连续性助产护理对母婴结局影响的研究
|
摘要
目的:探究连续性助产护理对母婴结局的影响。方法:选取2017年10月-2018年3月在本院进行生产的初产妇253例。按照护理方式不同将其分为观察组(连续性助产护理)128例、对照组(传统助产护理)125例。比较两组产妇分娩方式、产程、产后2 h出血量、新生儿情况及产妇对助产护理的满意度。结果:观察组自然分娩率高于对照组(P<0.05),观察组巨大儿、低体重儿、新生儿窒息例数均少于对照组,但差异均无统计学意义(P>0.05);观察组产程时间短于对照组(P<0.05),观察组产后2 h出血量虽少于对照组,但差异无统计学意义(P>0.05);观察组服务态度、分娩技巧、护理质量满意度均高于对照组(P<0.05)。结论:连续性助产护理能够在一定程度上改善母婴结局,提高产妇对护理的满意度。
Objective:To explore the effect of continuous midwifery care on maternal and child outcomes.Method:A total of 253 primipara who delivered in our hospital from October 2017 to March 2018 were selected.According to different nursing methods,they were divided into 128 cases of observation group(continuous midwifery nursing)and 125 cases of control group(traditional midwifery nursing).The mode of delivery,the course of labor,the amount of bleeding in 2 hours after delivery,the condition of newborn and the satisfaction degree of parturient to midwifery nursing between two groups were compared.Result:The natural delivery rate in observation group was higher than that of control group(P<0.05),the number of macrosomia,low birth weight infants and neonatal asphyxia in observation group were less than those of control group,but the differences were not statistically significant(P>0.05).The duration of labor in observation group was lower than that of control group(P<0.05),the amount of bleeding in 2 hours after delivery in observation group was lower than that of control group,but the differences were not statistically significant(P>0.05).The satisfaction of service attitude,delivery skills and nursing quality in observation group were higher than those of control group(P<0.05).Conclusion:Continuous midwifery nursing can improve maternal and infant outcomes to a certain extent,and improve maternal satisfaction with nursing.
Objective:To explore the effect of continuous midwifery care on maternal and child outcomes.Method:A total of 253 primipara who delivered in our hospital from October 2017 to March 2018 were selected.According to different nursing methods,they were divided into 128 cases of observation group(continuous midwifery nursing)and 125 cases of control group(traditional midwifery nursing).The mode of delivery,the course of labor,the amount of bleeding in 2 hours after delivery,the condition of newborn and the satisfaction degree of parturient to midwifery nursing between two groups were compared.Result:The natural delivery rate in observation group was higher than that of control group(P<0.05),the number of macrosomia,low birth weight infants and neonatal asphyxia in observation group were less than those of control group,but the differences were not statistically significant(P>0.05).The duration of labor in observation group was lower than that of control group(P<0.05),the amount of bleeding in 2 hours after delivery in observation group was lower than that of control group,but the differences were not statistically significant(P>0.05).The satisfaction of service attitude,delivery skills and nursing quality in observation group were higher than those of control group(P<0.05).Conclusion:Continuous midwifery nursing can improve maternal and infant outcomes to a certain extent,and improve maternal satisfaction with nursing.
引文
[1]郑淑香.全程连续性助产护理对剖宫产术后阴道分娩的影响[J].国际护理学杂志,2018,37(9):1210-1212.
[2]陈玉霞.连续性助产模式对初产妇分娩疼痛及母婴结局的影响[J].国际护理学杂志,2018,37(5):629-631.
[3]Cox K J,King T L.Preventing Primary Cesarean Births:Midwifery Care[J].Clin Obstet Gynecol,2015,58(2):282-293.
[4]Khodaveisi M,Ashtarani F,Beikmoradi A,et al.The effect of continuous care on the lifestyle of patients with multiple sclerosis:A randomized clinical trial[J].Iran J Nurs Midwifery Res,2017,22(3):225-231.
[5]邹海青.探讨初产妇孕期体质量管理及助产士连续护理模式对妊娠结局的影响[J].检验医学与临床,2017,14(Z1):295-296.
[6]朱丹,张薇.连续性助产护理模式对孕妇分娩结局的影响[J].中国实用护理杂志,2017,33(7):516-519.
[7]余林玲,李云,何燕.连续性助产服务护理对初产妇自然分娩率、选择非药物镇痛分娩的影响[J].实用临床医药杂志,2017,21(14):113-115.
[8]Akileswaran C P,Hutchison M S.Making Room at the Table for Obstetrics,Midwifery,and a Culture of Normalcy Within Maternity Care[J].Obstet Gynecol,2016,128(1):176-180.
[9]Okhovat F,Abdeyazdan Z,Namnabati M.Effect of implementation of continuous care model on mothers’anxiety of the children discharged from the pediatric surgical unit[J].Iran J Nurs Midwifery Res,2017,22(1):37-40.
[10]于艳彬,魏文峰,王亚芳,等.连续性助产服务对初产妇分娩结局的影响[J].国际护理学杂志,2015,34(20):2741-2744.
[11]翟巾帼,郑艳芳,黄美凌,等.连续性助产服务模式下的孕产妇服务需求调查[J].护理研究,2015,29(3C):3004-3006.
[12]Nasrabadi A N,Peyrovi H,Valiee S.Nurses’Error Management in Critical Care Units:A Qualitative Study[J].Crit Care Nurs Q,2017,40(2):89-98.
