路径化护理措施在围生期产妇助产中的应用效果研究

摘要

Objective To study the application effect of nursing pathway in maternal midwifery in perinatal period.Methods A total of 120 cases were randomly divided into study group and control group according to the random number table method.The control group was treated with routine nursing care, while the study group was treated with nursing pathway intervention.After nursing, the vaginal delivery and cesarean section, and the first, second, third stage of labor and total labor of the two groups were investigated and recorded.After the operation, the postpartum hemorrhage, hospitalization time and hospitalization expenses of the two groups were recorded and analyzed, and the maternal SAS and SDS score were evaluated and analyzed.The pregnancy outcomes of the two groups were recorded.Results he vaginal birth rate was significantly higher than the control group (88.33% vs.66.67%,P<0.05);The first, second stage, third stage of labor and total labor time were shorter than the control group (P<0.05).The hospitalization time of the study group was significantly shorter, the cost of hospitalization was significantly lower, the amount of postpartum hemorrhage was significantly less than that of the control group (P<0.05).After nursing, SAS and SDS scores of two groups were significantly lower than nursing before, and the study group was significantly lower than the control group (P<0.05);Maternal urinary retention, postpartum hemorrhage and the incidence of adverse outcomes of perineal incision in the study group of were significantly lower than he control group, neonatal fetal distress and the incidence of neonatal asphyxia was significantly lower than the control group;the Apgar score was significantly lower than the control group;differences in the two groups were statistically significant(P<0.05).Conclusion Pathway nursing measures in the perinatal period can significantly improve the outcome of pregnancy;and it is worthy of popularization.%目的 研究路径化护理措施在围生期产妇助产中的应用效果.方法 选取接诊的120例产妇进行研究,按照随机数表法随机均分为研究组和对照组.对照组产妇应用常规护理措施,研究组则应用路径化护理干预措施.护理后,调查记录2组产妇阴道顺产和剖宫产率,并对第一产程、第二产程、第三产程及总产程进行记录.术后,记录分析2组产后出血、住院时间及住院费用,并对产妇SAS和SDS评分进行评估分析,最后,调查记录2组产妇的妊娠结局.结果 研究组的阴道顺产率为88.33%, 明显高于对照组的66.67%(P<0.05);第一产程、第二产程、第三产程及总产程明显短于对照组, 2组比较差异有统计学意义(P<0.05);研究组患者的住院时间明显短于对照组,住院费用明显低于对照组,产后出血量明显少于对照组, 2组比较差异有统计学意义(P<0.05).护理后, 2组的SAS和SDS评分均显著降低,且研究组明显低于对照组(P<0.05);研究组产妇尿储留、产后出血及会阴切口预后不良的发生率、新生儿胎儿窘迫、新生儿窒息发生率、Apgar评分均明显低于对照组, 2组比较差异有统计学意义(P<0.05).结论 路径化护理措施在围生期产妇助产中的应用效果良好,可显著改善妊娠结局,值得广泛推广.