Effect of pain management by anesthesia nurses on labor analgesia_West China Medical Journal

Authors：

GAO Ping ¹ , TANG Yuanyuan ² ,  ZHANG Shubo ¹ , ZHOU Chunwang ¹ , GAO Xiaozeng ¹ , JIA Yushu ³ , YAO Mei ⁴

1. Department of Anesthesiology, Affiliated Hospital of North China University of Science and Technology, Tangshan, Hebei 063000, P. R. China;
2. Department of Dermatology, Affiliated Hospital of North China University of Science and Technology, Tangshan, Hebei 063000, P. R. China;
3. Department of Geriatrics, Affiliated Hospital of North China University of Science and Technology, Tangshan, Hebei 063000, P. R. China;
4. Central Operation Room, Affiliated Hospital of North China University of Science and Technology, Tangshan, Hebei 063000, P. R. China;

Corresponding?author：

ZHANG Shubo, Email: nmd955703@163.com

Keywords：

Anesthesia nurse; Pain management; Labor analgesia

DOI：

10.7507/1002-0179.201509083

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the effect of pain management by anesthesia nurses on labor analgesia. Methods A total of 100 parturient women in the Affiliated Hospital of North China University of Science and Technology between July and August 2015 were randomly divided into two groups: analgesia group and control group with 50 in each. Both two groups accepted labor analgesia routine maternity nursing. Analgesia group accepted maternal perinatal term pain management in addition to the routine nursing. Then we compared degree of pain during the production process, labor time and perineal injury between the two groups of women. Results The number of women with a labor pain degree of 0-Ⅲ in the analgesia group was respectively 36 (72%), 12 (24%), 2 (4%) and 0 (0%), and the number in the control group was respectively 23 (46%), 17 (34%), 8 (16%), and 2 (4%). The above difference between the two groups was statistically significant (Z=–2.908, P =0.004). The number of women with intact perineum, perineal injury of lateral and median cut, and Ⅰ-Ⅲ degree laceration in the analgesia group was respectively 31 (62%), 7 (14%), 8 (16%), 4 (8%) and 0 (0%); and the number in the control group was respectively 21 (42%), 12 (24%), 10 (20%), 7 (14%) and 0 (0%), also with significant difference between the two groups (Z =–2.028, P =0.043). The first and second labor stage of the analgesia group was (462.32±101.27) and (63.58±10.38) minutes, and was (568.27±113.28) and (76.92±11.24) minutes in the control group, with significant differences between the two groups (P<0.001). There was no statistically significant difference between the two groups in the third labor stage (5.78±3.02) and (5.97±2.96) minutes, (P=0.654). Conclusions The implementation of pain management by anesthesia nurses on labor analgesia can significantly reduce maternal labor pain, shorten the time of labor, and the condition of the perineal injury is mild and easily acceptable. It is worthy of clinical promotion.

Citation： GAO Ping, TANG Yuanyuan, ZHANG Shubo, ZHOU Chunwang, GAO Xiaozeng, JIA Yushu, YAO Mei. Effect of pain management by anesthesia nurses on labor analgesia. West China Medical Journal, 2017, 32(6): 897-900. doi: 10.7507/1002-0179.201509083 Copy

