摘要
目的:观察家属陪护下温馨助产模式对初产妇分娩结局及产后恢复的影响.方法:纳入2022年4月-2023年5月本院产科收治的115例初产妇,随机数字表法分为对照组(58例)与观察组(57例),对照组行常规分娩护理,观察组开展家属陪护下温馨助产模式护理干预,对照组脱落2例,观察组脱落1例,比较各组分娩结局、新生儿结局、产妇产后出血量以及分娩疼痛(改良面部表情疼痛评估工具,FPS-R)、产后焦虑(SAS)与抑郁(SDS)自评量表评分、总产程与住院时间、产妇护理满意率.结果:两组顺利阴道分娩率均为100.0%,观察组分娩后并发症率(0)低于对照组(7.1%),新生儿不良事件发生率(0)低于对照组(8.9%),产妇产后出血量(216.2±10.8ml)少于对照组(289.7±15.2 ml),FPS-R评分(7.9±0.4分)低于对照组(8.9±0.5分),SAS(36.5±3.0分)与SDS(34.8±5.2分)评分低于对照组(42.4±3.8分、41.8±4.8分),总产程(516.23±9.76min)与住院时间(2.14±0.22d)均短于对照组(612.34±10.65 min、2.95±0.26d),产妇护理满意率(96.4%)高于对照组(85.7%)(均P<0.05).结论:家属陪护下温馨助产模式可较好缓解产妇心理不良状态,改善分娩结局,促进产后恢复,降低不良分娩结局,产妇较为满意.
Objective:To observe the influence of warm midwifery nursing mode of accompanied by family members for primiparas on their delivery outcomes and postpartum recovery.Methods:A total of 115 primiparas admitted to the obstetrics department were included and were divided into two groups by random number table method from April 2022 to May 2023.58 primiparas in the control group rceived routine delivery care.and 57 primiparas in the observation group received warm midwife nursing of accompanied by family members.2 cases in the control group and 1 case n the observation group were lost for followrup.The delivery outcomes,the neonatal outcomes,the postpartum hemorrhage,the labor pain sore evaluated by visual analogue scale(FPS-R),the scores of postpartum anxiety(SAS)and depression(SDS)self rating scale,the total labor process duration,the hospitalization time and the nursing satisfaction rate of the primiparas were compared between the two groups.Results:The rate of sccessful vaginal delivery of the primiparas in the two groups was 100.0%.The incidence of complications(0)of the primiparas after delivery in the observation group was significantly lower than that(7.1%)of the primiparas in the control group.The incidence of the nconatal adverse events(0)of the primiparas in the observation group was significantly lower than that(8.9%)of the primiparas in the control group.The amount of postpartum hemorrhage(216.2±10.8ml)of the primiparas in the ob-servation group was significantly lower than that(289.7±15.2ml)of the primiparas in the control group.The scores of FPS-R(7.9±0.4 points),SAS(36.5±3.0 points)and SDS(34.8±5.2 points)of the primiparas in the observation group were significantly lower than those(8.9±0.5 points,42.4±3.8 points and 41.8±4.8 points)of the primiparas in the control group.The total duration of labor(516.23±9.76 min)and the hospital stay(2.14±0.22 d)of the primiparas in the observation group were significantly shorter than those(612.34±10.65 min and 2.95±0.26 d)of the primiparas in the contro
作者
郭真
王艳艳
GUO Zhen;WANG Yanyan(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan Province,471000)
出处
《中国计划生育学杂志》
2024年第1期108-111,共4页
Chinese Journal of Family Planning
关键词
初产妇
家属陪护下温馨助产模式
心理
分娩结局
产程
产后恢复
满意率
Primipara
Warm midwifery nursing mode accompanied by family members
psychology
Delivery out-comes
Stage of labor
Postpartum recowery
Rate of satisfaction
