产科精细护理对自然分娩疼痛及产后恢复的影响
Effect of Obstetric Fine Nursing on Pain during Natural Childbirth and Postpartum Recovery.
作者信息
Ou Youliang, Zhou Yanli, Xiang Ping
机构信息
Dept. of Obstetrics and Gynecology, Nanfang Hospital of Southern Medical University, Guangzhou, China.
Dept. of Medical Quality Management, Nanfang Hospital of Southern Medical University, Guangzhou, China.
出版信息
Iran J Public Health. 2018 Nov;47(11):1703-1708.
BACKGROUND
This study aimed to observe the effect of fine nursing on pain and postpartum recovery during natural delivery of pregnant women.
METHODS
The clinical data of 192 primiparas who were expecting labor in Nanfang Hospital, Southern Medical University, Guangzhou, China from 2015-2016 were retrospectively analyzed. Among them, 100 cases were treated with fine nursing before and after delivery, and 92 cases were treated with routine nursing. The pain rate, the second stage of labor, the amount of bleeding 2 hours postpartum, and postpartum recovery were compared between the two groups.
RESULTS
The number of cases of grade 0 and 1 pain and the good rate of pain were significantly higher in the observation group than in the control group, the number of cases with grade 2 pain in the observation group was significantly lower than that of the control group (<0.01). The second stage of labor and the 2h postpartum hemorrhage in the observation group were significantly lower than those in the control group (<0.001). The number of maternal cases with good postpartum sleep, good lactation and good mental health in the observation group was significantly higher than that in the control group (<0.05).
CONCLUSION
Fine nursing before and after delivery can reduce maternal pain rate, shorten the second stage of labor, reduce the amount of bleeding after 2 hours postpartum, promote good sleep, lactation, psychological conditions, reduce postpartum infection rate, which is conducive to maternal body recovery, worthy of clinical promotion.
背景
本研究旨在观察精细化护理对自然分娩孕妇疼痛及产后恢复的影响。
方法
回顾性分析2015年至2016年在中国广州南方医科大学南方医院待产的192例初产妇的临床资料。其中，100例在分娩前后接受精细化护理，92例接受常规护理。比较两组的疼痛发生率、第二产程、产后2小时出血量及产后恢复情况。
结果
观察组0级和1级疼痛例数及疼痛良好率显著高于对照组，观察组2级疼痛例数显著低于对照组（<0.01）。观察组第二产程及产后2小时出血量显著低于对照组（<0.001）。观察组产后睡眠良好、泌乳良好及心理健康良好的产妇例数显著高于对照组（<0.05）。
结论
分娩前后的精细化护理可降低产妇疼痛发生率，缩短第二产程，减少产后2小时出血量，促进良好睡眠、泌乳及心理状态，降低产后感染率，有利于产妇身体恢复，值得临床推广。
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