世界睡眠医学杂志2024,Vol.11Issue(4) :806-809.DOI:10.3969/j.issn.2095-7130.2024.04.027

新产程助产服务模式在孕晚期睡眠障碍产妇中的应用

Effect of New Delivery Midwifery Service Model on Perineal Lateral Incision Rate,Labor Time and Sleep Quality

陈志春 林燕红
世界睡眠医学杂志2024,Vol.11Issue(4) :806-809.DOI:10.3969/j.issn.2095-7130.2024.04.027

新产程助产服务模式在孕晚期睡眠障碍产妇中的应用

Effect of New Delivery Midwifery Service Model on Perineal Lateral Incision Rate,Labor Time and Sleep Quality

陈志春 1林燕红1
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作者信息

  • 1. 厦门市第三医院,厦门,361100
  • 折叠

摘要

目的:探究新产程助产服务模式在孕晚期睡眠障碍产妇中的应用效果.方法:回顾性分析2020年6月至2022年7月厦门市第三医院收治的108例经阴道分娩产妇临床资料,将2020年6月至2021年6月旧产程助产服务模式实行期间53例产妇纳入对照组,将2021年7月至2022年7月新产程助产服务模式实行期间55例产妇纳入观察组.比较2组产妇分娩期间会阴侧切情况(会阴侧切指征、会阴侧切率、会阴裂伤发生率);分娩前后睡眠质量[匹兹堡睡眠质量指数(PSQI)].结果:分娩期间,观察组产妇产钳助产发生率、会阴侧切率、会阴裂伤发生率均低于对照组(P<0.05);分娩后,观察组产妇PSQI低于对照组(P<0.05).结论:经阴道分娩产妇应用新产程助产服务模式可显著降低会阴侧切率,改善围产期睡眠质量,建议临床推广使用.

Abstract

Objective:To explore the effects of the new delivery midwifery service model on perineal lateral incision rate,labor time,and sleep quality.Methods:The clinical data of 108 women with vaginal delivery admitted to our hospital from June 2020 to July 2022 were retrospectively analyzed,and 53 women during the implementation of the old midwifery service mode from June 2020 to June 2021 were included in the control group.Fifty-five women were included in the observation group from July 2021 to J uly 2022 during the implementation of the new midwifery service model.The conditions of lateral perineal incision(indications,rate of lateral perineal incision,incidence of perineal laceration)during delivery were compared between the two groups.Labor time(first labor time,second labor time,total labor time);Sleep quality before and after delivery[Pittsburgh Sleep Quality Index(PSQI)].Results:Before delivery,the PSQI score in the observation group was lower than in the control group(P<0.05).Dur-ing labor,the time of second labor,incidence of forceps-assisted delivery,lateral perineal incision and perineal laceration in the observation group were lower than those in the control group(P<0.05).In contrast,the time of first labor and total labor time in the observation group were higher than those in the control group(P<0.05).After delivery,the PSQI score in the observation group was lower than in the control group(P<0.05).Conclusion:The application of the new midwifery service mode can signif-icantly shorten the labor process,reduce the rate of lateral perineal resection,and improve the quality of perinatal sleep.

关键词

新产程助产服务模式/睡眠护理干预/孕晚期产妇/睡眠障碍/会阴侧切/睡眠质量/干预效果

Key words

New midwifery service model/Lateral perineal incision/Sleep quality

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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参考文献量20
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