Construction and application of a whole process nursing plan for women in vaginal delivery
10.3761/j.issn.0254-1769.2025.01.001
- VernacularTitle:阴道分娩产妇分娩期全流程护理方案的构建及应用研究
- Author:
Xue BAI
1
;
Guangyi ZHANG
;
Pin MA
;
Yan ZHANG
;
Shuangdui JI
;
Guangli MI
Author Information
1. 010030 呼和浩特市 内蒙古医科大学附属医院重症医学科二部
- Publication Type:Journal Article
- Keywords:
Vaginal Delivery;
Whole Process;
Fear of Childbirth;
Birth Experience;
Obstetrical Nursing
- From:
Chinese Journal of Nursing
2025;60(1):10-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct a whole process nursing plan for women with vaginal delivery and to evaluate its effect.Methods On the basis of literature analysis and Delphi expert consultation method,a whole process nursing plan of vaginal delivery was established.From June to September 2023,180 primiparas in a tertiary A hospital in Ningxia were selected as research subjects to carry out the preliminary application of the plan.Among them,the parturients hospitalized from August to September were in the experimental group,and those hospitalized from June to July were in the control group.The experimental group received the whole process nursing plan on the basis of routine nursing,and the control group received routine nursing.The indexes related to delivery outcomes(delivery mode,time of each labor stage,et al),the degree of labor pain,fear of labor and labor experience were compared between the 2 groups.Results The effective recovery rates of the 2 rounds of expert correspondence were 100％and 93.75％,respectively,and the coefficient of expert authority was 0.85.The finally constructed plan included 3 first-level items,10 second-level items and 29 third-level items.86 cases and 85 cases were included in the experimental group and the control group,respectively.After intervention,there were statistically significant differences in each stage of labor between the 2 groups(P＜0.05).There was significant difference in the rate of good and good control of labor pain(x2=16.386,P＜0.001).The childbirth fear questionnaire score(27.76±3.60)of the experimental group was lower than(33.06±3.36)of the control group,and the childbirth experience score(80.83±4.83)was higher than(75.79±3.46)of the control group,and the differences were statistically significant(P＜0.001).Conclusion The whole process nursing plan of vaginal delivery is scientific and feasible.It can shorten the labor time,relieve labor pain,labor fear and improve labor experience.
