探讨预警性干预配合全程助产护理在剖宫产术后再次妊娠产妇中的应用效果

Exploring the Application Effect of Early-warning Intervention Combined with Full-time Midwifery Nursing in Re-pregnancy after Cesarean Section

目的分析剖宫产术后再次妊娠产妇行预警性干预配合全程助产护理的效果。方法 2018年4月于该院剖宫产术后再次妊娠产妇中方便选取300例,随机分为两组,观察组产妇采用预警性干预配合全程助产护理,对照组产妇行传统助产护理,对比两组产妇产后24 h心理状态、护理满意度情况、产后2 h、24 h出血量情况、新生儿窒息与胎儿窘迫发生情况。结果与对照组对比,观察组产妇产后24 h SAS评分、SDS评分更低,产后2 h、24 h出血量更少,组间差异有统计学意义(t=12.625 7、13.629 5、8.965 2、9.625 7,P<0.05);观察组满意度产妇例数145例,护理满意度为96.67%,高于对照组的76.67%(χ2=9.6587,P<0.05);观察组新生儿窒息、胎儿窘迫发生率分别为0.67%、0.67%,均低于对照组的18.67%、18.00%,组间差异有统计学意义(χ2=12.625 7、8.625 7)。结论剖宫产术后再次妊娠产妇行预警性干预配合全程助产护理的效果显著,可推广。

Objective To analyze the effect of early intervention for maternal delivery after cesarean section with full-time midwifery care. Methods In April 2018, 300 cases of re-pregnancy were conveniently selected from cesarean section in our hospital. They were randomly divided into two groups. The observation group used early-stage intervention and full-time midwifery care. The control group received traditional midwifery care. The psychological status, nursing satisfaction, postpartum 2 h, 24 h bleeding, neonatal asphyxia and fetal distress occurred in the two groups were compared. Results Compared with the control group, the 24 h SAS score and SDS score were lower in the observation group, and the bleeding volume was less at 2 h and 24 h after birth. There were significant differences between the groups(t=12.625 7, 13.629 5, 8.965 2, 9.625 7, P<0.05). The number of maternal cases was 145, the nursing satisfaction was 96.67%, which was higher than that of the control group 76.67%(χ^2=9.658 7, P<0.05). The incidence of neonatal asphyxia and fetal distress in the observation group were 0.67% and 0.67%, respectively. There were significant differences between the groups in 18.67% and 18.00% of the control group(χ^2=12.625 7,8.625 7 P<0.05). Conclusion The effect of early intervention on maternal pregnancy after cesarean section with full-time midwifery care is significant and can be promoted.