沈青

【摘 要】分娩是育龄期妇女自然生产的生理过程，自然分娩过程中孕产妇会产生较大疼痛感，加之孕产妇缺乏保健知识，容易产生抑郁、焦虑等不良情绪。全程责任制助产护理是指“一对一全程专责陪伴分娩”助产责任制管理模式，是一种新的产时服务模式，能够缩短产程时间，降低产后出血量，缓解孕产妇焦虑、恐惧等负性情绪，从生理、心理等方面满足患者的服务需求，提高护理质量，提高患者对护理服务的满意度。本文主要对全程责任制助产护理模式含义、服务内容、实践效果及临床应用价值作一综述，旨在为自然分娩孕产妇的护理提供相关经验，进一步提高产科护理服务质量。

【关键词】全程责任制助产护理；孕产妇；自然分娩

中图分类号：R473.71 文献标识码：A 文章编号：1004-4949（2023）02-0143-04

Application Progress of Whole-course Responsibility Midwifery Nursing Mode in Natural Childbirth

SHEN Qing

（The Seventh Department of Obstetrics， Women’s Hospital School of Medicine Zhejiang University， Hangzhou 310011， Zhejiang， China）

【Abstract】Delivery is a physiological process of natural production for women of childbearing age. In the process of natural delivery， pregnant women will have a greater pain. In addition， pregnant women lack health care knowledge， which is prone to depression， anxiety and other negative emotions. The whole-course responsibility midwifery nursing refers to the management mode of midwifery responsibility system of "one-to-one whole-course special accompanying delivery". It is a new mode of intrapartum service， which can shorten the time of labor， reduce the amount of postpartum hemorrhage， relieve the negative emotions such as anxiety and fear of pregnant women， meet the service needs of patients from physiological and psychological aspects， improve the quality of nursing and improve the satisfaction of patients with nursing services. This paper mainly reviews the meaning， service content， practical effect and clinical application value of the whole-course responsibility midwifery nursing mode， aiming to provide relevant experience for the nursing of pregnant women with natural childbirth and further improve the quality of obstetric nursing service.

【Key words】Whole-course responsibility midwifery nursing； Maternal； Natural childbirth

絕大部分孕产妇在分娩生产过程中会产生孤独、焦虑、抑郁等负面情绪[1]。自然分娩（natural childbirth）过程中的产痛容易影响孕产妇心理状态，导致其产生恐惧、烦躁、绝望等情绪，不利于产后康复。如在上述过程予以优质产时护理模式，能够有效缓解产痛，改善心理状态，缩短产程，降低剖宫产几率[2]。传统产房管理模式以医务人员为中心，无法满足孕产妇及家属需求，同时不符合以患者为中心的改革方向；此外，由于分娩发作随机性较大，助产人员工作时间与工作量不一定成正比，易留下医疗隐患[3]。近年来产房管理模式不断发展改革，临床逐渐建立并实施全产程责任制助产护理模式，产妇进入产房后，由同一助产士负责提供全程系统的服务[4]。……