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目的将医护协同模式运用于临床,了解其在降低社会因素剖宫产中的作用及其对孕产妇本人、家庭及社会资源的影响。方法选择2008年5月~2010年5月间在笔者医院产检、分娩的904位孕妇随机分为干预组(456人)及对照组(448人),用医护协同的模式进行干预。结果干预组的剖宫产率显著低于对照组(P<0.05);心理评分显示干预组心理焦虑明显小于对照组(P<0.05);干预组孕产妇及围生儿并发症除产伤、新生儿重度窒息外均明显低于对照组(P<0.05);干预组平均住院日及住院费用明显低于对照组(P<0.05);干预组女性孕前6个月及产后6个月的生活质量评分在疼痛、情感、睡眠及身体活动方面均优于对照组(P<0.05)。结论医护协同模式是一种值得推广的能有效降低社会因素剖宫产率的方法。
Objective To apply the model of medical co-ordination in clinical practice to understand its effect in reducing cesarean section of social factors and its impact on maternity, family and social resources. Methods From May 2008 to May 2010, 904 pregnant women during the period of childbirth and check-up in our hospital were randomly divided into intervention group (456) and control group (448). Results The cesarean section rate in the intervention group was significantly lower than that in the control group (P <0.05). The psychological scores showed that the psychological anxiety in the intervention group was significantly less than that in the control group (P <0.05) The average length of hospital stay and hospitalization in the intervention group were significantly lower than those in the control group (P <0.05). In the intervention group, the female’s 6 months before pregnancy and 6 months after delivery were significantly lower than those in the control group (P <0.05) The quality score was better than the control group in pain, emotion, sleep and physical activity (P <0.05). Conclusion The medical-care coordination model is a worthy promotion method that can effectively reduce the cesarean section rate of social factors.