助产护士产前门诊对孕妇心理状态分娩结局影响.docVIP

助产护士产前门诊对孕妇心理状态分娩结局影响 　　[摘要]目的 探?助产护士产前门诊对孕妇心理状态、分娩结局的影响。方法 选取2016年8～12月在我院接受分娩的160名初产妇，根据随机数字表法分为两组，每组各80例。对照组患者实行传统护理模式，观察组患者增加定期产前门诊。比较两组孕妇的顺产率、剖宫产率、产后2 h出血量、新生儿出生后1 min内的Apgar评分、产妇焦虑及抑郁评分、新生儿3个月后各项指标。结果 观察组孕妇的剖宫产率（26.2%）低于对照组（47.5%），产后2 h出血量[（156.28±64.71）ml]少于对照组[（192.53±56.31）ml]，差异有统计学意义（P0.05）。分娩后，观察组患者的焦虑、抑郁评分均低于对照组，差异有统计学意义（P0.05）。3个月后，观察组新生儿的体重增长速度快于对照组，呼吸和脉搏频率少于对照组，差异有统计学意义（P0.05）。结论 由助产护士主导的产前门诊对于改善分娩结局以及孕妇心理状态有较好的效果，有助于降低剖宫产率、减少产妇出血量，提高新生儿健康水平，是一种值得在临床上推广的护理模式。 　　[关键词]助产护士；剖宫产率；产前门诊；心理状态 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2017）10（a）-0190-04 　　[Abstract]Objective To explore the effect of prenatal clinic of maternity nurses on the mental state of pregnant women and the outcome of childbirth.Methods 160 primiparous women who received delivery in our hospital from August to December 2016 were selected as subjects and were randomly divided into two groups according to the random number table method，80 cases per group.The control group was treated with traditional nursing model.The observation group received the regular prenatal clinic.The eutocia rate，cesarean section rate，2 h blood volume of postpartum，Apgar score in the first 1 min after the birth of the newborn，maternal anxiety and depression scores and indicators of neonatal after 3 months were compared between the two groups.Results The cesarean section rate of pregnant women in observation group （26.2%） was lower than that in the control group （47.5%），the 2 h blood volume of postpartum of pregnant women in observation group [（156.28±64.71）ml] was less than the control group [（192.53±56.31）ml]，and the differences were statistically significant （P0.05）.After delivery，the anxiety and depression scores in the observation group were lower than those in the control group，and the differences were statistically significant （P 　　[Key words]Midwife；Cesarean section rate；Prenatal clinic；Psychological states 　　孕妇分娩是非常强烈的应激生理过程，伴随着巨大的疼痛和风险。随着剖宫产技术和麻醉技术的愈加成熟，越来越多的产妇在分娩时选择剖宫产的分娩方式。但是剖宫产并不比阴道分娩更加安全，也存在相