责任制助产护理模式配合体位管理对高龄产妇分娩方式及产程效果的影响

doi:10.20223/j.cnki.1000-8535.2024.11.022

广州医药 ›› 2024, Vol. 55 ›› Issue (11): 1376-1380.DOI: 10.20223/j.cnki.1000-8535.2024.11.022

• 护理研究 • 上一篇

责任制助产护理模式配合体位管理对高龄产妇分娩方式及产程效果的影响

黄小花¹, 应晓艳², 林玲玲², 邬丽芳³

1 福州市第二总医院妇幼保健院护理部（福建福州 350000）;
2 福州市第二总医院妇幼保健院产房（福建福州 350000）;
3 福州市第二总医院妇幼保健院综合病房（福建福州 350000）;

收稿日期:2024-03-13 发布日期:2024-12-02

The effect of responsibility midwifery nursing model combined with position management on delivery mode and labor process effect of advance maternal age women

HUANG Xiaohua¹, YING Xiaoyan², LIN Lingling², WU Lifang³

1 Department of Nursing, Fuzhou Maternal and Child Health Hospital, Fuzhou 350000, China;
2 Delivery Room, Fuzhou Maternal and Child Health Hospital, Fuzhou 350000, China;
3 Comprehensive Ward, Fuzhou Maternal and Child Health Hospital, Fuzhou 350000, China

Received:2024-03-13 Published:2024-12-02

摘要/Abstract

摘要： 目的探讨责任制助产护理模式配合体位管理对高龄产妇分娩方式及产程的影响。方法选择2023年6月—12月医院接收的高龄产妇68例进行研究，按照护理方式分为两组各34例，对照组为常规助产护理，观察组为责任制助产护理模式配合体位管理，比较两组分娩方式、产程、疼痛程度及护理满意度。结果观察组阴道分娩率为76.47%（26例），高于对照组52.94%（18例），剖宫产率为8.82%（3例），低于对照组29.41%（10例）（χ2分别为4.121、4.660，均P＜0.05）。观察组第一产程（6.25±0.50）h、第二产程（0.79±0.21）h、总产程（7.15±0.63）h、宫口开大3 cm、10 cm时的疼痛程度（4.12±1.08）分、（6.29±1.25）分明显低于对照组（7.01±0.62）h、（0.96±0.30）h、（8.11±1.07）h、（7.84±1.45）分、（9.09±0.74）分（t分别为5.563、2.706、4.508、11.997、11.239，均P＜0.05）。观察组的护理满意度为97.06%（33例），比对照组的76.47%（26例）高（χ2=4.610，P=0.031）。结论高龄产妇展开责任制助产护理模式配合体位管理可促进自然分娩，并缩短产程，减轻产时疼痛程度，降低剖宫产率，提高护理满意度。

关键词: 高龄产妇, 责任制助产护理模式, 体位管理, 分娩方式, 产程, 疼痛程度

Abstract: Objective To explore the effect of responsibility midwifery nursing model combined with position management on delivery mode and labor process of elderly parturient．Methods A total of 68 cases of elderly pregnant women admitted to the hospital from June to December 2023 were selected,and they were divided into two groups according to the nursing mode,34 cases in each group．The control group was given routine midwifery nursing,and the observation group was given responsible midwifery nursing mode combined with position management．The methods of delivery,labor process,pain degree and nursing satisfaction of the two groups were compared．Results The vaginal delivery rate was 76.47%（26 cases）in the observation group,which was higher than 52.94%（18 cases）in the control group,and the cesarean section rate was 8.82%（3 cases）in the observation group,which was lower than 29.41%（10 cases）in the control group（χ²=4.121 and 4.660,P=0.042 and 0.030）．The pain degree of the first stage of labor（6.25±0.50）h,the second stage of labor（0.79±0.21）h,the total stage of labor（7.15±0.63）h,the pain degree of the cervical dilation 3 cm,10 cm in the observation group were significantly lower than those in the control group[（7.01±0.62）h,（4.12±1.08）points,（6.29±1.25）points vs （0.96±0.30）h,（8.11±1.07）h,（7.84±1.45）score,（9.09±0.74）score（t=5.563,2.706,4.508,11.997,11.239,P<0.05）．The nursing satisfaction of the observation group was 97.06%（33 cases）,which was higher than 76.47%（26 cases）of the control group（χ²=4.610,P=0.031）．Conclusion sResponsibility midwifery nursing mode combined with position management can promote natural childbirth,shorten the labor process,reduce the pain during labor,reduce the rate of cesarean section,and improve nursing satisfaction in elderly women,which is worthy of promotion．

Key words: woman of advanced maternal age, responsibility midwifery nursing mode, position management, mode of delivery, stage of labor, degree of pain

黄小花, 应晓艳, 林玲玲, 邬丽芳. 责任制助产护理模式配合体位管理对高龄产妇分娩方式及产程效果的影响[J]. 广州医药, 2024, 55(11): 1376-1380.

HUANG Xiaohua, YING Xiaoyan, LIN Lingling, WU Lifang. The effect of responsibility midwifery nursing model combined with position management on delivery mode and labor process effect of advance maternal age women[J]. Guangzhou Medical Journal, 2024, 55(11): 1376-1380.

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责任制助产护理模式配合体位管理对高龄产妇分娩方式及产程效果的影响

The effect of responsibility midwifery nursing model combined with position management on delivery mode and labor process effect of advance maternal age women

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