全程优质护理模式在初产妇护理中可行性研究.docVIP

全程优质护理模式在初产妇护理中可行性研究 　　[摘要]目的 探讨全程优质护理模式应用于初产妇的临床效果。方法 选取2014年1月～2016年1月在我院分娩的初产妇62例，分为研究组和对照组，各31例。对照组行常规护理措施，研究组采用全程优质护理模式。对两组产妇的剖宫产率、产后大出血发生率、泌乳功能及舒适度进行综合比较。结果 研究组剖宫产3例，占9.7%，对照组剖宫产11例，占35.5%，研究组剖宫产率低于对照组（P0.05）；研究组产后泌乳开始时间早于对照组（P0.05），研究组产后24 h、48 h的泌乳量评分均高于对照组（P0.05）；研究组初产妇妊娠舒适情况明显优于对照组（P0.05）。结论 全程优质护理模式应用于初产妇效果显著，能有效降低产妇的剖宫产率，改善产后泌乳功能及舒适度，值得临床推广应用。 　　[关键词]全程优质护理；初产妇；泌乳功能；剖宫产率 　　[中图分类号] R248.3 [文献?耸堵?] A [文章编号] 1674-4721（2016）11（a）-0188-03 　　[Abstract]Objective To explore the effect of entire process model of quality nursing care intervention and routine care on primipara.Methods 62 cases of delivery primipara in our hospital from January 2014 to January 2016 were divided into research group and control group，31 cases in each groups.The control group were treated with routine care，the research group were treated with entire processmodel of quality nursing care intervention.Cesarean section rate，the incidence of postpartum hemorrhage，lactation and comfort rate were compared.Results The cesarean section rate of research group was 9.7%（n=3），which was lower than 35.5%（n=11） of control group（P0.05）.The lactation initiating time of research group was earlier than that of control group （P0.05）.Postpartum 24 h，48 h lactation scores was higher than that of control group （P0.05）.Comfort of research group was better than that of control group （P0.05）.Conclusion Entire process model of quality nursing care intervention and routine care on primipara has exact effect.It can effectively reduce cesarean section rate and improve postpartum lactation and comfort rate.It′s worthy of clinical widely used. 　　[Key words]Entire process of quality nursing care；Primipara；Lactation；Cesarean section rate 　　分娩是女性的特殊的生理阶段，全程分为3个产程。初产妇缺乏分娩经验，易对分娩过程产生焦虑、恐惧等不良心理，影响产程进展，增加不良妊娠结局发生率[1]。产科护理具有特殊性，采取有效的护理措施，以初产妇为中心，规范护理行为，提高护理质量，对于更好地满足孕产妇需求，改善产后泌乳功能，降低并发症发生率具有重要的意义[2]。为探讨全程优质护理模式应用于初产妇的临床效果，本研究选取在我院分娩的初产妇为研究对象，现报道如下。 　　1资料与方法 　　1.1一般资料 　　选取2014年1月～2016年1月在我院分娩的62例初产妇，排除阴道分娩禁忌证、妊娠期高血压等