孕晚期综合干预对产时认知行为、产程及分娩结局的影响

发布时间：2018-04-20 22:08

本文选题：认知 + 干预　；参考：《重庆医学》2017年09期

【摘要】：目的探讨孕晚期综合护理干预对产妇产时的认知行为、产程及分娩结局的影响。方法选取2010年4月至2013年3月于该院定期产检初产妇280例,将其分成干预组及对照组各140例。对照组给予常规产前检查及孕期指导;干预组在对照组的基础上,接受孕晚期互动分娩教育课程。产程中对照组按传统常规护理,行例行检查及接生;干预组由医护人员全程陪伴分娩并进行心理干预。记录并比较两组产妇产时认知行为、产程进展及分娩结局。结果两组产妇在干预前,分娩态度、分娩相关知识分值方面比较,差异无统计学意义(P0.05);在干预后,干预组的分娩相关知识、分娩态度分值及产时认知行为得分均明显高于对照组[(18.36±0.92)分vs.(13.60±1.38)分,(42.93±6.44)分vs.(34.08±4.86)分,(31.70±4.28)分vs.(24.77±4.92)分,P0.05]。干预组第一、二产程时间均明显短于对照组(P0.05)。干预组阴道分娩率明显高于对照组,产后2h出血总量低于对照组,差异均有统计学意义(P0.05);但两组新生儿Apgar评分比较,差异无统计学意义(P0.05)。结论孕晚期综合护理干预可改善产妇产时认知行为及分娩结局,值得临床推广应用。
[Abstract]:Objective to explore the effect of comprehensive nursing intervention in late pregnancy on the cognitive behavior, labor process and delivery outcome of parturient. Methods from April 2010 to March 2013, 280 cases of primipara were randomly divided into two groups: the intervention group (n = 140) and the control group (n = 140). The control group was given routine antenatal examination and pregnancy instruction, and the intervention group received interactive delivery education in late pregnancy on the basis of the control group. The control group was given routine nursing, routine examination and delivery, and the intervention group was accompanied by medical staff in the whole course of delivery and psychological intervention. The cognitive behavior, labor progression and delivery outcome were recorded and compared between the two groups. Results there was no significant difference between the two groups in the scores of delivery attitude and parturition related knowledge before and after intervention (P 0.05), and after intervention, the parturition related knowledge in the intervention group was higher than that in the control group. The scores of attitude to delivery and cognitive behavior at labor were significantly higher than those in the control group [18.36 卤0.92) vs.(13.60 卤1.38] and 42.93 卤6.44 vs.(34.08 卤4.86 vs.(34.08 卤4.86 vs.(34.08 卤4.28 vs.(24.77 卤4.92 (P0.05). The duration of the first and second stage of labor in the intervention group was significantly shorter than that in the control group (P 0.05). The vaginal delivery rate in the intervention group was significantly higher than that in the control group, and the total amount of postpartum hemorrhage was lower than that in the control group (P 0.05), but there was no significant difference in Apgar score between the two groups. Conclusion Comprehensive nursing intervention in late pregnancy can improve the cognitive behavior and delivery outcome of parturient, which is worthy of clinical application.
【作者单位】：三峡大学第二人民医院妇产科;
【分类号】：R473.71

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