摘要
目的探究基于危机式管理理论结合新产程时限管理在产妇分娩时的应用效果及对产妇各产程疼痛评分、会阴侧切率及自然分娩率的影响。方法选取2017年1月至2018年12月在绵阳市中心医院进行分娩的产妇100例,依照干预方法的不同分成对照组和观察组,对照组给予新产程时限管理干预,观察组在对照组基础上联合基于危机式管理理论干预,对比2组干预效果。结果观察组产妇第1、第2、第3产程时间均显著短于对照组,且各产程视觉模拟评分(VAS)显著低于对照组(P<0.05)。观察组产妇产后出血量、会阴侧切率、自然分娩率均显著低于对照组(P<0.05),胎儿窘迫发生率、胎儿窒息率2组比较无显著差异(P>0.05)。观察组胎儿红臀、脐部感染发生率及产妇切口感染、尿潴留、下肢不适等并发症发生率均显著低于对照组(P<0.05)。观察组与对照组产后1 min和5 min新生儿Apgar评分比较无显著差异(P>0.05)。结论基于危机式管理理论结合新产程时限管理模式有助于控制分娩时间、缓解产妇分娩疼痛,提高了自然分娩率,减少了意外事件的发生率,有利于产妇和新生儿的安全健康。
Objective To investigate the effects of crisis management theory combined with new labor time management on maternal delivery and the impact on maternal pain scores,perineal cut rate and natural delivery rate.Methods One hundred parturi⁃ents who stayed in the hospital from January 2017 to December 2018 were selected for study and were divided into the control group and the observation group,by different intervention methods.The control group was given new labor time management intervention,while the observation group received crisis management theory intervention on the basis of the treatment taken by the control group.Then,in⁃tervention effects were compared between the 2 groups.Results The first,second and third stages of labor for the observation group were all significantly shorter than those of the control group,and the scores of visual analogue scale(VAS)at various stages of labor were significantly lower than those of the control group(P<0.05).The postpartum hemorrhage,perineal cut rate and natural delivery rate of the observation group were all significantly lower than those of the control group(P<0.05).However,there were no significant differences in the rates of fetal distress and asphyxia,when comparisons were made between the 2 groups(P<0.05).The rates of fetal red buttocks,umbilical infection,maternal wound infection,urinary retention and lower limb discomfort in the observation group were significantly lower than those in the control group(P<0.05).There were no significant differences in the apgar scores at postpartum 1 min and 5 minutes when comparisons were made between the 2 groups(P<0.05)(P<0.05).Conclusion Crisis management theory combined with the new labor time management could help to control delivery time,alleviate pain of maternal delivery,improve natural delivery rate,reduce rates of adverse events,and was beneficial to the safety and health of parturients and neonates.
作者
高靖
曾文玉
Gao Jing;Zeng Wenyu(Department of Obstetrics and Gynecology,Mianyang Central Hospital,Mianyang,Sichuan Province,Mianyang 621000,China)
出处
《海军医学杂志》
2020年第5期572-575,共4页
Journal of Navy Medicine
关键词
危机式管理理论
新产程时限管理
产妇
分娩
新生儿
Crisis management theory
New labor time management
Parturient
Delivery
Neonate
作者简介
通信作者:曾文玉,电子信箱:shenming7699@sina.com。
