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目的:心理护理与健康教育在预防难产中的临床应用价值。方法:筛选2015年1月至2016年6月于重庆市垫江县人民医院进行分娩的产妇100例。采用随机数表法将其分为观察组与对照组,每组50例,其中对照组产妇围产期接受临床常规护理干预,观察组产妇围产期强化心理护理与健康教育,比较两组产妇分娩过程中难产发生情况以及围产期生活质量、护理满意度情况。结果:观察组产妇剖宫产率明显低于对照组,并且经阴道分娩转剖宫产例数明显低于对照组,差异具有统计学意义(P<0.05);观察组产妇难产发生率明显低于对照组,差异具有统计学意义(P<0.05);观察组患者围产期SAS、SDS明显低于对照组,并且生活质量、护理满意度评分明显高于对照组,差异具有统计学意义(P<0.05)。结论:对产妇围产期强化心理护理与健康教育可有效降低剖宫产率,预防肩难产、头难产的发生,并可显著改善患者围产期生活质量以及护理满意度。
Objective: The value of psychological nursing and health education in preventing dystocia. Methods: From January 2015 to June 2016, 100 maternal women who gave birth in Dianjiang People’s Hospital of Chongqing were selected. The random number table method was used to divide them into observation group and control group with 50 cases in each group. The control group received routine nursing intervention during the perinatal period, and the intensive care and health education during the perinatal period in the observation group. Difficult labor during childbirth and the quality of life during perinatal care, nursing satisfaction. Results: The rate of cesarean section in observation group was significantly lower than that in control group, and the number of cesarean section transferred by vaginal delivery was significantly lower than that in control group (P <0.05). The incidence of maternal dystocia in observation group was significantly lower In the control group, the difference was statistically significant (P <0.05). The perinatal SAS and SDS in the observation group were significantly lower than those in the control group, and the scores of quality of life and nursing satisfaction were significantly higher than those in the control group (P <0.05) P <0.05). CONCLUSION: Intensified psychological nursing and health education for perinatal women can effectively reduce the incidence of cesarean section, prevent the occurrence of shoulder dystocia and head dystocia, and can significantly improve perinatal quality of life and satisfaction with nursing care.