邓捷

[摘要]目的 探讨孕期综合性护理干预对产妇认知行为和分娩结局的影响。方法 将2015年6月～2016年6月在我院接受产检、入院分娩孕产妇作为研究对象并分组研究，对照组均实施常规护理，研究组均在此基础上实施孕期综合性护理干预。比较两组的分娩知识认知情况、分娩方式、产程及新生儿情况。结果 干预后，研究组的分娩知识认知优良率为57.89%，明显高于对照组的26.31%（P<0.05）；研究组的分娩方式明显优于对照组（P<0.05）；研究组自然分娩产妇各产程及总产程均明显短于对照组（P<0.05）；研究组新生儿Apgar评分情况明显优于对照组（P<0.05）。结论 实施孕期综合性护理干预，可有效提高孕产妇分娩知识认知掌握率，有助于促进自然分娩、缩短产程，能够有效保障母婴健康和提高安全性，值得推广应用。

[关键词]孕期；综合护理；分娩方式；产程；新生儿Apgar评分

[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2017）01（c）-0176-04

[Abstract]Objective To explore the influence of comprehensive nursing intervention on cognitive behavior and delivery outcome of pregnant women.Methods Pregnant women accepted antenatal examinations and admission delivery in our hospital from June 2015 to June 2016 were selected as the research objects and they were divided into control group and study group.Control group was given routine nursing，while study group was given comprehensive nursing intervention on the basis of control group.Cognition of delivery knowledge，delivery mode，stage of labor and neonatal condition between two groups were compared.Results After intervention，the good and excellent rate of cognition of delivery method in study group （57.89%） was significantly higher than that in control group （26.31%） （P<0.05）.The delivery mode in study group was significantly better than that in control group（P<0.05）.The natural childbirth in each total stage and the total stage of labor in study group were shorter than those of control group （P<0.05）.Apgar score in study group was significantly better than that in control group （61.06%） （P<0.05）.Conclusion The implementation of prenatal comprehensive nursing intervention can effectively improve the cognition of delivery，help to promote natural childbirth and shorten the childbirth process，which can effectively guarantee the maternal and infant health and improve the safety and it is worthy of popularization and application.

[Key words]Pregnancy；Comprehensive nursing；Delivery mode；Stage of labor；Neonatal Apgar score

近年来，随着社会环境的变化，越来越多的孕产妇选择剖宫产方式分娩。这一方式可以有效解决难产问题，能够有效缩短产程并便于在非常情况下对母婴进行抢救等，其效果较显著[1-2]，但临床实践表明，该方式将大大降低产妇的乳汁分泌率以及新生儿免疫力等，不利于产妇尽快恢复，也不利于新生儿健康成长[3-4]。由于自然分娩具有难以替代的优势，采取有效方式提升產妇自然分娩率并有效缩短产程，对确保母婴健康安全具有重要价值[5-6]。我院开展该项研究，探索实施孕期综合性护理干预对产妇认知行为和分娩结局的影响，现报道如下。

1资料与方法

1.1一般资料

本研究中所纳入对象均为2015年6月～2016年6月在我院接受产检并入院分娩的孕产妇，共计190例。年龄21～32岁，平均（25.6±2.8）岁；孕龄36～42周，平均（38.5±0.5）周；体重46～67 kg，平均（56.8±5.5）kg。所有研究对象均为单胎孕产，含初产妇120例，经产妇70例。所有研究对象均身体健康，均无需终止妊娠者。按照其入院先后顺序以双盲法实施分组，各95例。……