患者参与式护理干预对产妇产时认知和母婴结局效果分析.docVIP

患者参与式护理干预对产妇产时认知和母婴结局效果分析 　　【摘要】 目的：分析患者参与式护理对产妇产时认知和母婴结局的干预效果。方法：选取2015年8月-2017年8月本院产科收治的初产、足月产妇96例为研究对象，按照随机数字表法将其分为观察组和对照组，各48例。对照组采用产科常规护理，观察组在对照组基础上采用患者参与式产科护理干预，比较两组产时认知度、母婴结局及护理满意度。结果：观察组顺产率为93.75%，显著高于对照组的77.08%（P0.05）；观察组产妇总产程短于对照组（P0.05）；观察组总满意度为97.92%，高于对照组的83.33%（P0.05）；观察组产时生理认知、心理认知、精神状态、分娩知识储备均高于对照组（P0.01）；观察组纯母乳喂养率及母婴护理技巧掌握率均高于对照组（P0.05）。结论：患者参与式护理具有提高产妇产时认知度和进一步改善母婴结局的优势作用，值得推广。 　　【关键词】 患者参与式护理干预； 产时认知； 母婴结局 　　【Abstract】 Objective：To analyze the effect of participatory nursing on intrapartum cognition of parturient women and maternal and child outcomes.Method：96 primipara and full-term pregnant women were treated in our hospital from August 2015 to August 2017 were selected as the research objects，according to the random number table method，they were divided into observation group and control group，48 cases in each group.The control group received routine obstetric care，and observation group received patient participatory nursing on the basis of the control group.The intrapartum cognition，maternal and child outcomes and nursing satisfaction were compared between two groups.Result：The spontaneous delivery rate of observation group was 93.75%，significantly higher than 77.08% of control group（P0.05）.The total labor course of observation group was shorter than that of control group（P0.05）.The total satisfaction rate of observation group was 97.92%，which was higher than 83.33% of control group（P0.05）.The physiological cognition，psychological cognition，mental state and knowledge of delivery of observation group were higher than those of control group（P0.01）.The pure breast feeding rate and the mastering rate of mother and infant nursing skills in observation group were higher than those of control group（P0.05）.Conclusion：Patient participatory nursing intervention can improve maternal cognition and improve maternal and child outcomes，which is worthy of promotion. 　　【Key words】 Patient participatory nursing intervention； Intrapartum cognition； Maternal