循证护理与单纯全程陪产护理模式在产科分娩中的应用与对比研究(1)
摘 要：目的 对比研究在产科分娩中应用循证护理与单纯全程陪产护理模式的临床效果。方法 选取2016年6月～2017年6月在我院妇产科进行分娩的132例产妇，根据随机数字表法分为观察组和对照组各66例。对照组给予单纯全程陪产护理模式护理，观察组给予循证护理模式，统计分析两组产妇在产程时间和产后24 h出血的情况。结果 观察组的第一、第二以及第三产程时间明显优于对照组，两组间相比差异具有统计学意义(P<0.05)；观察组产后24 h出血量明顯少于对照组，且出血量≥500 ml的产妇例数明显少于对照组，差异具有统计学意义(P<0.05)。结论 在妇产科产妇的分娩中应用循证护理模式能够有效的缩短产程时间，减少产后出血量，大大提高产妇的生产安全和满意度，值得推广应用。
关键词：单纯全程陪产护理；循证护理；产后出血
中图分类号：R473.71 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.01.072
, http://www.100md.com
文章编号：1006-1959(2018)01-0179-02
The Application and Comparative Study of Evidence-based Nursing and Pure Whole Course Paternity Nursing Mode in Obstetric Delivery
YOU Qi-hua
(Department of Obstetrics and Gynecology，Nanfeng County People's Hospital，Nanfeng 344500，Jiangxi，China)
Abstract：Objective To compare the clinical effects of applying evidence-based nursing and simple full paternity nursing in obstetric labor.Methods 132 cases of maternal June 2016～2017 year in June in our hospital obstetrics and gynecology delivery，were randomly divided into observation group and control group with 66 cases in each group.The control group was given simple accom panying nursing，the observation group received the evidence-based nursing model，the statistical analysis of two groups of mothers in labor and time 24 h postpartum hemorrhage.Results In the observation group，the first，second and third labor time significantly better than the control group，the difference was statistically significant compared between the two groups(P<0.05)；The observation group 24 h postpartum bleeding was significantly less than the control group，the number of cases and maternal bleeding was ≥ 500 ml was significantly less than the control group，the difference was statistically significant(P<0.05).Conclusion The application of evidence-based nursing mode in maternity delivery in obstetrics and gynecology can effectively shorten the duration of labor，reduce the amount of postpartum hemorrhage，greatly improve the safety and satisfaction of maternal production，and is worthy of popularization and application.
, 百拇医药
Key words：Pure whole course paternity；Evidence-based care；Postpartum hemorrhage
妇产科产妇当前常规的护理模式是全程陪产护理模式，但在应用当中也发现了一些不足之处，比如医护人员的经验资历不同，产妇的家庭状况和个人心理等也不同，全程护理模式并不能完全综合考虑，因而就有了循证护理模式的提出与应用[1]。选取在我院妇产科进行分娩的132例产妇作为研究对象，在产妇分娩过程中应用不同的护理干预模式，探讨与比较全程护理模式与循证护理模式的不同应用效果。
1资料与方法
1.1一般资料 选取2016年6月～2017年6月在我院妇产科进行分娩的132例产妇，所有患者签署知情同意书。根据随机数字表法分为观察组和对照组各66例。对照组产妇年龄21～33岁，平均年龄(25.7±3.8)岁；孕周37～41 w，平均孕周(39.2±1.3)w；自然分娩40例，剖宫产26例；初产妇43例，经产妇23例。观察组产妇年龄22～35岁，平均年龄(26.6±3.5)岁；孕周36～42 w，平均孕周(39.7±1.1)w；自然分娩41例，剖宫产25例；初产妇42例，经产妇24例。比较两组产妇的临床资料无显著性差异(P>0.05)，有可比性。, http://www.100md.com(游琪华)
关键词：单纯全程陪产护理；循证护理；产后出血
中图分类号：R473.71 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.01.072
, http://www.100md.com
文章编号：1006-1959(2018)01-0179-02
The Application and Comparative Study of Evidence-based Nursing and Pure Whole Course Paternity Nursing Mode in Obstetric Delivery
YOU Qi-hua
(Department of Obstetrics and Gynecology，Nanfeng County People's Hospital，Nanfeng 344500，Jiangxi，China)
Abstract：Objective To compare the clinical effects of applying evidence-based nursing and simple full paternity nursing in obstetric labor.Methods 132 cases of maternal June 2016～2017 year in June in our hospital obstetrics and gynecology delivery，were randomly divided into observation group and control group with 66 cases in each group.The control group was given simple accom panying nursing，the observation group received the evidence-based nursing model，the statistical analysis of two groups of mothers in labor and time 24 h postpartum hemorrhage.Results In the observation group，the first，second and third labor time significantly better than the control group，the difference was statistically significant compared between the two groups(P<0.05)；The observation group 24 h postpartum bleeding was significantly less than the control group，the number of cases and maternal bleeding was ≥ 500 ml was significantly less than the control group，the difference was statistically significant(P<0.05).Conclusion The application of evidence-based nursing mode in maternity delivery in obstetrics and gynecology can effectively shorten the duration of labor，reduce the amount of postpartum hemorrhage，greatly improve the safety and satisfaction of maternal production，and is worthy of popularization and application.
, 百拇医药
Key words：Pure whole course paternity；Evidence-based care；Postpartum hemorrhage
妇产科产妇当前常规的护理模式是全程陪产护理模式，但在应用当中也发现了一些不足之处，比如医护人员的经验资历不同，产妇的家庭状况和个人心理等也不同，全程护理模式并不能完全综合考虑，因而就有了循证护理模式的提出与应用[1]。选取在我院妇产科进行分娩的132例产妇作为研究对象，在产妇分娩过程中应用不同的护理干预模式，探讨与比较全程护理模式与循证护理模式的不同应用效果。
1资料与方法
1.1一般资料 选取2016年6月～2017年6月在我院妇产科进行分娩的132例产妇，所有患者签署知情同意书。根据随机数字表法分为观察组和对照组各66例。对照组产妇年龄21～33岁，平均年龄(25.7±3.8)岁；孕周37～41 w，平均孕周(39.2±1.3)w；自然分娩40例，剖宫产26例；初产妇43例，经产妇23例。观察组产妇年龄22～35岁，平均年龄(26.6±3.5)岁；孕周36～42 w，平均孕周(39.7±1.1)w；自然分娩41例，剖宫产25例；初产妇42例，经产妇24例。比较两组产妇的临床资料无显著性差异(P>0.05)，有可比性。, http://www.100md.com(游琪华)