本文選題：認知 + 干預��； 參考：《重慶醫(yī)學》2017年09期

【摘要】：目的探討孕晚期綜合護理干預對產(chǎn)婦產(chǎn)時的認知行為、產(chǎn)程及分娩結(jié)局的影響。方法選取2010年4月至2013年3月于該院定期產(chǎn)檢初產(chǎn)婦280例,將其分成干預組及對照組各140例。對照組給予常規(guī)產(chǎn)前檢查及孕期指導;干預組在對照組的基礎上,接受孕晚期互動分娩教育課程。產(chǎn)程中對照組按傳統(tǒng)常規(guī)護理,行例行檢查及接生;干預組由醫(yī)護人員全程陪伴分娩并進行心理干預。記錄并比較兩組產(chǎn)婦產(chǎn)時認知行為、產(chǎn)程進展及分娩結(jié)局。結(jié)果兩組產(chǎn)婦在干預前,分娩態(tài)度、分娩相關知識分值方面比較,差異無統(tǒng)計學意義(P0.05);在干預后,干預組的分娩相關知識、分娩態(tài)度分值及產(chǎn)時認知行為得分均明顯高于對照組[(18.36±0.92)分vs.(13.60±1.38)分,(42.93±6.44)分vs.(34.08±4.86)分,(31.70±4.28)分vs.(24.77±4.92)分,P0.05]。干預組第一、二產(chǎn)程時間均明顯短于對照組(P0.05)。干預組陰道分娩率明顯高于對照組,產(chǎn)后2h出血總量低于對照組,差異均有統(tǒng)計學意義(P0.05);但兩組新生兒Apgar評分比較,差異無統(tǒng)計學意義(P0.05)。結(jié)論孕晚期綜合護理干預可改善產(chǎn)婦產(chǎn)時認知行為及分娩結(jié)局,值得臨床推廣應用。
[Abstract]:Objective to explore the effect of comprehensive nursing intervention in late pregnancy on the cognitive behavior, labor process and delivery outcome of parturient. Methods from April 2010 to March 2013, 280 cases of primipara were randomly divided into two groups: the intervention group (n = 140) and the control group (n = 140). The control group was given routine antenatal examination and pregnancy instruction, and the intervention group received interactive delivery education in late pregnancy on the basis of the control group. The control group was given routine nursing, routine examination and delivery, and the intervention group was accompanied by medical staff in the whole course of delivery and psychological intervention. The cognitive behavior, labor progression and delivery outcome were recorded and compared between the two groups. Results there was no significant difference between the two groups in the scores of delivery attitude and parturition related knowledge before and after intervention (P 0.05), and after intervention, the parturition related knowledge in the intervention group was higher than that in the control group. The scores of attitude to delivery and cognitive behavior at labor were significantly higher than those in the control group [18.36 鹵0.92) vs.(13.60 鹵1.38] and 42.93 鹵6.44 vs.(34.08 鹵4.86 vs.(34.08 鹵4.86 vs.(34.08 鹵4.28 vs.(24.77 鹵4.92 (P0.05). The duration of the first and second stage of labor in the intervention group was significantly shorter than that in the control group (P 0.05). The vaginal delivery rate in the intervention group was significantly higher than that in the control group, and the total amount of postpartum hemorrhage was lower than that in the control group (P 0.05), but there was no significant difference in Apgar score between the two groups. Conclusion Comprehensive nursing intervention in late pregnancy can improve the cognitive behavior and delivery outcome of parturient, which is worthy of clinical application.
【作者單位】： 三峽大學第二人民醫(yī)院婦產(chǎn)科;
【分類號】：R473.71

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