼保健院分娩的180例高龄二胎产妇作为研究对象,采用随机数字表法分为对照组(90例)和研究组(90例)。对照组采取常规护理干预,研究组实施分级管理助产护理模式干预。比较两组分娩方式、产程、不良事件发生率和护理满意度。结果研究组自然分娩率高于对照组,剖宫产率低于对照组,两组分娩方式比较,差异有统计学意义(P<0.05);研究组第一产程、第二产程、第三产程均短于对照组,差异有统计学意义(P<0.05);研究组不良事件总发生率低于对照组,护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论分级管理助产护理模式能够提高高龄二胎产妇自然分娩率,缩短各产程时间,减少不良事件发生,提升护理满意度。 Objective To explore the application effect of graded management midwifery nursing model in advanced second-born mothers.Methods A total of 180 elderly women with two births who delivered in Fuzhou Maternal and Child Health Hospital from February 2019 to February 2021 were selected as the research objects.They were randomly divided into control group(90 cases)and study group(90 cases).The control group received routine nursing,and the study group implemented the intervention of hierarchical management midwifery nursing mode.The mode of delivery,duration of labor,incidence of adverse events and nursing satisfaction were compared between the two groups.Results The rate of natural delivery in the study group was higher than that in the control group,and the rate of cesarean section was lower than that in the control group,the mode of delivery the two groups were compared,the difference was statistically significant(P<0.05).The first stage of labor,the second stage of labor and the third stage of labor in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse events in the study group was lower than that in the control group,and the total nursing satisfaction was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The hierarchical management midwifery nursing model can improve the natural delivery rate of elderly second child pregnant women,shorten the time of each stage of labor,reduce the occurrence of adverse events and improve nursing satisfaction.
作者 张英姿 李智萍 ZHANG Yingzi;LI Zhiping(Department of Obstetrics,Fuzhou Maternal and Child Health Hospital,Jiangxi Province,Fuzhou 344000,China)
出处 《中国当代医药》 CAS 2022年第8期182-184,共3页 China Modern Medicine
基金 江西省抚州市科技计划项目(抚科计字〔2019〕12号)。
关键词 二胎 高龄产妇 分级管理助产护理 分娩方式 产程 Second child Elderly women Grading management of midwifery nursing Mode of delivery Labor process
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