護理安全管理在產科應用的重要性

苗凱

[摘要] 目的 分析產科護理安全管理對產婦分娩的臨床效果。方法 選取該院于2018年1月—2019年1月接收的產婦200例，采用隨機數字表法將其分為研究組（n=100）和對照組（n=100），對照組產婦實施常規產科管理，研究組產婦采用產科護理安全管理，將兩組產婦的難產率、滿意度、產婦產程時間、產婦分娩方式進行對比分析。結果 對照組產婦難產率為30.0%，明顯比研究組10.0%高，對照組滿意度為60.0%，研究組為90.0%，對照組顯著低于研究組，組間差異有統計學意義（P<0.05）;對比兩組產婦產程時間，對照組第一、第二、第三產程時間均比研究組較長，組間差異有統計學意義（P<0.05），對照組自然分娩率明顯低于研究組，對照組剖宮產率顯著高于研究組，組間對比差異有統計學意義（P<0.05）。結論 產科護理安全應用于產婦分娩中，可以有效降低難產率、剖宮產率和產婦產程時間，并且能夠提升滿意度和自然分娩率。

[關鍵詞] 產房;護理;安全管理;產婦;分娩

[中圖分類號] R473 [文獻標識碼] A [文章編號] 1672-5654（2020）02（a）-0091-03

The Importance of Nursing Safety Management in Obstetrics

MIAO Kai

Department of Obstetrics， Liaoyuan Women and Infants Hospital， Liaoyuan， Jilin Province， 136200 China

[Abstract] Objective To analyze the clinical effects of the safety management of obstetric care on the delivery of women. Methods 200 cases of pregnant women received in the hospital from January 2018 to January 2019 were selected and divided into a study group （n=100） and a control group（n=100） by random number table method. For routine obstetric management， the mothers in the study group adopted obstetric nursing safety management， and compared and analyzed the dystocia and satisfaction rate， the duration of the labor process， and the delivery methods of the women in the two groups. Results The maternal dystocia rate in the control group was 30.0%， which was significantly higher than that in the study group 10.0%. The satisfaction rate in the control group was 60.0%， the study group was 90.0%， the control group was significantly lower than the study group， and the difference between the groups was statistically significant（P<0.05）; Compared with the two groups， the first， second， and third periods of labor were longer in the control group than in the study group， and the differences between the groups were statistically significant（P<0.05）. The natural delivery rate in the control group was significantly lower than that in the study group. The cesarean section rate in the control group was significantly higher than that in the study group， and the comparison between groups was statistically significant （P<0.05）. Conclusion The safe application of obstetric nursing in maternal delivery can effectively reduce dystocia， cesarean delivery and maternal delivery time， and can increase satisfaction and natural delivery rate.

[Key words] Delivery room; Nursing ;Safety management; Puerpera; Childbirth

現階段，產婦以及新生兒是每個家庭極其重視的對象，因此對相關醫療服務水平也有了更高的要求[1-2]。分娩是產婦正常的生理過程之一，如果產婦在此期間對生產過程沒有較充分的了解，便極易造成抑郁、焦慮的負面情緒[3]。護理人員必須要自始至終伴隨產婦身邊，結合其實際狀況尋找出一種適當的生產模式，及時解決其生產過程中可能遇到的問題[4]。該研究選取2018年1月—2019年1月期間該院接收的200例產婦，分析產科護理安全管理的應用效果，現報道如下。

1? 資料與方法

1.1? 一般資料

選取于在該院進行安全生產的產婦200例，全部研究對象均自愿接受該次研究，并且簽訂知情同意書，根據隨機數字表法將其分為研究組和對照組，各100例。研究組：年齡為21～37歲，平均年齡（27.3±1.6）歲;孕周37～41周，平均孕周（40.1±0.4）周;對照組：年齡為23～39歲，平均年齡（28.8±1.3）歲;孕周38～42周，平均孕周（41.2±0.2）周。兩組產婦的一般資料對比差異無統計學意義（P>0.05），具有可比性。