激励式护理在产程中的应用及效果评价Value of inspiring nursing during birth process
朱爱萍
摘要(Abstract):
目的探讨对产妇应用激励式护理方法,达到促进自然分娩,降低剖宫产率的效果。方法选择240例产妇,随机分为观察组和对照组。对照组按常规进行产程观察与护理,观察组使用激励式护理干预方法进行产程观察和护理。观察2组产妇产程时间及分娩结局。结果观察组顺产98例,对照组顺产52例。2组产妇产程时间、新生儿窒息率、阴道手术产率、产后(2 h)出血率和剖宫产率比较,差异均具有统计学意义(P<0.01或P<0.05)。结论在产程中应用激励式护理干预方法可有效地促进顺产,提高产科质量及产妇满意度。
关键词(KeyWords): 激励式护理;产程;自然分娩;剖宫产
基金项目(Foundation):
作者(Author): 朱爱萍
参考文献(References):
- [1]Hodnett ED,Gates S,Hofmeyr GJ,et al.Continuous supportfor women during childbirth[J].Cochrane Database Syst Rev,2007,18(3):CD003766.
- [2]Walker DS,Visger JM,Rossie D.Contemporary childbirtheducation models[J].J Midwifery Womens Health,2009,54(6):469-476.
- [3]Kashanian M,Javadi F,Haghighi MM.Effect of continuoussupport during labor on duration of labor and rate of cesareandelivery[J].Int J Gynaecol Obstet,2010,109(3):198-200.
- [4]McGrath SK,Kennell JH.A randomized controlled trial ofcontinuous labor support for middle-class couples:effect on ce-sarean delivery rates[J].Birth,2008,35(2):92-97.
- [5]Klaus MH,Kennell JH,Klaus PH.The Doula book:How atrained labor companion can help you have a shorter,easier,and healthier birth[M].9th versing.Cambridge MA:PerseusPublishing,2002:
- [6]刘增垣,何裕民.心身医学[M].上海:上海科技教育出版社,2000:32.
- [7]李秀萍.心理护理对降低剖宫产率的效果观察[J].中国实用神经疾病杂志,2009,12(20):92-93.
- [8]秦发伟,秦颖,王幻.正性激励与负性激励管理效果评价[J].中华现代护理杂志,2009,15(29):3 041-3 042.
- [9]蒋红梅,李力,王贤华,等.激励式护理干预促进自然分娩的随机对照研究[J].解放军护理杂志,2005,22(9):12-14.
- [10]江秀敏,张水治,金丽珠,等.情感支持对自然分娩促进作用的临床观察[J].中国妇产科临床杂志,2005,6(6):458.
- [11]刘桂荣,谢勤英,易姗祺,等.孕期宣教+产时导乐提高自然分娩率的临床观察[J].赣南医学院学报,2008,28(4):611.