新产程标准及处理的临床应用对产房工作的挑战-中国护理管理.pdfVIP

专科管理 Advanced Nursing Practice 新产程标准及处理的临床应用对产房 工作的挑战 赵艳 宋伟 李颖 卢㛃 [摘 要] 目的：调查《新产程标准及处理的专家共识》在临床应用后对孕产妇、新生儿及产房工作等的影响。方法： 选取新产程标准实施前的2013年9-11月作为对照组，共620例；新产程标准实施后的2014年9-11月作为研究组，共 956例。对相关数据进行回顾性分析。结果：在所有病例中、合并胎膜早破病例中、合并糖尿病病例中，两组的第一产 程和总产程时间的差异有统计学意义（P0.05）。两组的会阴情况、顺转剖比例差异有统计学意义（P0.05）。结论：新 产程标准及处理值得在临床中进一步推广，但对产房提出了更多的挑战。     [关键词]  产程；标准；产房                    [中图分类号]  R47 [DOI] 10.3969/j.issn.1672-1756.2016.03.033 Challenge of clinical application of the new labor standards and management in delivery room / ZHAO Yan, SONG Wei, LI Ying, LU Jie // Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191 China /// Chinese Nursing Management-2016,16(3): 411-414 [Abstract] Objective: To discuss the influence of the new obstetrical labor standards and management in its application to maternal, newborns and the practice in delivery room. Methods: The study utilized a retrospective case- control analysis. The control group included 620 inpatients who delivered during September to November in 2013. The experimental group gathered 956 inpatients delivered during September to November in 2014. Results: We analyzed the data from the two groups. The first stage of labor and the total stage of labor in the total cases, the case with PROM and the cases with DM were statistically significantly different (P0.05).The perineum integrity and cesarean section rate (from labor room) were statistically significantly different (P0.05). Conclusion: The new obstetrical labor standards and management should be worthy to be generalized in the application, but the challenges should be noticed for the practice in delivery room. [Keywords] labor stage; standards; deliver