[13]Munns A,Watts R,Hegney D,et al.Effectiveness and experiences of families and support workers participating in peer-led parenting support programs delivered as home visiting programs:a comprehensive systematic review[J].JBI Database System Rev Implement Rep,2016,14(10):167-208.
[14]徐晓娟,褚佩君.孕期体重管理和助产士连续护理模式对初产妇妊娠结局的影响[J].北京医学,2017,39(4):420-421.
[15]罗玉媚,利伟江.连续助产护理模式对初产妇剖宫产率的影响[J].护理实践与研究,2015,12(7):56-57.
[16]Mauri P A,Ceriotti E,Soldi M,et al.Italian midwives’experiences of late termination of pregnancy.A phenomenologicalhermeneutic study[J].Nurs Health Sci,2015,17(2):243-249.
[17]蔡玉娟,谢建英,钟少平,等.改良连续性助产服务模式对降低CDMR的效果[J].浙江临床医学,2016,24(1):87-88.
[18]Seymour J,Rietjens J,Bruinsma S,et al.Using continuous sedation until death for cancer patients:A qualitative interview study of physicians’and nurses’practice in three European countries[J].Palliat Med,2015,29(1):48-59.
[19]Ayala R,Binfa L,Vanderstraeten R,et al.Exploring historical conflicts between midwives and nurses:a perspective from Chile[J].J Interprof Care,2015,29(3):216-222.
[20]侯纪湘,朱小芳.基于责任助产模式的护理干预对妊娠期高血压疾病产妇情绪、母婴结局和满意度的影响[J].护理实践与研究,2018,15(18):76-78.
[2]陈玉霞.连续性助产模式对初产妇分娩疼痛及母婴结局的影响[J].国际护理学杂志,2018,37(5):629-631.
[3]Cox K J,King T L.Preventing Primary Cesarean Births:Midwifery Care[J].Clin Obstet Gynecol,2015,58(2):282-293.
[4]Khodaveisi M,Ashtarani F,Beikmoradi A,et al.The effect of continuous care on the lifestyle of patients with multiple sclerosis:A randomized clinical trial[J].Iran J Nurs Midwifery Res,2017,22(3):225-231.
[5]邹海青.探讨初产妇孕期体质量管理及助产士连续护理模式对妊娠结局的影响[J].检验医学与临床,2017,14(Z1):295-296.
[6]朱丹,张薇.连续性助产护理模式对孕妇分娩结局的影响[J].中国实用护理杂志,2017,33(7):516-519.
[7]余林玲,李云,何燕.连续性助产服务护理对初产妇自然分娩率、选择非药物镇痛分娩的影响[J].实用临床医药杂志,2017,21(14):113-115.
[8]Akileswaran C P,Hutchison M S.Making Room at the Table for Obstetrics,Midwifery,and a Culture of Normalcy Within Maternity Care[J].Obstet Gynecol,2016,128(1):176-180.
[9]Okhovat F,Abdeyazdan Z,Namnabati M.Effect of implementation of continuous care model on mothers’anxiety of the children discharged from the pediatric surgical unit[J].Iran J Nurs Midwifery Res,2017,22(1):37-40.
[10]于艳彬,魏文峰,王亚芳,等.连续性助产服务对初产妇分娩结局的影响[J].国际护理学杂志,2015,34(20):2741-2744.
[11]翟巾帼,郑艳芳,黄美凌,等.连续性助产服务模式下的孕产妇服务需求调查[J].护理研究,2015,29(3C):3004-3006.
[12]Nasrabadi A N,Peyrovi H,Valiee S.Nurses’Error Management in Critical Care Units:A Qualitative Study[J].Crit Care Nurs Q,2017,40(2):89-98.
[13]Munns A,Watts R,Hegney D,et al.Effectiveness and experiences of families and support workers participating in peer-led parenting support programs delivered as home visiting programs:a comprehensive systematic review[J].JBI Database System Rev Implement Rep,2016,14(10):167-208.
[14]徐晓娟,褚佩君.孕期体重管理和助产士连续护理模式对初产妇妊娠结局的影响[J].北京医学,2017,39(4):420-421.
[15]罗玉媚,利伟江.连续助产护理模式对初产妇剖宫产率的影响[J].护理实践与研究,2015,12(7):56-57.
[16]Mauri P A,Ceriotti E,Soldi M,et al.Italian midwives’experiences of late termination of pregnancy.A phenomenologicalhermeneutic study[J].Nurs Health Sci,2015,17(2):243-249.
[17]蔡玉娟,谢建英,钟少平,等.改良连续性助产服务模式对降低CDMR的效果[J].浙江临床医学,2016,24(1):87-88.
[18]Seymour J,Rietjens J,Bruinsma S,et al.Using continuous sedation until death for cancer patients:A qualitative interview study of physicians’and nurses’practice in three European countries[J].Palliat Med,2015,29(1):48-59.
[19]Ayala R,Binfa L,Vanderstraeten R,et al.Exploring historical conflicts between midwives and nurses:a perspective from Chile[J].J Interprof Care,2015,29(3):216-222.
[20]侯纪湘,朱小芳.基于责任助产模式的护理干预对妊娠期高血压疾病产妇情绪、母婴结局和满意度的影响[J].护理实践与研究,2018,15(18):76-78.