护理干预对剖宫产术后再次分娩方式的影响

Effect of nursing intervention on the mode of delivery after cesarean section

目的探讨护理干预对剖宫产患者术后再次分娩方式的影响。方法将具备阴道试产条件的80例剖宫产再次分娩的产妇随机分为观察组和对照组,对照组采用常规护理,观察组加强护理干预,比较两组产妇的分娩健康知识掌握情况、分娩方式、产程、产后出血率、新生儿窒息及护理满意度。结果观察组产妇的分娩健康知识得分、新生儿Apgar评分高于对照组,自然分娩意向、实际阴道分娩率优于对照组,产程短于对照组,产后出血率低于对照组,差异均具有统计学意义(P<0.05)。观察组的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论加强护理干预能够促进剖宫产术后再次分娩产妇的自然分娩率,缩短产程,减少产后并发症,提高护理满意度。

Objective To investigate the effect of nursing intervention on the mode of delivery after cesarean section.Methods Eighty cases of puerpera with vaginal delivery conditions after cesarean section were divided into the observation group and the control group. The control group was received routine nursing, the observation group was strengthened nursing intervention, and the childbirth health knowledge, mode of delivery, birth process, postpartum hemorrhage, neonatal asphyxia and nursing satisfaction of two groups were compared. Results The health knowledge score of delivery and neonatal Apgar score in the observation group were higher than those in the control group, the natural childbirth intention and actual vaginal delivery rate were higher than those in the control group, labor time was shorter than that in the control group and the postpartum hemorrhage rate was lower than that in the control group, the differences were statistically significant（P〈0.05）.The nursing satisfaction rate in observation group was higher than that in the control group, the difference was statistically significant（P〈0.05）. Conclusion To strengthen the nursing intervention can promote natural labor of puerpera after cesarean section, shorten the birth process, reduce postpartum complications, and improve nursing satisfaction.