一对一全程健康指导对孕产妇分娩方式及新生儿影响.docVIP

一对一全程健康指导对孕产妇分娩方式及新生儿的影响 　　[摘要] 目的 分析一对一全程健康指导对孕产妇分娩方式及新生儿的影响。方法 选取2016年1～10月到我院进行产检及分娩的孕产妇132例，随机分为对照组和干预组，各66例。对照组接受常规分娩护理指导，干预组在常规护理指导基础上实施一对一全程健康指导。观察两组护理指导后分娩情况、方式及新生儿情况。结果 护理指导后，对照组第一产程、第二产程、总产程、第一产程活跃期VAS评分、产后2h内出血量、剖宫产率分别为（465.39±105.75）min、（55.74±13.92）min、（524.38±102.56）min、（5.68±1.36）分、（186.73±45.67）mL、27.27%，均高于干预组的（368.54±99.51）min、（41.58±10.44）min、（424.36±101.25）min、（5.12±1.29）分、（160.25±36.54）mL、15.15%；?φ找醯浪巢?率、新生儿娩出后1min及5min Apgar评分分别为48.48%、（6.74±1.10）分、（7.27±1.53）分，均低于干预组的66.67%、（7.90±1.23）分、（8.47±1.71）分。两组各观察指标分别比较，差异有统计学意义（P0.05）。结论 在孕产妇中进行一对一全程健康指导可有效改善产妇分娩方式，提高阴道顺产率，提高新生儿健康程度。 　　[关键词] 孕产妇；分娩方式；新生儿状况；一对一全程健康指导 　　[中图分类号] R473.71 [文献标识码] A [文章编号] 2095-0616（2017）20-127-04 　　Influence of one-on-one health guidance on delivery mode of pregnant women and newborns 　　PANG Jianwen 　　The Potou District Peoples Hospital of Zhanjiang City， Zhanjiang 524059， China 　　[Abstract] Objective To analyze the influence of one-on-one health guidance on delivery mode of pregnant women and newborns. Methods 132 pregnant women who antenatal examination and delivery in our hospital from January to October 2016 were selected， and were randomly divided into control group and intervention group， with 66 cases in each group. The pregnant women of control group were given routine delivery nursing guidance， while the pregnant women of intervention group were given one-on-one health guidance based on routine nursing. The delivery situation， mode and neonatal status after nursing guidance were observed in two groups. Results After nursing guidance， the VAS score of first stage of labor， second stage of labor， first stage in active phase， total stage of labor， postpartum 2h bleeding volume， cesarean section rate in control group were （465.39±105.75）min， （55.74±13.92）min， （524.38±102.56）min， （5.68±1.36）points， （186.73±45.67）mL and 27.27% respectively， which were higher than （368.54±99.51）min， （41.58±10.44）min， （424.36±101.25）min， （5.12±1.29）points， （160.25±36.54）mL， 15.15%