邱慧 冯素文

[摘要] 目的 探讨个体化护理干预对初产妇分娩依从性及分娩结局的影响。 方法 选取2013年1月～2014年1月我院收治的初产妇100例， 采用随机数字表法分为干预组和对照组，每组各50例。对照组行常规随机对症护理，干预组除接受常规护理外，主要行个性化护理干预，包括心理干预、加强产程指导、待产姿势指导、产后护理，比较两组产妇的依从性、产妇分娩结局、产程所用时间。 结果 干预组产妇的依从率达98.0%，显著高于对照组（82.0%），差异有统计学意义（χ2=4.386，P<0.05）。干预组剖宫产率达10.0%，显著低于对照组（20.0%），差异有统计学意义（P<0.05）。干预组产妇产后出血率显著低于对照组，差异有统计学意义（P<0.05）。干预组第一产程、第三产程、总产程时间虽然短于对照组，但差异无统计学意义（P>0.05）；但干预组产妇第二产程时间较对照组显著缩短，差异有统计学意义（P<0.05）。 结论 个体化护理干预能够提高初产妇分娩依从性，降低剖宫产和产后出血的发生率，缩短产程，从而提高产科质量。

[关键词] 初产妇；个体化护理干预；分娩依从性；分娩结局；产程

[中图分类号] R473.71 [文献标识码] B [文章编号] 1673-9701（2015）12-0137-03

Effect of individualized nursing intervention on the compliance of early maternity and childbirth outcomes

QIU Hui1 FENG Suwen2

1.Delivery Room，Maternal and Child Health Hospital of Zhoushan City in Zhejiang Province，Zhoushan 316000，China；2.Department of Obstetrics，the Obstetrics and Gynecology Hospital Attached to Medical College of Zhejiang University，Hangzhou 310006，China

[Abstract] Objective To explore the effect of individualized nursing intervention on the compliance of early maternity and childbirth outcomes. Methods A total of 100 cases of primipara from January 2013 to January 2014 in our hospital， were divided into intervention group and control group， 50 cases in each group， the control group underwent conventional random symptomatic care， the intervention group in addition to routine care， mainly for personalized nursing intervention， including psychological intervention， strengthen the production process guiding， labor posture guidance， postpartum care， compared two groups of maternal compliance， childbirth， knot ending labor time were compared. Results The intervention group maternal compliance rate of 98.0%， significantly higher than that in the control group（82.0%）， the difference was statistically significant（χ2=4.386，P<0.05）. The cesarean section rate in the intervention group was 10.0%， significantly lower than that in the control group（20.0%）， the difference was statistically significant（P<0.05）. The intervention group's maternal postpartum hemorrhage rate was significantly lower than that in control group（P<0.05）. The intervention group during the first stage of labor， the third stage of labor， total labor time although shorter than that in control group， but the difference was not statistically significant（P>0.05）； but the intervention group parturient women during the second stage of labor time was obviously shortened compared with the control， the difference was statistically significant（P<0.05）. Conclusion Individualized nursing intervention can improve the early maternity compliance， reduce the incidence of cesarean and postpartum hemorrhage， shorten the production process， so as to improve the quality of obstetrics.

[Key words] Primipara； Individualized nursing intervention； Compliance of delivery； Delivery outcome； Birth process

初产妇因缺乏分娩经验及对分娩的相关知识缺乏了解，分娩过程中心理承受能力及依从性差等，易出现焦虑、紧张等心理，严重的甚至会影响分娩结局[1]。随着医学模式的改变，除了要重视生物因素对产妇的影响，更要重视心理因素对产妇分娩的作用[2]；因此，提高产科护理质量，促进自然分娩，确保婴儿安全已成为产科医务工作者的努力方向。个体化护理干预根据患者的年龄、文化程度、职业等不同情况，从认知、情感、意志和行为等方面进行一对一的护理干预，应用于临床各科治疗及护理中取得了较好的效果[3]。本研究旨在探讨个体化护理干预对初产妇分娩依从性及分娩结局的影响。

1 资料与方法

1.1 一般资料

选取2013年1月～2014年1月我院收治的初产妇100例，年龄最小22周岁，最大36周岁。……