探讨护理干预措施对自然分娩初产产妇产后疼痛及产后出血的影响

To explore the effect of nursing intervention on postpartum pain and postpartum hemorrhage of primipara in natural childbirth

中文关键词: 护理干预措施  自然分娩  初产  总产程  新生儿Apgar评分

英文关键词: Nursing intervention  Natural delivery  Primipara  Total labor process  Apgar score of newborn

中文摘要:

      目的：研究探讨护理干预措施对自然分娩初产产妇产后疼痛及产后出血的影响。方法：选取82例于2018年10月至2019年11月在本院接受自然分娩的初产产妇，按照手术先后顺序将其分为常规组（前41例，整个围手术期行常规产科护理）和研究组（后41组，在常规组的基础上加强相关护理干预），对比两组产妇产后24h、48h、72h视觉模拟评分（VAS）、总产程时间、产后出血量以及新生儿Apgar评分。结果：研究组产妇VAS评分在24h时与常规组差异不明显（P＞0.05），但在48h和72h时研究组明显低于常规组；且研究组总产程时间、产后出血量、新生儿Apgar评分均优于常规组，以上数据差异明显，有统计学意义（P＜0.05）。结论：在初产产妇行自然分娩的整个围手术期中加强护理干预，能够有效缓解产妇分娩后的疼痛，减少产程时间和出血量，并保证新生儿的健康，进而提升产妇分娩的手术质量。

英文摘要:

      Objective:To study the effect of nursing intervention on postpartum pain and postpartum hemorrhage of primipara.Methods:82 primiparas who received natural delivery in this hospital from October 2018 to November 2019 were divided into two groups according to the sequence of operation:routine group(the first 41 cases,routine obstetric care in the whole perioperative period)and study group(the last 41 groups,on the basis of routine group,strengthen the relevant nursing intervention),and compared the visual analogue score(VAS)and total labor of 24 hours,48 hours and 72 hours postpartum between the two groups procedure time,postpartum hemorrhage and Apgar score.Results:There was no significant difference in VAS score between the study group and the routine group at 24h(P＞0.05),but it was significantly lower at 48h and 72h in the study group than that in the routine group,and the total time of labor,postpartum hemorrhage and Apgar score of newborn in the study group were better than that in the routine group,with significant difference(P＜0.05).Conclusion:To strengthen nursing intervention in the whole perioperative period of natural delivery of primipara can effectively relieve the pain after delivery,reduce the time of delivery and the amount of bleeding,ensure the health of the newborn,and improve the quality of delivery.