崔新红 李珍珍

[摘要] 目的 探究自然分娩护理中激励式护理的应用价值。方法 方便选取该院2017年5月—2018年12月期间接诊治疗的88例产妇进行分娩回顾分析。取得产妇与家属同意后，将其随机分为观察组与对照组，（每组44例产妇）。医护人员在分组过程中给予观察组产妇激励式心理护理模式，给予对照组产妇常规护理模式。在两组产妇分娩结束后，医护人员将其进行记录对比。结果 观察组产妇自然分娩几率为（79.54%）、产后出血几率为（2.27%）、新生儿窒息几率为（2.27%），对照组产妇自然分娩几率为（27.27%）、产后出血几率为（4.54%）、新生儿窒息几率为（6.81%），观察组产妇分娩结局优于对照组产妇分娩结局（P<0.05）;观察组与对照组产妇总产程所用时间分别为（354.82±145.62）min、（494.51±220.45）min，观察组产妇产生时间低于对照组产妇所用产程时间（t=4.384，P=0.001）。结论 激励式护理能够提升产妇自然分娩机率，并降低产后出血及新生儿窒息几率，与此同时，还能够减少产生时间，对产妇分娩有积极的影响。因此，该护理方法应推广使用。

[关键词] 自然分娩;激励式护理;护理效果

[Abstract] Objective To explore the application value of motivational nursing in natural childbirth nursing. Methods A retrospective analysis was convenient selected 88 women who were treated in the hospital from May 2017 to December 2018. After obtaining the consent of the mother and family，they were randomly divided into the observation group and the control group （44 mothers in each group）. During the grouping process，the medical staff gave the observation group maternal motivational psychological nursing mode and the control group maternal routine nursing mode. After the two groups of mothers gave birth，they were compared by medical staff. Results In the observation group，the probability of natural delivery was （79.54%），the probability of postpartum hemorrhage （2.27%），and the probability of neonatal asphyxia （2.27%），the rate of neonatal asphyxia （6.81%），the maternal delivery outcome of the observation group was better than that of the control group（P<0.05）; the total time of labor of the observation group and control group was （354.82 ± 145.62） min，（494.51 ± 220.45） min，the birth time in the observation group was lower than that in the control group（t=4.384，P=0.001）. Conclusion Incentive nursing can increase the chance of natural delivery and reduce the chance of postpartum hemorrhage and neonatal asphyxia. At the same time，it can reduce the occurrence time，which has a positive impact on the delivery. Therefore，this method of care should be promoted.

[Key words] Natural delivery; Motivational nursing;Nursing effect

妊娠、分娩是女性正常生理過程，由于许多产妇缺乏分娩知识了解程度，对分娩存在消极情绪及错误认知，觉得自然分娩痛苦大、风险高，从而提升了自然分娩的风险几率[1]。近年来，由于高危产妇数量的增多及社会因素的影响，剖宫产几率得到了显著的提升，剖宫产为产妇点来了较大的经济负担，与此同时，产妇在产后会出现一系列的相关并发症，对母婴身体健康造成伤害。因此，如何提升产妇自然分娩机率已经成为广大医者重点讨论的话题。据相关医学报道显示，高效的心理护理能够提升产妇自然分娩机率，还能降低母婴并发症机率[2-3]。为了对这一方法进行证实，将该院2017年5月—2018年12月期间接受治疗的88例产妇进行分组护理，现报道如下。

1  资料与方法