[1]陈冬梅.安全分娩核查表在自然分娩产妇围生期护理中的应用效果及对分娩结局的影响[J].医学信息,2025,38(01):161-163167.[doi:10.3969/j.issn.1006-1959.2025.01.033]
 CHEN Dongmei.Application Effect of Safe Delivery Checklist in Perinatal Nursing of Natural Childbirth Puerpera and its Influence on Delivery Outcome[J].Journal of Medical Information,2025,38(01):161-163167.[doi:10.3969/j.issn.1006-1959.2025.01.033]
点击复制

安全分娩核查表在自然分娩产妇围生期护理中的应用效果及对分娩结局的影响()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年01期
页码:
161-163167
栏目:
护理研究
出版日期:
2025-01-01

文章信息/Info

Title:
Application Effect of Safe Delivery Checklist in Perinatal Nursing of Natural Childbirth Puerpera and its Influence on Delivery Outcome
文章编号:
1006-1959(2025)01-0161-04
作者:
陈冬梅
天津市第三中心医院妇产科,天津 300170
Author(s):
CHEN Dongmei
Department of Obstetrics and Gynecology, Tianjin Third Central Hospital, Tianjin 300170, China
关键词:
安全分娩核查表自然分娩围生期分娩结局
Keywords:
Safe delivery checklist Natural delivery Perinatal period Delivery outcome
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2025.01.033
文献标志码:
A
摘要:
目的 研究安全分娩核查表在自然分娩产妇围生期护理中的应用效果及对分娩结局的影响。方法 选取2022年10月-12月我院自然分娩的500例孕妇为研究对象,采用随机数字表法分为对照组和观察组,各组250例。对照组围术期开展常规护理,观察组在对照组基础上应用安全分娩核查表干预,比较两组产妇分娩结局、焦虑评分、产后并发症发生率以及护理满意度。结果 观察组第二产程延长、阴道助产、会阴侧切发生率均低于对照组(P<0.05);两组干预后焦虑评分均低于干预前,且观察组低于对照组(P<0.05);观察组产后并发症发生率为3.20%,低于对照组的12.00%(P<0.05);观察组护理满意度为98.80%,高于对照组的89.20%(P<0.05)。结论 安全分娩核查表在自然分娩产妇围生期护理中具有确切的应用效果,可改善分娩结局,降低产后并发症发生率,减轻产妇焦虑状况,提高护理满意度,值得临床加以应用。
Abstract:
Objective To study the application effect of safe delivery checklist in perinatal nursing of natural delivery women and its influence on delivery outcome. Methods A total of 500 pregnant women who gave birth naturally in our hospital from October to December 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 250 pregnant women in each group. The control group was given routine nursing during the perioperative period, and the observation group was given safe delivery checklist intervention on the basis of the control group. The delivery outcome, anxiety score, incidence of postpartum complications and nursing satisfaction were compared between the two groups. Results The incidence of prolonged second stage of labor, vaginal midwifery and episiotomy in the observation group were lower than those in the control group (P<0.05). The anxiety scores of the two groups after intervention were lower than those before intervention, and the observation group was lower than the control group (P<0.05). The incidence of postpartum complications in the observation group was 3.20%, which was lower than 12.00% in the control group (P<0.05). The nursing satisfaction of the observation group was 98.80%, which was higher than 89.20% of the control group (P<0.05). Conclusion The safe delivery checklist has a definite application effect in the perinatal nursing of natural delivery women, which can improve the delivery outcome, reduce the incidence of postpartum complications, reduce maternal anxiety, and improve nursing satisfaction. It is worthy of clinical application.

参考文献/References:

[1]刘秀芳,李志云,刘桂花.柔性管理方案对产科风险事件发生率、护理质量及患者满意度的影响[J].护理实践与研究,2018,15(9):115-118.[2]刘淑丽.标准化助产流程在初产妇分娩中的应用效果分析[J].实用临床医药杂志,2017,21(5):194-195.[3]Albolino S,Dagliana G,Illiano D,et al.Safety and quality in maternal and neonatal care: the introduction of the modified WHO Safe Childbirth Checklist[J].Ergonomics,2018,61(1):185-193.[4]赵扬玉,陈练.WHO安全分娩核查表的实施及在安全分娩中的作用[J].中国实用妇科与产科杂志,2019,35(9):966-968.[5]肖明朝,漆洪波.WHO安全分娩核查表实施指南:提高医院母婴分娩安全质量(中文版)[M].北京:人民卫生出版社,2018.[6]赵丽,黄宏艳,金婷.右美托咪定复合罗哌卡因对硬膜外分娩镇痛产妇镇痛镇静及氧化应激状况的影响[J].海南医学,2020,31(3):333-336.[7]Senanayake HM,Patabendige M,Ramachandran R.Experience with a context-specific modified WHO Safe Childbirth Checklist at two tertiary care settings in Sri Lanka[J].BMC Pregnancy Childbirth,2018,18(1):411.[8]贺永超,于丽,于飞飞,等.术前穴位按压结合心理干预对患者围手术期改善手术应激反应的可行性探讨[J].中医外治杂志,2020,29(3):50-51.[9]高凤娟,宋洁,袁连连.基于循证护理的安全分娩核查表在产科中的应用[J].齐鲁护理杂志,2019,25(19):72-74.[10]Albolino S,Dagliana G,Illiano D,et al.Safety and quality in maternal and neonatal care: the introduction of the modified WHO Safe Childbirth Checklist[J].Ergonomics,2018,61(1):185-193.[11]颜凤,张慧珠,林艳,等.安全分娩核查清单的修订及应用效果评价[J].护理学杂志,2019,34(9):25-27.[12]周晓娟,张君烨,杭丹丹,等.清单式交接护理在自然分娩后产妇管理中的应用[J].齐鲁护理杂志,2023,29(1):157-159.[13]陈玉静.拆台式助产在足月自然分娩初产妇护理中的应用[J].黑龙江医药科学,2022,45(5):138-139.[14]Perry W,Bagheri Nejad S,Tuomisto K,et al.Implementing the WHO Safe Childbirth Checklist:lessons from a global collaboration[J].BMJ Global Health,2017,2(3):e000241.[15]郝锦秀.自然分娩产妇会阴切开术后切口感染的危险因素及护理干预对策分析[J].河北医药,2022,44(15):2395-2397.[16]刘慧玲.初产妇自然分娩中应用适度保护助产护理的效果研究[J].安徽医专学报,2022,21(3):125-126.[17]林玲.WHO安全分娩核查表在产科风险管理中的应用效果[J].中医药管理杂志,2021,29(10):197-199.[18]王芬.产前心理应激和产后抑郁及椎管内分娩镇痛降低应激促进安全分娩的研究[D].合肥:安徽医科大学,2017.[19]雷圣凤.亲情-责任交互式护理模式对初产妇分娩及母乳喂养的影响[J].齐齐哈尔医学院学报,2015,36(9):1377-1378.[20]赵伟萍,崔静,江萍,等.WHO安全分娩核查表实施的效果评价[J].上海护理,2016,16(6):23-26.

