摘要
目的探讨助产护士产前门诊对孕产妇心理状态、分娩结局、满意度的影响。方法选择上海市某三级甲等妇产科医院建卡并定期产检的正常初产妇,随机分为试验组(50例)和对照组(51例)。试验组除接受常规产前门诊外,还参加助产护士的产前门诊,对照组只进行常规产前门诊。比较两组的分娩结局、满意度、焦虑程度等。结果试验组自然分娩率高于对照组,差异有统计学意义(P<0.05);试验组入组时和分娩前的焦虑程度差异无统计学意义(P>0.05),对照组分娩前的焦虑程度高于入组时,差异有统计学意义(P<0.05);满意度方面,试验组高于对照组,差异有统计学意义(P<0.05);两组顺产产妇的产程、产后2h出血量、新生儿Apgar评分方面的差异无统计学意义(P>0.05)。结论助产护士产前门诊可以降低剖宫产率和产妇的焦虑程度,提高满意度。
Objective To evaluate the effect of midwives＇ antenatal clinic service on primiparas＇ psychological state,satisfaction and childbirth outcomes. Methods Totally 101 primiparas who had made registration and regular antenatal examination in an maternity hospital,were randomly divided into two groups. The women in the control group received routine antenatal clinic service. In addition,the women in the experimental group participated in an individual midwives＇ antenatal clinic. The primiparas＇ birth outcomes,satisfaction and anxiety were measured and compared between the two groups. Results The rate of natural birth and satisfaction in the experimental group were significantly higher than that of the control group（P〈0.05）. The score of anxiety in the experimental group was significantly lower than that of the control group（P〈0.05）. There were no significant differences in the labor duration,volume of bleeding 2 hours postpartum and Apgar score between the two groups（P〉0.05）. Conclusion The midwives＇ antenatal clinic can decrease the rate of cesarean section and the anxiety,and increase patient satisfaction.
出处
《中华护理杂志》
CSCD
北大核心
2012年第7期581-584,共4页
Chinese Journal of Nursing
基金
复旦大学护理学院科研基金资助项目(编号:FNF201004)
关键词
助产士
产前保健
剖宫产术
Nurse Midwives
Prenatal Care
Cesarean Section
作者简介
武晓丹：女，本科（硕士在读），E-mail：wxdjasmine@163．com
通信作者：丁焱，E-mail：jonish@vip．sina．com
