摘要
目的针对阴道分娩产妇潜伏期宫缩痛,实施非药物镇痛措施进行管理的循证实践。方法以基于证据的持续质量改进模式为理论框架,应用循证护理的方法获取最佳证据,于2020年3-9月将证据应用于潜伏期阴道分娩产妇,比较循证实践前后产妇采用非药物镇痛措施的依从性和分娩疼痛等指标的变化。结果循证实践应用了7条证据。循证实践后,潜伏期产妇采用非药物镇痛措施的依从性提高,疼痛水平显著下降,产妇对分娩指导及分娩经历的满意度明显提高(均P<0.05)。结论通过循证护理对阴道分娩产妇进行潜伏期分娩疼痛的管理,能有效促进产妇采纳非药物减痛措施,有效降低其潜伏期分娩疼痛程度,提高分娩满意度,可为潜伏期阴道分娩产妇非药物镇痛的规范化管理提供参考。
Objective To implement evidence-based non-pharmacological interventions to relieve labor pain among women with vaginal childbirth during the latent period.Methods Evidence-based continuous quality improvement model was applied as the theoretical framework.The best evidence was obtained through the evidence-based nursing method and implemented from March to September 2020 among women with vaginal childbirth during the latent period.The compliance of the evidence-based non-pharmacological interventions and the changes of labor pain were measured before and after evidence-based practice.Results Seven pieces of evidence were used in this evidence-based practice programme.After the evidence-based practice,the implementation rate of the evidence-based non-pharmacological interventions was increased,the severity of labor pain was significantly reduced,and women’satisfaction with childbirth assistance and childbirth experience was significantly improved(all P<0.05).Conclusions The evidence-based management of labor pain can effectively promote the adoption of non-pharmacological interventions for women with vaginal childbirth during latent phase.It can not only effectively reduce the severity of labor pain,but also improve maternal childbirth satisfaction.It can provide reference for the standardized implementation of the evidence-based non-pharmacological interventions among women with vaginal childbirth during the latent period.
作者
黄悦
钟月华
陈乔珠
涂献方
龚婷娟
邓永芳
HUANG Yue;ZHONG Yuehua;CHEN Qiaozhu;TU Xianfang;GONG Tingjuan;DENG Yongfang(Department of Obstetrics,Guangzhou Women and Children’s Medical Center,Evidence-based Nursing Center of Fudan University,Evidence Application Base,Guangzhou Women and Children’s Medical Center,Guangzhou 510623,Guangdong Province,China)
出处
《军事护理》
CSCD
北大核心
2022年第8期17-20,共4页
MILITARY NURSING
基金
广州市妇女儿童医疗中心院设教学研究重点资助项目(JY-2020-015)。
关键词
阴道分娩
非药物干预
分娩疼痛
循证实践
vaginal childbirth
non-pharmacological intervention
labor pain
evidence-based practice