相似文献/References:

[1]蒋梅萍.会阴无保护接生技术联合心理疏导在自然分娩中的应用[J].医学信息,2018,31(06):163.[doi:10.3969/j.issn.1006-1959.2018.06.058]
 JIANG Mei-ping.The Application of Perineum Unprotected Delivery Technology Combined with Psychological Counseling in Natural Childbirth[J].Journal of Medical Information,2018,31(01):163.[doi:10.3969/j.issn.1006-1959.2018.06.058]
[2]孟 琪.新产程标准指导对分娩结局的影响[J].医学信息,2021,34(13):113.[doi:10.3969/j.issn.1006-1959.2021.13.029]
 MENG Qi.The Influence of New Duration Standard Guidance on Delivery Outcome[J].Journal of Medical Information,2021,34(01):113.[doi:10.3969/j.issn.1006-1959.2021.13.029]
[3]郝国娟.会阴无保护联合无痛分娩在促进初产妇自然分娩中的优势分析[J].医学信息,2021,34(16):143.[doi:10.3969/j.issn.1006-1959.2021.16.040]
 HAO Guo-juan.Analysis of Advantages of Perineum Unprotected Combined Painless Delivery in Promoting Natural Delivery of Primipara[J].Journal of Medical Information,2021,34(01):143.[doi:10.3969/j.issn.1006-1959.2021.16.040]
[4]范 莉.导乐陪伴分娩的模式及应用研究[J].医学信息,2021,34(19):62.[doi:10.3969/j.issn.1006-1959.2021.19.016]
 FAN Li.Study on the Mode and Application of Doula Accompanying Delivery[J].Journal of Medical Information,2021,34(01):62.[doi:10.3969/j.issn.1006-1959.2021.19.016]
[5]靳紫薇,谢 玲.间苯三酚联合缩宫素对自然分娩初产妇促宫颈成熟的效果[J].医学信息,2023,36(02):130.[doi:10.3969/j.issn.1006-1959.2023.02.027]
 JIN Zi-wei,XIE Ling.Effect of Phloroglucinol Combined with Oxytocin on Cervical Ripening in Primiparas with Natural Childbirth[J].Journal of Medical Information,2023,36(01):130.[doi:10.3969/j.issn.1006-1959.2023.02.027]
[6]朱亚斐.胎心监护仪产时持续胎心监护对自然分娩产妇产后并发症及新生儿结局的影响[J].医学信息,2023,36(09):151.[doi:10.3969/j.issn.1006-1959.2023.09.032]
 ZHU Ya-fei.Effect of Continuous Intrapartum Fetal Heart Rate Monitoring with Fetal Heart Rate Monitor on Postpartum Complications and Neonatal Outcomes in Natural Delivery Parturients[J].Journal of Medical Information,2023,36(01):151.[doi:10.3969/j.issn.1006-1959.2023.09.032]
[7]赵自红,马芳晓.活跃期自由体位待产联合正念冥想放松减痛法对自然分娩初产妇产程、疼痛程度及分娩控制感的影响[J].医学信息,2024,37(01):171.[doi:10.3969/j.issn.1006-1959.2024.01.031]
 ZHAO Zi-hong,MA Fang-xiao.Effect of Free Position for Labor in Active Period Combined with Mindfulness Meditation and Relaxation Pain Relief Method on Labor Process, Pain Degree and Sense of Labor Control in Primiparas with Natural Childbirth[J].Journal of Medical Information,2024,37(01):171.[doi:10.3969/j.issn.1006-1959.2024.01.031]
[8]梅六妹.宫颈扩张球囊联合催产素引产对于宫颈时机不成熟产妇自然分娩的影响评价[J].医学信息,2024,37(18):92.[doi:10.3969/j.issn.1006-1959.2024.18.017]
 MEI Liu-mei.Evaluation of the Effect of Cervical Dilatation Balloon Combined with Oxytocin Inductionon Natural Delivery of Pregnant Women with Immature Cervix[J].Journal of Medical Information,2024,37(01):92.[doi:10.3969/j.issn.1006-1959.2024.18.017]

更新日期/Last Update: 1900-01-01