【摘要】 目的分析初产妇分娩助产士心理护理干预对分娩方式及结局的影响。方法方便筛选2017年1月—2018年10月在该院进行分娩的160例初产妇,按照来院时间的单双号进行分组,分为对照组和研究组,对照组予以产科常规护理,研究组由助产士开展心理护理干预,对比产妇的产程时间、分娩方式、产后出血发生情况。结果研究组产妇对护理服务的满意度96.25%高于对照组81.25%,两组数据对比差异有统计学意义(χ2=7.082,P<0.05)。研究组产妇阴道分娩率81.25%与对照组58.75%相比更高,且有较对照组12.50%更低的产后出血发生率3.75%,两组数据对比差异有统计学意义(χ2=9.127、5.263,P<0.05)。研究组产妇第一产程时间(8.97±1.87)h、第二产程时间(0.75±0.32)h均短于对照组第一产程(14.11±2.94)h、第二产程时间(1.38±0.88)h,两组数据对比差异有统计学意义(t=7.025、4.973,P<0.05)。研究组产妇围产期HAMD(8.98±2.24)分与HAMA(7.02±2.13)分量表评分均低于与对照组HAMD(14.23±4.21)分与HAMA(15.36±4.08)分量表评分,两组数据对比差异有统计学意义(t=6.932、6.734,P<0.05)。结论助产士对初产妇围产期实施心理护理干预,能够提高产科护理工作的质量,最大程度保障阴道分娩率和最佳的分娩结局。更多还原

【Abstract】 Objective To analyze the effect of psychological nursing intervention on the mode of delivery and outcome of primipara maternal midwifery. Methods A total of 160 primiparas who were convenient delivered in our hospital from January 2017 to October 2018 were divided into the control group and the study group according to the single and double numbers at the time of admission. The control group received routine obstetric care. The midwife conducts psychological nursing interventions in the study group, to compare the maternal labor time, mode of delivery, and postpartum hemorrhage.Results The satisfaction rate of maternal nursing service was 96.25% higher than that of the control group of 81.25%. There was statistical difference between the two groups(χ2=7.082, P <0.05). The vaginal delivery rate of the study group was81.25% higher than that of the control group(58.75%), and the incidence rate of postpartum hemorrhage(12.50%) was lower than that of the control group of 3.75%. The difference between the two groups was statistically significant(χ2=9.127,5.263, P<0.05). The first stage of labor(8.97±1.87)h and the second stage of labor(0.75±0.32)h in the study group were shorter than the first stage of labor(14.11±2.94)h and the second stage of labor(1.38±0.88)h. Statistical difference(t=7.025,4.973, P<0.05). The HAMD(8.98±2.24)points and HAMA(7.02±2.13)points scales of the perinatal period of the study group were lower than those of the HAMD(14.23±4.21)points and HAMA(15.36±4.08)points scales. Statistical difference(t=6.932,6.734, P<0.05). Conclusion Midwifery intervention in the perinatal period of primiparas can improve the quality of obstetric care and maximize the rate of vaginal delivery and optimal delivery outcomes.更多还原