助产士联合家属全程陪产在自然分娩中的应用与探讨.docVIP

精品论文 参考文献 助产士联合家属全程陪产在自然分娩中的应用与探讨 苏州市吴江区第一人民医院产房 江苏苏州 215200 【摘 要】目的：探讨助产士联合家属全程陪产在自然分娩中的应用效果。方法：对90例阴道试产产妇随机分成护理组和对照组。护理组产妇在生产时由助产士联合家属全程陪产，对照组采用常规护理，对比观察不同护理方法的作用。结果：与对照组相比，护理组产程时间、产后24h出血量均显著下降，Apgar评分、分娩率与满意度显著升高（P＜0.05）。结论：对产妇采用助产士联合家属全程陪产可以提高自然分娩率，提高产妇生产时对疼痛的耐受力，提高产妇的舒适度和对护理的满意度。 【关键词】助产士；家属；全程陪产；自然分娩；应用效果 【Abstract】 Objective: To explore the application effect in the natural childbirth of midwife and families birth supports. Methods: 90 cases of vaginal trial maternal were randomly divided into the nursing group and the control group. The cases in the nursing group were given care with midwife and families birth supports, and the cases in the control group were given conventional care.The effect of different nursing methods were compared.Results:Compared with control group, the labor time and the hemorrhage amount at 24 h postpartum of the nursing group were decreased significantly, but the Apgar score, births rate and satisfaction rate were significantly increased (P lt; 0.05).Conclusion: If the maternal were given care with midwife and families birth supports, the natural birth rate is improved, the tolerance on pain during production is improved, and the maternal comfort and satisfaction of nursing are improved. 【Keywords】 Midwife; family members; birth supports; Natural childbirth; Application effect 根据临床观察发现，我国剖宫产率呈逐年增高的趋势，剖宫产因其能够自由选择生产时间、安全性高、产时疼痛轻的特点受到广大产妇的亲睐[1]。然而剖宫产术后疼痛明显、恢复缓慢、瘢痕子宫、婴儿的抵抗力低，对产妇的身体恢复、下次生产安全、婴儿健康有不利影响[2]。阴道顺产产妇术后能下地活动、恢复快，胎儿经产道挤压后抵抗力好、并发症少，费用较剖宫产低，但是初产妇因害怕疼痛、担心生产风险不愿意顺产[3]。因此，助产士对产妇进行心理疏导、健康教育，同时联合家属全程陪产可以增强产妇顺产信心、减轻产妇的痛苦，提高产妇的舒适度，使产程顺利的完成。 1 资料和方法 1.1 一般资料 以我院2014年3月-2015年3月分娩的90例产妇为研究对象，所有产妇均签署研究知情同意书，且本文研究获得我院伦理会批准。按照随机数字表法分成护理组及对照组两组。护理组45例，年龄22-34岁，平均年龄（26.2plusmn;3.4）岁，平均孕周（40.3plusmn;0.5）wk。对照组45例，年龄23-35岁，平均年龄（26.8plusmn;4.0）岁，平均孕周（40.1plusmn;0.7）wk。一般资料无显著性差异（P＞0.05），有可比性。 1.2 方法 常规组给予常规产程护理，引导产妇进入产科待产，进行胎心监护，观察宫缩情况。助产士观察产妇情况，做好接生准备。护理组给予助产士联合家属全程陪产，具体方法为[3-4]：（1）健康教育为