1.	許銀麗. 產婦精神因素及分娩方式對產后出血的影響及護理對策. 中國實用護理雜志, 2011, 27(18): 52-53.
2.	雷鳳瓊, 馮春, 周倩. 瑞芬太尼主導多維模式分娩鎮痛對新生兒 Apgar 評分的影響及鎮痛效果. 中國婦幼保健, 2015, 30(17): 2771-2773.
3.	張亞云, 王明明, 孫錚. 麻醉護士的工作壓力源及其應對方式的質性研究. 中國實用護理雜志, 2016, 32(20): 1579-1582.
4.	劉曉艷, 葉霞, 王小芳. " 醫護一體化”疼痛管理模式在骶骨腫瘤患者圍手術期的應用. 華西醫學, 2013, 28(4): 582-584.
5.	楊益瓊, 巫萬璽, 張麗萍. 住院患者疼痛管理現狀及滿意度調查分析. 華西醫學, 2013, 28(12): 1909-1913.
6.	郭利紅, 師文. 手術室護士術前訪視的情景模擬訓練及效果. 中華護理雜志, 2014, 20(3): 371-373.
7.	武曉丹, 顧春怡, 張錚, 等. 助產護士產前門診對初產婦心理狀態、滿意度及分娩結局的影響. 中華護理雜志, 2012, 47(7): 581-584.
8.	倪憶媚, 葉麗, 唐紅艷. 自控靜脈鎮痛在剖宮產產婦術后鎮痛中的效果評價. 華西醫學, 2015, 30(1): 148-149.
9.	Hawkins JL. Epidural analgesia for labor and delivery. N Engl J Med, 2010, 362(16): 1503-1510.
10.	The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine. Safe prevention of the primary cesarean delivery. Obstet Gynecol, 2014, 123(3): 693-711.
11.	王海燕, 許燕玲, 胡三蓮, 等. 多模式鎮痛方法對跟骨骨折術后患者鎮痛效果的影響. 中國實用護理雜志, 2016, 32(23): 1788-1790.
12.	顧娟, 陳杰, 陳元敬. 瑞芬太尼用于全身麻醉剖宮產對新生兒影響的 Meta 分析. 華西醫學, 2012, 27(9): 1361-1365.
13.	胡敏, 黃建瓊, 周敏. 隆乳術后使用靜脈自控鎮痛泵的鎮痛效果調查分析. 華西醫學, 2015, 30(3): 545-547.
14.	李志超, 王煜, 王小成, 等. 基于快速康復外科理念的疼痛管理模式在日間腹腔鏡膽囊切除術的應用. 華西醫學, 2015, 30(5): 804-807.
15.	尚建英, 李桂蓉, 曾曉紅. 人本理念在基層醫院優質護理服務中的應用. 華西醫學, 2015, 30(1): 119-122.

1. 許銀麗. 產婦精神因素及分娩方式對產后出血的影響及護理對策. 中國實用護理雜志, 2011, 27(18): 52-53.
2. 雷鳳瓊, 馮春, 周倩. 瑞芬太尼主導多維模式分娩鎮痛對新生兒 Apgar 評分的影響及鎮痛效果. 中國婦幼保健, 2015, 30(17): 2771-2773.
3. 張亞云, 王明明, 孫錚. 麻醉護士的工作壓力源及其應對方式的質性研究. 中國實用護理雜志, 2016, 32(20): 1579-1582.
4. 劉曉艷, 葉霞, 王小芳. " 醫護一體化”疼痛管理模式在骶骨腫瘤患者圍手術期的應用. 華西醫學, 2013, 28(4): 582-584.
5. 楊益瓊, 巫萬璽, 張麗萍. 住院患者疼痛管理現狀及滿意度調查分析. 華西醫學, 2013, 28(12): 1909-1913.
6. 郭利紅, 師文. 手術室護士術前訪視的情景模擬訓練及效果. 中華護理雜志, 2014, 20(3): 371-373.
7. 武曉丹, 顧春怡, 張錚, 等. 助產護士產前門診對初產婦心理狀態、滿意度及分娩結局的影響. 中華護理雜志, 2012, 47(7): 581-584.
8. 倪憶媚, 葉麗, 唐紅艷. 自控靜脈鎮痛在剖宮產產婦術后鎮痛中的效果評價. 華西醫學, 2015, 30(1): 148-149.
9. Hawkins JL. Epidural analgesia for labor and delivery. N Engl J Med, 2010, 362(16): 1503-1510.
10. The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine. Safe prevention of the primary cesarean delivery. Obstet Gynecol, 2014, 123(3): 693-711.
11. 王海燕, 許燕玲, 胡三蓮, 等. 多模式鎮痛方法對跟骨骨折術后患者鎮痛效果的影響. 中國實用護理雜志, 2016, 32(23): 1788-1790.
12. 顧娟, 陳杰, 陳元敬. 瑞芬太尼用于全身麻醉剖宮產對新生兒影響的 Meta 分析. 華西醫學, 2012, 27(9): 1361-1365.
13. 胡敏, 黃建瓊, 周敏. 隆乳術后使用靜脈自控鎮痛泵的鎮痛效果調查分析. 華西醫學, 2015, 30(3): 545-547.
14. 李志超, 王煜, 王小成, 等. 基于快速康復外科理念的疼痛管理模式在日間腹腔鏡膽囊切除術的應用. 華西醫學, 2015, 30(5): 804-807.
15. 尚建英, 李桂蓉, 曾曉紅. 人本理念在基層醫院優質護理服務中的應用. 華西醫學, 2015, 30(1): 119-122.

West China Medical Journal

Effect of pain management by anesthesia nurses on labor analgesia

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content