首页|基于奥马哈理论的入量管理方案对初产妇分娩结局的影响

基于奥马哈理论的入量管理方案对初产妇分娩结局的影响

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目的 研究探讨基于奥马哈理论的入量管理方案对初产妇分娩结局的影响.方法 选取 2021 年 1 月至 2023 年 1 月分娩的初产妇 100 例,简单随机化法分为对照组和观察组,每组 50 例.对照组采用常规入量管理:观察组采用基于奥马哈理论的产程入量管理方案,均进行经阴道自然分娩.比较 2 组产程时间、产妇分娩结局、新生儿结局、产妇舒适度评分、产妇满意度.结果 观察组产妇第一、二、三产程及总产程时间低于对照组(P<0.05).观察组转剖宫产率、会阴侧切率、产后 2h出血量小于对照组,而产后血红蛋白水平高于对照组(P<0.05).观察组新生儿在出生后 1 min、产后 5 min 和产后 10 min 的阿普加(Apgar)评分均高于对照组(P<0.05).观察组产妇产后的Kolcaba舒适状况量表(GCQ)评分高于对照组(P<0.05).结论 基于奥马哈理论的入量管理方案可显著改善初产妇分娩结局,缩短产程时间,减少产后出血,改善新生儿健康状况,提高产妇舒适度和护理满意度.
Effect of an Omaha theory-based input management program on labor outcomes in primiparous women
Objective To investigate the effect of the input management program based on the Omaha's theory on the labor outcome of primiparous women.Methods A total of 100 primiparous women who were delivered in the hospital from January 2021 to January 2023 were selected.They were randomly divided into control group and observation group by simple randomization method,with 50 cases per group.Primiparous women in the control group were given conventional input management,and those in the observation group were managed by input management program based on the Omaha's theory.All of them underwent spontaneous vaginal delivery.The duration of labor,maternal outcome,neonatal outcome,maternal comfort score,and maternal satisfaction were compared between the two groups.Results The duration of the first,second and third stages of labor and the total duration of labor in the observation group were significantly lower than those of the control group(P<0.05).The conversion rate to cesarean section,perineal lateralization rate,and 2-h postpartum bleeding in the observation group were significantly less than those in the control group,while the postpartum hemoglobin level was significantly higher than that in the control group(P<0.05).The Apgar scores of neonates in the observation group at 1min,5min and 10min after birth were significantly higher than those of the control group(P<0.05).The Kolcaba General Comfort Questionnaire(GCQ)scores,including physical,social and environmental,psychological,and spiritual scores were significantly higher in the observation group than those of the control group(P<0.05).Conclusion An input management program based on the Omaha theory significantly improves labor outcomes in primiparous women and neonatal health status,shortens labor duration,reduces postpartum hemorrhage,and increases maternal comfort and nursing care satisfaction.

primiparous womenlabor outcomeintake management programOmaha theoryduration of laborneonatalhealth status

杨苏霞、李丹、农梅君、张梦君、韦美华、罗丹

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530100 南宁市,广西医科大学附属武鸣医院产科

530100 南宁市,广西医科大学附属武鸣医院眼科

530100 南宁市,广西医科大学附属武鸣医院麻醉手术科

初产妇 分娩结局 入量管理方案 奥马哈理论 产程时间 新生儿 健康状况

广西壮族自治区卫生健康委员会自筹经费科研课题

Z20210624

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(1)
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