The effect of free position midwifery joint responsibility nursing on the delivery outcome of primipara and SAS, SDA
自由体位助产联合责任制护理对初产妇分娩结局与SAS,SDA的影响

摘要

目的 分析自由体位助产联合责任制护理对初产妇分娩结局与SAS,SDA的影响效果。方法 选择2019年1月至2020年12月于本院就诊的120例初产妇，按抽签的方式，将其均分为对照组（60例）和观察组（60例），分别实施常规助产护理和自由体位助产联合责任制护理。比较两组产妇分娩结局以及疼痛程度（VAS）评分、心理状况（SAS,SDA）评分情况。结果 观察组剖宫产率明显低于对照组，差异有统计学意义（P<0.05）；观察组VAS评分、SAS评分、SDA评分明显低于对照组，差异有统计学意义（P<0.05）。结论 对初产妇中实施自由体位助产联合责任制护理，其分娩结局满意，可减少产妇剖宫产率，减轻患者疼痛，改善其心理状况，具有较高的应用意义。

Abstract

Objective To analyze the effect of free position joint responsibility system nursing on the birth outcome and SAS,SDA of primipara.
Methods: 120 cases of primiparas who were treated in our hospital from January 2019 to December 2020 were selected, and divided into control group (60 cases) and observation group (60 cases) according to the way of drawing lot, and were respectively treated with routine midwifery nursing and free position midwifery joint responsibility system nursing. The childbirth outcome, VAS score and SDA score were compared between the two groups.
Results: The cesarean section rate of the observation group was significantly lower than that of the control group, the difference was statistically significant (P<0.05). VAS score, SAS score and SDA score in the observation group were significantly lower than those in the control group, with statistical significance (P<0.05).
Conclusion  : the implementation of free position joint responsibility system of obstetric care in the puerpera, its delivery outcome is satisfactory, can reduce the rate of cesarean section, relieve the pain of patients, improve their psychological status, has a higher application significance.