摘要
目的:探究责任制助产模式结合体位管理对产妇自我效能以及分娩质量的影响。方法:选取2018年6月-2020年6月在信阳市中医院自然分娩的86例产妇作为研究对象,将2018年6月-2019年6月入院的产妇作为对照组(n=43),将2019年7月-2020年6月入院的产妇作为观察组(n=43)。对照组实施常规干预,观察组在对照组的基础上实施责任制助产模式结合体位管理。观察并比较两组产妇自我效能、各产程时间及分娩质量。结果:实施干预后,观察组积极态度、减轻压力、作出决策评分均高于对照组,差异有统计学意义(t=6.698、9.652、8.854,P<0.05);观察组各产程时间均短于对照组,差异有统计学意义(t=7.865、6.985、8.256、6.845,P<0.05);观察组顺转剖、新生儿窒息、产后出血、宫缩乏力总发生几率低于对照组,差异有统计学意义(χ^(2)=6.498,P<0.05)。结论:在产妇分娩实施责任制助产模式结合体位管理可有效提高产妇自我效能与分娩质量,减少不良分娩结局的发生风险。
Objective:To explore the influence of the system of responsibility and midwifery combined with position management on maternal self-efficacy and delivery quality.Methods:A total of 86 cases of pregnant women who gave birth naturally in the hospital from June 2018 to June 2020 were selected as the study subjects.Pregnant women admitted to the hospital from June 2018 to June 2019 were used as the control group(n=43).Control group received routine intervention,and observation group implemented responsibility midwifery mode combined with position management on the basis of the control group.The maternal self-efficacy,duration of each labor,and the quality of delivery of the two groups were observed and compared.Results:After the intervention,positive attitude,pressure reduction and decision making were all higher in the observation group than in the control group,with statistically significant difference(t=6.698,9.652,8.854;P<0.05).The duration of labor in the observation group was shorter than that in the control group,and the difference was statistically significant(t=7.865,6.985,8.256,6.845;P<0.05).The total incidence of anterotomy,neonatal asphyxia,postpartum hemorrhage,and uterine inertia in the observation group was lower than that in the control group(χ^(2)=6.498,P<0.05).Conclusion:The system of responsibility and midwifery management combined with position management can effectively improve the maternal self-efficacy and delivery quality,Key and reduce the risk of adverse solution.
作者
王贞仪
刘晓琴
Wang Zhenyi;Liu Xiaoqin(Obstetrics Department,Xinyang Traditional Chinese Medicine Hospital,Xinyang,Henan,464000,China)
出处
《黑龙江医学》
2024年第9期1120-1122,共3页
Heilongjiang Medical Journal
关键词
责任制助产模式
体位管理
产妇
自我效能
产程时间
分娩质量
Responsibility system midwifery mode
Position management
Maternal
Self-efficacy
Time of labor
Quality of de⁃livery
