摘要
自然分娩指的是在没有人工干预的情况下,胎儿在阴道内娩出的生产方式,是通过自身的宫缩、腹肌收缩及肛提肌收缩三个方面的力进行分娩。众所周知自然分娩虽然有利于产妇和新生儿的健康,但同时也存在一些风险和挑战,比如产后出血、产后抑郁、乳房硬结等。因此,自然分娩的产后护理是一个非常重要的环节,需要采取有效的护理方式,满足产妇和新生儿的各方面需求,促进产妇的恢复和健康和新生儿的发育。该文就自然分娩产后护理中的不同护理方式以及应用效果进行综述,分别从从临床护理路径、中医临床路径、人性化护理和综合护理四个方面进行探讨比较,以及以上方式对于产后情绪和并发症的影响,希望能够为自然分娩产后护理的实践和研究提供一些参考和借鉴。
关键词: 自然分娩;产后护理;护理路径
Abstract
Natural delivery refers to the production mode in which the fetus is delivered in the vagina without artificial intervention. It is delivered through the force of its own contraction, abdominal muscle contraction and anal levator muscle contraction. It is well known that although natural childbirth is beneficial to the health of the mother and the newborn, it also has some risks and challenges, such as postpartum bleeding, postpartum depression, and breast induration. Therefore, post-natal care for natural delivery is a very important link, which requires effective care methods to meet all aspects of maternal and newborn needs, promote maternal recovery and health and newborn development. In this paper, different nursing methods and application effects of postpartum nursing in natural delivery were summarized, and the above methods were discussed and compared from four aspects: clinical nursing path, traditional Chinese medicine clinical path, humanized nursing and comprehensive nursing, as well as the influence of the above methods on postpartum emotions and complications, hoping to provide some references for the practice and research of postpartum nursing in natural delivery.
Key words: Natural delivery; Postpartum care; Nursing path
参考文献 References
[1] 吕志华.临床护理路径在自然分娩中的应用和效果评价[J].中国社区医师,2016,32(11):149+151.
[2] 钱林.临床护理路径在自然分娩初产妇中的应用效果[J].中国城乡企业卫生,2020,35(06):3-6.
[3] 王柯柯,周灵虹,郑玲,樊欢,王素兰.临床护理路径联合健康教育对产妇选择自然分娩方式的影响研究[J].基层医学论坛,2018,22(24):3345-3347.
[4] 崔芹,王敏,汪芳.产后临床护理路径在产科护理中的应用效果分析[J].中国农村卫生,2018(14):11-12.
[5] 王帆.临床护理路径在自然分娩患者中的临床应用[J].中国医药指南,2017,15(33):255-256.
[6] 林梅莲,许白芸.自然分娩临床护理路径在提高产科健康教育效果中的应用[J].中外医学研究,2018,16(21):67-69.
[7] 黄丽蓉.产后护理的注意事项及方法[J].全科口腔医学电子杂志,2019,6(21):86.
[8] 普晓红.产后临床护理路径在产科护理中的应用价值分析[J].世界最新医学信息文摘,2018,18(52):203+206.
[9] 徐保凤.中医临床护理路径联合延续护理对自然分娩产妇产后情绪及并发症的影响[J].中医外治杂志,2022,31(01): 106-107.
[10] 王思思,李静,杨林.中医临床护理路径联合产后延续性护理对自然分娩产妇的影响[J].检验医学与临床,2017,14 (20): 3099-3101.
[11] 银红梅.人性化护理在产后护理中的应用研究[J].实用临床护理学电子杂志,2019,4(51):137.
[12] 陈红.人性化护理在产后护理管理中的应用[J].实用妇科内分泌电子杂志,2019,6(17):153+161.
[13] 任爽,赵俊艳,李金晶,冯慧萍.初产妇自然分娩的临床护理要点研究[J].实用妇科内分泌杂志(电子版),2018,5(13): 157-158.
[14] 许妍.临床护理干预对子宫收缩乏力产妇分娩及产后出血的影响研究[J].中国医药指南,2022,20(36):50-53.
[15] 罗玲.综合护理在妊娠高血压综合征产后护理中的应用价值[J].实用医技杂志,2021,28(05):699-700.
[16] 黎红梅.预防自然分娩产后出血的临床护理研究进展[J].中文科技期刊数据库(文摘版)医药卫生, 2022(8):3.
[17] 任维.预见护理对自然分娩产后出血患者的应用效果[J].现代养生, 2022(022-011).
[18] 陈洁.心理护理干预对自然分娩产妇产后功能恢复情况和抑郁症状的影响[J].现代养生, 2022, 22(8):3.
[19] 白文静.家庭化产房护理在初产妇自然分娩中的应用效果[J].中国民康医学, 2023, 35(14):184-186.
[20] 刘琦.健康信念的护理干预在孕产妇围分娩期中对自然分娩率及产后24h出血量的影响[J].医学信息, 2022.
[21] 李晓庆,陈玥.适度保护助产护理在自然分娩初产妇中的应用[J].航空航天医学杂志, 2023.
[22] 向洁,莫桃.自然分娩产妇产后尿潴留影响因素及对策[J]. 2022(1):39,41.
[23] 张丽萍.对自然分娩的产妇实施舒适护理的临床效果观察[J].中文科技期刊数据库(文摘版)医药卫生, 2023.