产科产妇分娩中予以责任制助产护理对母婴结局的改善作用(1)
【摘 要】目的：评价产科产妇分娩中实施责任制助产护理中对母婴结局的改善效果。方法：研究对象为医院收治的80例产妇进行对象，将其均分为两组，对照组40例应用传统护理，观察组40例实施责任助产护理，评价不同护理方式应用效果。结果：观察组助产自娩率、新生儿Apgar评分高于对照组，第一、第二产程分娩时间少于对照组，产后出血、新生儿窒息、胎儿窘迫、下肢疼痛麻木均少于对照组，两组间对比有统计学意义(P<0.05)。结论：产妇分娩中应用责任助产护理模式，可提高助产自娩率，改善母婴结局，应用价值显著。
【关键词】分娩；责任制助产；母婴结局
The Role of Midwifery in the Delivery of Obstetrics and Childbirth in Childbirth
Abstract Objective： To evaluate the effect of implementing responsibility system in midwifery delivery on maternal and child outcomes. Methods： The study subjects were 80 women who were hospitalized and were divided into two groups. 40 patients in the control group were treated with traditional nursing and 40 patients in the observation group were assisted with the midwifery， and the effects of different nursing methods were evaluated. Results： The rate of assisted childbirth and neonatal Apgar score in the observation group was higher than that in the control group. The delivery time in the first and second stages of labor was less than that in the control group. The postpartum hemorrhage， neonatal asphyxia， fetal distress and lower limb pain and numbness were all less than the control group. There was a statistically significant difference between the two groups (P<0.05). Conclusion： The application of the mode of responsible midwifery nursing in maternal delivery can increase the rate of assisted labor and self-individuation， improve the outcome of mother and child， and have significant application value.
Key words： childbirth； responsibility system for midwifery； maternal and child outcomes
【中图分类号】R473.71 【文献标识码】A 【文章编号】1672-3783(2018)05-03-0-01
分娩为一种自然的生理过程，是胎儿从母体分离而形成独立个体的过程。但在分娩过程中，若出现难产迹象，需实施剖宫产，顺利取出胎儿[1]。随着临床剖宫产手术水平提高，剖腹产条件放宽，剖宫产实施率大大增加，一定程度上了增加了剖宫产严重并发症。为了提高分娩质量，改善母婴分娩结局，临床提出在分娩同时结合必要的护理措施，改变传统的护理模式。笔者提出产妇分娩中应用责任助产护理模式，评价其应用效果。
1 资料与方法
1.1 一般资料
研究对象为我院从2016年8月到2017年6月收治的80例产妇，将其均分为两组，对照组40例，年龄为21-37岁，平均年龄为(26.2±2.8)岁，孕周为34-41w，平均孕周为(36.2±2.0)w；观察组40例，年龄为20-36岁，平均年龄为(26.0±2.7)岁，孕周为35-40w，平均孕周为(36.0±2.2)w。所有产妇均为初产妇、单胎，各项指标检查均在正常范围内，无剖宫产指征。两组一般资料数据方面无差异无统计学意义(P>0.05)，可研究对比。
1.2 方法 对照组应用传统分娩方式，产妇分娩前，注射葡萄糖注射液。严格检查产妇宫颈开口情况，实时观察产妇分娩疼痛情况，一旦分娩中发现异常，第一时间与主治医师取得联系，由主治医生对应处理。护理人员每天监测产妇血压、心率以及胎心音情况，加强产房消毒。分娩过程中，为产妇提供支持指导，促产妇顺利分娩。观察则接受责任制助产护理模式，挑选一名接受过专业培训的助产护理人员，对产妇提供全程的护理干预，具体内容为：
1.2.1 组建责任助产小组 实施全程陪伴前，根据科室情况，划分并组建责任助产小组。根据护理人员的工作年限、工作能力、学历、性格特征等分组，并从中挑选1人为组长，责任护理人员3人。组长由经验丰富的助产护理人员担当，必须具备扎实的业务能力、责任心强，具有管理、协调能力。实施层级管理，从上级到下级，责任组长负责责任助产小组工作的统筹安排落实，并指导低年资护理人员做好相应業务工作。, http://www.100md.com(陶科)
【关键词】分娩；责任制助产；母婴结局
The Role of Midwifery in the Delivery of Obstetrics and Childbirth in Childbirth
Abstract Objective： To evaluate the effect of implementing responsibility system in midwifery delivery on maternal and child outcomes. Methods： The study subjects were 80 women who were hospitalized and were divided into two groups. 40 patients in the control group were treated with traditional nursing and 40 patients in the observation group were assisted with the midwifery， and the effects of different nursing methods were evaluated. Results： The rate of assisted childbirth and neonatal Apgar score in the observation group was higher than that in the control group. The delivery time in the first and second stages of labor was less than that in the control group. The postpartum hemorrhage， neonatal asphyxia， fetal distress and lower limb pain and numbness were all less than the control group. There was a statistically significant difference between the two groups (P<0.05). Conclusion： The application of the mode of responsible midwifery nursing in maternal delivery can increase the rate of assisted labor and self-individuation， improve the outcome of mother and child， and have significant application value.
Key words： childbirth； responsibility system for midwifery； maternal and child outcomes
【中图分类号】R473.71 【文献标识码】A 【文章编号】1672-3783(2018)05-03-0-01
分娩为一种自然的生理过程，是胎儿从母体分离而形成独立个体的过程。但在分娩过程中，若出现难产迹象，需实施剖宫产，顺利取出胎儿[1]。随着临床剖宫产手术水平提高，剖腹产条件放宽，剖宫产实施率大大增加，一定程度上了增加了剖宫产严重并发症。为了提高分娩质量，改善母婴分娩结局，临床提出在分娩同时结合必要的护理措施，改变传统的护理模式。笔者提出产妇分娩中应用责任助产护理模式，评价其应用效果。
1 资料与方法
1.1 一般资料
研究对象为我院从2016年8月到2017年6月收治的80例产妇，将其均分为两组，对照组40例，年龄为21-37岁，平均年龄为(26.2±2.8)岁，孕周为34-41w，平均孕周为(36.2±2.0)w；观察组40例，年龄为20-36岁，平均年龄为(26.0±2.7)岁，孕周为35-40w，平均孕周为(36.0±2.2)w。所有产妇均为初产妇、单胎，各项指标检查均在正常范围内，无剖宫产指征。两组一般资料数据方面无差异无统计学意义(P>0.05)，可研究对比。
1.2 方法 对照组应用传统分娩方式，产妇分娩前，注射葡萄糖注射液。严格检查产妇宫颈开口情况，实时观察产妇分娩疼痛情况，一旦分娩中发现异常，第一时间与主治医师取得联系，由主治医生对应处理。护理人员每天监测产妇血压、心率以及胎心音情况，加强产房消毒。分娩过程中，为产妇提供支持指导，促产妇顺利分娩。观察则接受责任制助产护理模式，挑选一名接受过专业培训的助产护理人员，对产妇提供全程的护理干预，具体内容为：
1.2.1 组建责任助产小组 实施全程陪伴前，根据科室情况，划分并组建责任助产小组。根据护理人员的工作年限、工作能力、学历、性格特征等分组，并从中挑选1人为组长，责任护理人员3人。组长由经验丰富的助产护理人员担当，必须具备扎实的业务能力、责任心强，具有管理、协调能力。实施层级管理，从上级到下级，责任组长负责责任助产小组工作的统筹安排落实，并指导低年资护理人员做好相应業务工作。, http://www.100md.com(陶科)