分娩期全程护理在剖宫产术后阴道试产孕妇中的应用

Application of whole course nursing intervention in pregnant women with trial of labor after cesarean

目的探讨分娩期全程护理干预对剖宫产术后阴道试产(trial of labor after cesarean section,TOLAC)孕妇分娩方式、妊娠结局及护理满意度的影响。方法选择2015年1月—2016年12月在桂林医学院附属医院行TOLAC的孕妇562例,随机分为对照组和观察组各281例,对照组给予常规护理,观察组给予拟定的分娩期全程护理干预,比较两组分娩方式、妊娠结局及护理满意度的差异。结果观察组阴道分娩成功率及护理满意度高于对照组,社会因素剖宫产率及出血量低于对照组,差异具有统计学意义(P均<0.05),两组阴道助产、产后出血、新生儿窒息及先兆子宫破裂发生率均无统计学差异(P均>0.05)。结论分娩期全程护理干预可以有效提高TOLAC孕妇的阴道分娩成功率,减少出血量,提高护理满意度。

Objective To explore the influence of whole course nursing on the delivery mode, pregnancy outcomes and nursing satisfaction in the pregnant women with trial of labor after cesarean （TOLAC）. Methods The TOLAC pregnant women were collected from The Affiliated Hospital of Guilin Medical College, Guangxi Province from January 2015 to December 2016. They were randomly and equally divided into the control group and observation group. The control group was given the routine nursing and the observation group was given whole course nursing intervention. The delivery mode, pregnancy outcomes and nursing satisfaction between two groups were compared. Results The observation group had higher success rate of vaginal delivery and nursing satisfaction, and lower cesarean rate and bleeding amount （ P 〈 0.05 ）. The rates of delivery aids, postpartum hemorrhage , neonatal asphyxia and uterine rupture had no significant difference （P 〉 0.05 ）. Conclusion The whole course nursing intervention during delivery can effectively improve the success rate of TOLAC, reduce bleeding amount, and improve nursing satisfaction.