整体护理在分娩镇痛中应用效果.docVIP

整体护理在分娩镇痛中应用效果 　　[摘要] 目的 探讨整体护理对分娩镇痛初产妇和新生儿的影响。 方法 选择2014年2～5月在我院行分娩镇痛的200例初产妇，按照产妇对分娩镇痛的自主要求均分为实验组和对照组。对照组待产妇进行分娩镇痛麻醉时无麻醉护士陪同，仅麻醉医师按常规进行操作。实验组在由麻醉医师行分娩镇痛的同时由麻醉护士运用整体护理模式进行护理。观察两组产妇的疼痛分级及镇痛满意度，比较两组的各产程时间、分娩方式、新生儿窒息发生率及产后出血情况。 结果 与对照组相比，实验组的疼痛明显减轻（P0.05）；实验组的剖宫产率显著低于对照组（P0.05）。 结论 整体护理能够缩短分娩镇痛初产妇的产程，降低剖宫产率和产后出血发生率，并明显缓解产妇疼痛，提高镇痛满意度。 　　[关键词] 麻醉护士；整体护理；分娩镇痛 　　[中图分类号] R248.3 [文献标识码] A [文章编号] 1674-4721（2015）08（c）-0165-04 　　[Abstract] Objective To explore the affect of holistic nursing on labor analgesic of primiparas and neonates. Methods 200 primiparas in our hospital childbirth analgesia from February to May 2014 were selected and evenly divided into experimental group and control group based on their willing for labor analgesia.The control group was no nurse anesthetist accompanied on anesthetization，and only anesthetist followed the regular procedures.In the experimental group，anesthetist proceeded with labor anesthetization，at the same time，nurse anesthetist applied with holistic nursing.Pain grading，analgesia satisfaction，time of each labor，delivery mode，incidence of neonatal asphyxia and postpartum hemorrhage in the two groups was compared. Results In comparison with the control group，pain in experimental group was greatly alleviated（P0.05）.The cesarean section rate in the experimental group was significantly lower than that in the control group（P0.05）. Conclusion Holistic nursing can shorten labor of analgesia in primiparae，reduce cesarean section rate and incidence of postpartum hemorrhage，greatly alleviate puerperal pain，and improve analgesia satisfaction. 　　[Key words] Nurse anesthetist；Holistic nursing；Labor analgesia 　　分娩是一个特殊的生理过程，是一段值得期待的经历，但是分娩疼痛却是人生中最剧烈的疼痛之一[1]。分娩镇痛的开展减轻了产妇因宫缩而引起的疼痛，但由于产妇对生产的恐惧或其他原因，即便麻醉医师已经对产妇实施了有效的分娩镇痛，可依然会有部分产妇感觉到生理疼痛，心理也异常焦虑，从而对产妇的镇痛满意度产生了不良影响[2]。我院对选择分娩镇痛的产妇进行整体护理模式干预，取得良好的效果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选择2014年2～5月在我院行分娩镇痛的200例初产妇，所有产妇均足月妊娠、单胎头位、ASAⅠ～Ⅱ级、无产科合并症及椎管内麻醉禁忌证、自主要求无痛分娩。将其随机分为对照组和实验组，每组100例，两组产妇的年龄、孕周、体重指数、预测胎儿体重