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目的:探讨国际产科服务模式在孕产妇中的应用方法及效果。方法:将400例孕妇随机分为观察组和对照组各200例,对照组采用传统服务模式,观察组采用国际产科服务模式,比较两组护理效果。结果:两组李克特量表、恐惧调查量表-Ⅱ(FSS-Ⅱ)、心理健康报告(SPHERE)评分比较差异有统计学意义(P<0.05);观察组自然分娩率高于对照组(P<0.05),自然分娩时会阴侧切率低于对照组(P<0.05);观察组产程时间短于对照组(P<0.05),产后2 h阴道流血量少于对照组(P<0.05),产后48、72 h泌乳量高于对照组(P<0.05)。结论:国际产科服务模式可提高自然分娩率、降低会阴侧切率,有效缩短产程,减少产后出血,减轻产妇痛苦,短期内提高泌乳量。
Objective: To explore the application of international obstetric service model in pregnant women and its effects. Methods: Four hundred pregnant women were randomly divided into observation group and control group with 200 cases each. The control group was treated by traditional service mode. The observation group was treated with international obstetric service model. The nursing effect was compared between the two groups. Results: There was significant difference between the two groups (Likert Scale, Fear Scale-II and SPHERE) (P <0.05). The rate of spontaneous delivery in observation group was higher than that in control group (P <0.05). The rate of episiotomy in spontaneous labor was significantly lower than that in control group (P <0.05). The labor duration in observation group was shorter than that in control group (P <0.05) ), And the milk yield at 48 and 72 h postpartum was higher than that of the control group (P <0.05). Conclusion: The international obstetric service model can improve the rate of natural childbirth, reduce the rate of episiotomy, shorten the labor process, reduce the postpartum hemorrhage, reduce the pain of maternal and increase the amount of milk in a short period of time.