自然分娩临床护理路径在提高产科健康教育效果中的作用.docVIP

精品论文 参考文献 自然分娩临床护理路径在提高产科健康教育效果中的作用 姜青梅　张浣华　黄海燕 　　四川绵阳市人民医院产科　四川　绵阳　６２１０００ 　　【摘要】　目的　探讨自然分娩临床护理路径在提高产科健康教育效果中的作用.方法　选取我院自２０１４年７月到２０１５年２月接收的符合自然分娩指征的产妇１１０例作为此次研究对象,按照随机原则分组,每组５５例,对照组进行健康教育和常规护理,观察组在健康教育的基础上,实施临床护理路径,观察两组产妇护理前后心理状态、产后出血、并发症、会阴侧切率、护理满意率、护理质量和健康教育效果.结果　观察组经过临床护理路径模式,产后出血、并发症、会阴侧切率比较低,对护理满意率高(P＜０．０５);护理质量和健康教育效果较对照组好(P＜０．０５);两组产妇心理状态均有所改善,观察组改善比较显著(P＜０．０５).结论　对自然分娩产妇实施临床护理路径,能够有效降低并发症发生率、会阴侧切率,提高对护理满意度和健康教育效果,改善产妇抑郁情绪, 护理质量比较好. 【关键词】　自然分娩;　临床护理路径;　健康教育;　护理质量;　常规护理【Abstract】Objective:TodiscusstheactionofclinicalnursingpathwayofnaturallaboronimprovingtheeffectofObstetricshealtheducation．Methods:１１０pregＧnantwomenwhometthenaturaldeliveryindicationsinourhospitalfromJuly２０１４tofebruary２０１５wereselectedastheresearchobject．AccordingtotherandomprinＧciple,allthepatientsweredevidedintogroups,５５casesineachgroup．Healtheducationandroutinenursingwerecarriedoutinthecontrolgroup,andonthebasisofhealtheducationtheimplementationofclinicalnursingpathwascarriedoutintheobservationgroup．Thementalstate,postpartumhemorrhage,complications,therateofperinealsideincision,nursingsatisfaction,nursingqualityandhealtheducationeffectofthetwogroupswereobserved．Results:TheobservationgroupafterthecliniＧcalnursingpathmodel,postpartumhemorrhage,complications,perinealsidecutratewererelativelylow,andthenursingsatisfactionratewashigh(P＜０．０５)．Thenursingqualityandeffectofhealtheducationwerebetterthanthoseinthecontrolgroup(P＜０．０５)．Thementalstatusofthetwogroupswereimproved,andtheimＧprovementintheobservationgroupwasmoresignificant(P＜０．０５)．Conclusion:Theclinicalnursingpathwayfornaturaldeliveryofmaternalcaneffectivelyreducetheincide【nKceeyofwocrodmsp】lications,improvetheefficiencyofnursingsatisfactionandhealtheducation,improvethematernaldepression,ofwhichthenursingqualityisbetter． Naturallabor;Clinicalnursingpathway;Healtheducation;Nursingquality;Routinenursing 【中图分类号】R２４８．１ 【文献标识码】B 　　【文章编号】１００８－６３１５(２０１５)１２－０８６３－０２　　 　　妊娠在女性人生中属于重大事件,孕妇在怀胎十月过程中很易出现心理或生理问题,如妊娠高血压综合征、产前抑郁等症.据有关数据统计[１－２],我国自然分娩率是世界上最低的国家,