摘要
目的 探讨助产士分层授权管理对产科护理的影响。方法 选取 2022 年 3 月~2023 年 6 月我院收治
的初产妇 90 例，随机分为两组，对照组 54 例（常规助产管理），观察组 36 例（分层授权助产士管理），比对两
组护理效果。结果 护理后，发现观察组各项结果均优于对照组（ P＜0.05）。结论 分层授权管理的应用，使病
房管理质量明显提升，产妇会阴侧切率及会阴撕裂率也显著降低，进一步提升产妇生存质量，并得到医师、助产
士及产妇一致认可。
关键词： 助产士；分层授权管理；会阴侧切率；产房质量；满意度；生存质量；分娩结局
Abstract
Objective To investigate the influence of hierarchical authorization management of midwives on
obstetric nursing. Methods A total of 90 cases of nulliparous mothers admitted to our hospital from March 2022~June
2023 were randomly divided into two groups, 54 cases in the control group (routine midwifery management) and 36
cases in the observation group (managed by stratified authorized midwives), and the nursing effect of the two groups was
compared. Results After nursing, the observation group was found to have better results than the control group (P<0.05).
Conclusion The application of hierarchical authorization management has significantly improved the quality of ward
management, significantly reduced the rate of maternal perineal incision and perineal tearing, further improved the
quality of maternal life, and was unanimously recognized by physicians, midwives and mothers.
Key words： midwife; hierarchical empowerment management; episiotomy rate; delivery room quality;satisfaction; quality of life; birth outcome
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