人文关怀在产科护理中应用.doc

人文关怀在产科护理中应用 　　【摘要】目的： 探讨人文关怀在产科护理中的应用；方法：入选2012年1月至2012年12月在我院妇产科住院足月待产初产妇80例，随机分为观察组和对照组各40例，对照组采用产科常规护理，而观察组在产科常规护的基础上实行人文关怀护理，比较2组产妇的分娩方式、分娩总产程、产后出血和新生儿Apgar评分。结果：观察组自然分娩的比例明显高于对照组；观察组总产程时间和产后出血明显低于对照组，而观察组剖宫产率显著少于对照组；观察组新生儿Apgar评分≥8分明显多于对照组；对护理工作满意度，观察组明显高于对照组。结论：在产科实行人文关怀护理，有利于提高自然分娩率，缩短总产程时间，减少产后出血和新生儿窒息，提高产妇对护理工作满意度，值得在临床推广使用。 【关键词】 人文关怀 产科护理 应用 【Abstract】 Objective：To investigate the humane care in obstetric nursing； methods： selected 80 cases from January 2012 to December 2012 in our hospital inpatient obstetrics and gynecology at the beginning of term expectant mothers were randomly divided into observation group and control group each 40 patients in the control group received routine obstetric care， and the observation group to implement humane care routine nursing care in obstetrics， based on the mode of delivery of maternal compare two groups， the total labor childbirth， postpartum hemorrhage and neonatal Apgar score. Results： The proportion of the observation group was significantly higher than natural childbirth； total labor time and the observation group was significantly lower than the control group of postpartum hemorrhage， and cesarean section rate in the observation group was significantly less than the control group； observation group Apgar score ≥ 8 points significantly more than the control group； nursing job satisfaction， the observation group was significantly higher. Conclusion： The implementation of humane care in obstetric care， help to improve the natural birth rate， shorten the total process time， reduce postpartum hemorrhage and newborn asphyxia， improve job satisfaction for nursing mothers， it is in clinical use. 【Key words】humane care obstetric care applications 【中图分类号】R473.72 【文献标识码】A 【文章编号】2095-6851（2014）04-0328-01 尽管分娩是正常的生理过程，但对产妇来说是持久而强烈的应激过程。分娩应激既是生理上的应激，也可以产生精神心理上的应 激[2]。很多产妇缺乏对分娩的直接体验[1]，害怕分娩引起的剧烈疼痛和分娩安全性的不确定，致使临产后情绪紧张，常处于焦虑不安和恐惧的心理状态[2] 。而恐惧焦虑又会引起产妇的心率加快、呼吸急促、肺内气体交换不足、导致子宫缺氧收缩乏力、宫口扩张缓慢、胎先露下降受阻、总产程时间延长、产妇体力消耗过