连续性助产护理对产妇妊娠结局及疼痛程度的影响

目的分析连续性助产护理对产妇妊娠结局及疼痛程度的影响。方法选取我院2019年3月至2020年3月收治的88例分娩产妇作为研究对象,按照随机数字表法将其分为常规组与研究组,各44例。常规组给予常规助产护理,研究组在常规组基础上行连续性助产护理。比较两组的产程时间、护理前、后的心理状态、疼痛程度、不良妊娠结局发生情况、心理压力状况。结果研究组第一、二、三产程及总产程时间均短于常规组(P<0.05)。护理前,两组SAS、SDS评分无显著差异(P>0.05);护理后,两组SAS、SDS评分均较护理前降低,且研究组低于常规组(P<0.05)。研究组无痛产妇占比高于常规组(P<0.05)。研究组产后出血、新生儿窒息、胎儿窘迫发生率均低于常规组(P<0.05)。研究组无压力、轻度压力产妇占比高于常规组,中、重度压力产妇占比低于常规组(P<0.05)。结论连续性助产护理能够有效缩短产妇产程时间,改善心理状态及不良妊娠结局,减轻疼痛程度及心理压力,值得临床推广和应用。

Effects of continuous midwifery nursing on pregnancy outcome and pain degree of puerpera

Objective To analyze the effects of continuous midwifery nursing on pregnancy outcome and pain degree of puerpera.Methods A total of 88 puerperas admitted in our hospital from March 2019 to March 2020 were selected as the research objects,and the puerperas were divided into routine group and study group according to random number table method,with 44 cases in each group.The routine group was given routine midwifery nursing,and the study group was given continuous midwifery nursing on the basis of the routine group.The time of labor process,psychological state before and after nursing,degree of pain,adverse pregnancy outcome and psychological pressure were compared between the two groups.Results The time of the first,second and third stages of labor and the total stage of labor in the study group were shorter than those in the routine group(P<0.05).Before nursing,there were no significant differences in SAS and SDS scores between the two groups(P>0.05);after nursing,SAS and SDS scores in the two groups were lower than those before nursing,and those in the study group were lower than the routine group(P<0.05).The proportion of painless puerpera in the study group was higher than that in the routine group(P<0.05).The incidence of postpartum hemorrhage,neonatal asphyxia and fetal distress in the study group were lower than those in the routine group(P<0.05).In the study group,the proportion of no-pressure and mild pressure puerpera were higher than those in the routine group,and the proportion of moderate and severe pressure puerpera were lower than those in the routine group(P<0.05).Conclusion Continuous midwifery nursing can effectively shorten the time of labor,improve the psychological state and adverse pregnancy outcomes,reduce the degree of pain and psychological pressure,which is worthy of clinical promotion and application.