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目的:探讨现代产科护理模式在待产室孕妇产前紧张和恐惧心理管理中的应用效果。方法:选择2013年2月至8月在温州市中心医院定期产检并在该院进行分娩的孕妇120人,设为对照组。选择2013年9月至2014年3月在该院定期产检并在该院进行分娩的孕妇140人,设为观察组。对照组孕妇给予传统的产科护理服务模式,观察组孕妇给予现代产科护理模式,对比分析两组产前紧张和恐惧心理情况及护理满意度。结果:入院时两组孕妇收缩压、舒张压、心率相比较,差异无统计学意义(P>0.05),观察组与对照组相比较,收缩压、心率在入待产室30分钟前、入待产室30分钟后差异均有统计学意义(P<0.05);干预前两组孕妇紧张评分、恐惧评分均较高,差异均无统计学意义(P>0.05);干预后两组产妇紧张评分、恐惧评分均明显下降,差异均有统计学意义(P<0.05);观察组孕妇产前紧张评分、恐惧评分均明显低于对照组孕妇,差异均有统计学意义(P<0.01);观察组孕妇正常分娩率高于对照组,剖宫产率低于对照组,差异均有统计学意义(P<0.05);观察组孕妇对护理态度、护理技术、护士素质的评分均明显高于对照组孕妇,差异均有统计学意义(P<0.01)。结论:开展现代产科护理模式能有效减轻待产室孕妇产前紧张和恐惧心理,提高孕妇对护理服务的满意度。
Objective: To explore the application effect of modern obstetric nursing model in prenatal stress and fear management in expectant mothers. Methods: A total of 120 pregnant women, who were regularly inspected and delivered at the Wenzhou Central Hospital between February and August 2013, were selected as the control group. A total of 140 pregnant women, who were regularly inspected and delivered at the hospital from September 2013 to March 2014, were selected as the observation group. The control group of pregnant women given the traditional mode of obstetric care services, observation group pregnant women to give modern obstetric care model, comparative analysis of prenatal stress and fear of the two groups and nursing satisfaction. Results: There were no significant differences in systolic blood pressure, diastolic blood pressure and heart rate between the two groups on admission (P> 0.05). Compared with the control group, systolic blood pressure and heart rate were lower (P <0.05). There was no significant difference between the two groups before the intervention (P> 0.05). The scores of maternal tension, (P <0.05). The prenatal stress scores and fear scores in the observation group were significantly lower than those in the control group (P <0.01), and the observation group The normal delivery rate of pregnant women was higher than that of the control group, and the rate of cesarean section was lower than that of the control group (P <0.05). The scores of nursing attitude, nursing skills and nurse quality in the observation group were significantly higher than those in the control group Pregnant women, the differences were statistically significant (P <0.01). Conclusion: To carry out the modern mode of obstetric nursing can effectively reduce prenatal tension and fear of expectant mothers and improve their satisfaction with nursing services.