心理护理及用药护理在静脉滴注催产素引产中的应用效果刍议(1)
[摘要] 目的 探討心理护理及用药护理在静脉滴注催产素引产中的应用效果。 方法 方便选取2018年6月—2019年6月该院宫颈成熟度评分(Bishop评分)>6分的产妇100名，随机分为两组，两组均给予静脉滴注催产素引产，对照组50名产妇治疗期间接受临床常规护理，研究组50名，在常规护理的基础上加强心理护理及用药护理，对比两组干预后宫颈扩张速率及引产至分娩时长、分娩后出血量，并统计两组最终分娩方式及剖宫产原因，采用自制的满意度调查表了解两组产妇满意度评价。 结果 研究组宫颈扩张速率(2.81±0.54)cm/h高于对照组(2.23±0.35)cm/h，且引产至分娩时长(653.24±51.89)min明显短于对照组(959.68±56.47)min，分娩后出血量(184.54±24.55)mL低于对照组(208.56±35.12)mL，差异有统计学意义(t=4.587、6.987、7.184，P<0.05);研究组自然分娩率(84.00%)明显高于对照组(58.00%)，且研究组产妇在剖宫产原因中，因宫缩疼痛难忍的例数占比(6.00%)明显低于对照组(24.00%)，差异有统计学意义(χ2=7.682、13.349，P<0.05);研究组患者护理满意度(100.00%)明显高于对照组(94.00%)，差异有统计学意义(χ2=6.091，P<0.05)。 结论 心理护理及用药护理在静脉滴注催产素引产中可达到理想的促宫颈成熟引产效果，提高自然分娩率和产妇满意度，此方法对临床引产女性意义重大。
[关键词] 心理护理;用药护理;静脉滴注;催产素;引产
[中图分类号] R7 [文献标识码] A [文章编号] 1674-0742(2020)11(a)-0168-04
Discussion on the Application Effect of Psychological Nursing and Medication Nursing in Inducing Labor by Intravenous Infusion of Oxytocin
GAO Zhen-zhen
Obstetrics Department， Section Five， Xiamen Maternity and Child Health Hospital (Women and Children's Hospital Affiliated to Xiamen University) Xiamen， Fujian Province， 361000 China
[Abstract] Objective To explore the effect of psychological nursing and medication nursing in the induction of labor by intravenous drip of oxytocin. Methods Conveniently selected of 100 women with cervical maturity score (Bishop score)> 6 in the hospital from June 2018 to June 2019 were collected and randomly divided into two groups. Both groups were given intravenous infusion of oxytocin to induce labor， the control group 50 cases of parturients received clinical routine nursing during treatment. The study group of 50 cases strengthened psychological nursing and medication nursing on the basis of routine nursing. The two groups were compared with the rate of cervical dilation， the length of time from induction to delivery， and the amount of bleeding after delivery. The final delivery method and the cause of cesarean section were used to understand the satisfaction evaluation of the two groups of mothers using a self-made satisfaction questionnaire. Results The cervical dilation rate (2.81±0.54) cm/h in the study group was higher than that in the control group (2.23±0.35) cm/h， and the time from labor induction to delivery (653.24±51.89) min was significantly shorter than that in the control group (959.68±56.47) min. The blood loss after delivery (184.54±24.55)mL was lower than the control group (208.56±35.12)mL， and the difference was statistically significant (t=4.587， 6.987， 7.184， P<0.05); the natural delivery rate (84.00%) of the study group was significantly higher than the control group (58.00%)， and among the reasons for cesarean section in the study group， the proportion of women suffering from uterine contraction pain (6.00%) was significantly lower than that of the control group (24.00%). The difference was significant (χ2=7.682， 13.349， P<0.05); The patient's satisfaction with nursing care in the study group (100.00%) was significantly higher than that in the control group (94.00%)， and the difference was statistically significant(χ2=6.091，P<0.05). Conclusion Psychological nursing and medication nursing can achieve the ideal effect of promoting cervical ripening and induction of labor during the induction of labor by intravenous infusion of oxytocin， and improve the natural delivery rate and maternal satisfaction. This method is of great significance to clinical labor induction women., 百拇医药(高珍珍)
[关键词] 心理护理;用药护理;静脉滴注;催产素;引产
[中图分类号] R7 [文献标识码] A [文章编号] 1674-0742(2020)11(a)-0168-04
Discussion on the Application Effect of Psychological Nursing and Medication Nursing in Inducing Labor by Intravenous Infusion of Oxytocin
GAO Zhen-zhen
Obstetrics Department， Section Five， Xiamen Maternity and Child Health Hospital (Women and Children's Hospital Affiliated to Xiamen University) Xiamen， Fujian Province， 361000 China
[Abstract] Objective To explore the effect of psychological nursing and medication nursing in the induction of labor by intravenous drip of oxytocin. Methods Conveniently selected of 100 women with cervical maturity score (Bishop score)> 6 in the hospital from June 2018 to June 2019 were collected and randomly divided into two groups. Both groups were given intravenous infusion of oxytocin to induce labor， the control group 50 cases of parturients received clinical routine nursing during treatment. The study group of 50 cases strengthened psychological nursing and medication nursing on the basis of routine nursing. The two groups were compared with the rate of cervical dilation， the length of time from induction to delivery， and the amount of bleeding after delivery. The final delivery method and the cause of cesarean section were used to understand the satisfaction evaluation of the two groups of mothers using a self-made satisfaction questionnaire. Results The cervical dilation rate (2.81±0.54) cm/h in the study group was higher than that in the control group (2.23±0.35) cm/h， and the time from labor induction to delivery (653.24±51.89) min was significantly shorter than that in the control group (959.68±56.47) min. The blood loss after delivery (184.54±24.55)mL was lower than the control group (208.56±35.12)mL， and the difference was statistically significant (t=4.587， 6.987， 7.184， P<0.05); the natural delivery rate (84.00%) of the study group was significantly higher than the control group (58.00%)， and among the reasons for cesarean section in the study group， the proportion of women suffering from uterine contraction pain (6.00%) was significantly lower than that of the control group (24.00%). The difference was significant (χ2=7.682， 13.349， P<0.05); The patient's satisfaction with nursing care in the study group (100.00%) was significantly higher than that in the control group (94.00%)， and the difference was statistically significant(χ2=6.091，P<0.05). Conclusion Psychological nursing and medication nursing can achieve the ideal effect of promoting cervical ripening and induction of labor during the induction of labor by intravenous infusion of oxytocin， and improve the natural delivery rate and maternal satisfaction. This method is of great significance to clinical labor induction women., 百拇医药(高珍珍)