预见性护理干预在促进肥胖产妇腹部纵切口愈合中的应用

Application of predictive nursing intervention on promoting abdominal vertical incision healing in maternal obesity

目的分析肥胖产妇腹部纵切口愈合延迟的原因，探讨预见性护理在其中的应用效果。方法随机抽取2009年5月-2011年4月接受常规护理的肥胖产妇101例为对照组，2011年5月-2013年6月的肥胖产妇120例作为观察组，分析对照组纵切口延迟发生的原因，采取预见性护理干预，比较两组产妇的切口愈合情况及对护理满意度。结果观察组纵切口愈合延迟率由对照组的7．92％下降到1．66％，差异有统计学意义（X2=4．570，P〈0．05）。观察组护理满意度为98．3％，高于对照组的91．1％，差异有统计学意义（Z=-2．319，P〈0．05）。结论对肥胖产妇实施预见性护理干预，可降低腹部纵切口愈合延迟的发生率，增加护理满意度，值得进一步推广应用。

Objective To analyze the reason f-or the delay of abdominal vertical incision healing in maternal obesity, and explore the effect of predictive nursing. Methods One hundred and one cases of maternal obesity from May 2009 to April 2011 who received conventional nursing were chosen as the control group, and 120 cases of maternal obesity from May 2011 to June 2013 who adopted predictive nursing intervention were chosen as the observation group. The reason for the delay of abdominal vertical incision healing was analyzed and healing situation as well as nursing satisfaction was compared between two groups. Results The rate of delay of abdominal vertical incision healing dropped from 7.92% to 1.66%, with statistically significant difference （x2 = 4.570,P 〈0. 05）. Nursing satisfaction was 98.3% in the observation group, higher than 91.1% in the control group, and the difference was statistically significant （Z = -2. 319,P 〈 0. 05）. Conclusions Predictive nursing intervention for maternal obesity can reduce the incidence of delay of abdominal vertical incision healing and improve nursing satisfaction, which is worthy further promotion.