行为转变理论的整体护理干预在瘢痕子宫阴道分娩产妇中的应用观察

Application of Holistic Nursing Intervention Based on Behavior Transformation Theory in Scar Uterus Women with Vaginal Delivery

目的研究行为转变理论的整体护理干预在瘢痕子宫阴道分娩产妇中的应用效果。方法选取2015年12月～2017年10月本院瘢痕子宫产妇96例,根据建档时间分为研究组、对照组,各48例。对照组给予常规护理干预,研究组于对照组基础上给予行为转变理论的整体护理干预。对比两组干预前后抑郁(SDS)、焦虑(SAS)评分变化情况、产程时间、产程出血量、自然分娩率及护理满意度。结果研究组阴道分娩成功率高于对照组,差异有统计学意义(P <0.05);研究组产程时间及产程出血量少于对照组,差异有统计学意义(P <0.05);干预后研究组SDS评分、SAS评分低于对照组,差异有统计学意义(P <0.05);研究组护理满意度高于对照组,差异有统计学意义(P <0.05)。结论行为转变理论的整体护理干预能显著提高瘢痕子宫产妇阴道分娩成功率,降低产妇焦虑、抑郁情绪,减少分娩过程出血量,促进分娩进程,改善其对护理工作满意情况。

Objective To explore the application effect of holistic nursing intervention based on behavior transformation theory in scar uterus women with vaginal delivery. Methods From December 2015 to October 2017, 96 pregnant women with scar uterus were selected and divided into study group and control group according to the filing time, 48 cases in each group. The control group was given conventional nursing intervention, and the study group was given the holistic nursing intervention based on the theory of behavior transformation on the basis of the control group. The changes of depression (SDS), anxiety score (SAS), duration of labor, amount of hemorrhage in the process of labor, spontaneous delivery rate and nursing satisfaction were compared between the two groups before and after intervention. Results The success rate of vaginal delivery in the study group was higher than that in the control group, and the difference was statistically significant(P < 0.05). The duration of labor and amount of hemorrhage in the process of labor in the study group were less than those in the control group, and the differences were statistically significant(P < 0.05). After intervention, the SDS score and SAS score in the study group were lower than those in the control group, and the difference was statistically significant(P < 0.05). The nursing satisfaction of the study group was higher than that of the control group, and the difference was statistically significant(P < 0.05). Conclusion The holistic nursing intervention of behavioral change theory can significantly improve the success rate of vaginal delivery in women with scar uterus, reduce maternal anxiety and depression, reduce the amount of bleeding in the delivery process, promote the process of delivery and improve the satisfaction of nursing work.