2023年2月第30卷第2期团队助产护理服务在初产妇阴道分娩中的应用赵丽丽，刘小佩，张艳荣*（河南大学第一附属医院产科，河南开封475000）【摘要】目的探讨团队助产护理服务在初产妇阴道分娩中的应用效果。方法选取2018年10月至2021年1月我院收治的80例初产妇，随机分为两组各40例。对照组采用常规护理，观察组采用团队助产护理。比较两组的自我效能、产程及分娩结局。结果干预后，两组的结果期望（OE-16）、自我效能期望（EE-16）评分均高于干预前，且观察组的OE-16、EE-16评分均高于对照组（P<0.05）。观察组的第一、第二及总产程时间均短于对照组（P<0.05）。观察组的产后出血、妊娠并发症发生率均低于对照组（P<0.05）。结论团队助产护理服务可提升阴道分娩初产妇的自我效能，缩短产程时间，改善分娩结局。【关键词】团队助产护理服务；初产妇；阴道分娩；自我效能；产程；分娩结局中图分类号：R473.71文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.02.0251ApplicationofTeamMidwiferyNursingServiceinVaginalDeliveryofPrimiparaeZHAOLili,LIUXiaopei,ZHANGYanrong*(DepartmentofObstetrics,theFirstAffiliatedHospitalofHe'nanUniversity,Kaifeng475000,China;*Correspondingauthor:ZHANGYanrong,E-mail:1253469363@qq.com)[Abstract]ObjectiveToexploretheapplicationeffectofteammidwiferynursingserviceinprimiparaewithvaginaldelivery.Methods80primiparaeadmittedtoourhospitalfromOctober2018toJanuary2021wereselectedandrandomlydividedintotwogroups,with40casesineachgroup.Thecontrolgroupreceivedroutinenursing,andtheobservationgroupreceivedteammidwiferynursing.Theself-efficacy,laborprocessanddeliveryoutcomewerecomparedbetweenthetwogroups.ResultsAfterintervention,thescoresofoutcomeexpectation(OE-16)andself-efficacyexpectation(EE-16)inthetwogroupswerehigherthanthosebeforeintervention,andtheOE-16andEE-16scoresoftheobservationgroupwerehigherthanthoseofthecontrolgroup(P<0.05).Thedurationoffirst,secondandtotallaborprocessoftheobservationgroupwereshorterthanthoseofthecontrolgroup(P<0.05).Theincidencesofpostpartumhemorrhageandpregnancycomplicationsoftheobservationgroupwerelowerthanthoseofthecontrolgroup(P<0.05).ConclusionsTeammidwiferynursingservicecanimprovetheself-eff...
