人性化护理服务模式在瘢痕子宫阴道试产中的效果

Effect of Humanized Nursing Service Model on Scar Uterus and Vaginal Trial Production

目的:观察人性化护理服务模式在瘢痕子宫阴道试产中的应用效果。方法:将本院产科收治且符合阴道试产指征的瘢痕子宫经产妇90例作为研究对象,随机分为对照组(n=45)和观察组(n=45)。在试产过程中,对照组接受常规助产护理,观察组在对照组基础上开展人性化护理服务模式,比较两组阴道试产结局、SAS、SDS评分、护理满意度及并发症发生情况。结果:观察组阴道试产成功率88.89%,对照组为77.78%,组间比较差异无统计学意义(P>0.05);与对照组相比,观察组中转剖宫产率较低,Apgar评分较高,差异有统计学意义(P<0.05);护理后观察组SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。观察组总并发症发生率4.44%,低于对照组的17.78%,差异有统计学意义(P<0.05)。观察组对护理服务总满意度95.56%,明显高于对照组的73.33%,差异有统计学意义(P<0.05)。结论:人性化护理服务模式在瘢痕子宫阴道试产中的应用,可消除负情绪对分娩的影响,有效提高阴道试产成功率,减少母婴不良结局的发生,增进护患关系。

Objective:To observe the application effect of humanized nursing service model in scar uterine and vaginal trial production.Method:A total of 90 multipara with scarred uterus who were admitted to the obstetrics department of our hospital and met the vaginal trial production indications were taken as the research object.They were divided into the control group (n=45) and the observation group (n=45) according to the random number table.Routine midwifery nursing was used in the control group,and humanized nursing service model was used in the observation group.The outcomes,SAS and SDS scores,nursing satisfaction and complications of vaginal trial labor of the two groups were compared.Result:The success rate of vaginal trial delivery in the observation group (88.89%) was higher than that in the control group (77.78%),there was no statistically significant difference between the two group (P>0.05).The transfer rate of cesarean section was lower than that in the control group,and the Apgar scores in the observation group was higher than that in the control group,the differences were statistically significant (P<0.05).After nursing,the SAS,SDS scores in the observation group were significantly lower than those in the control group,the differences were statistically significant (P<0.05).The total incidence of complications (4.44%) in the observation group was lower than that in the control group (17.78%),the difference was statistically significant (P<0.05).And the nursing satisfaction (95.56%) in the observation group was higher than that in the control group (73.33%),the difference was statistically significant (P<0.05).Conclusion:The humanized nursing service model in the scar uterus vagina trial delivery can eliminate the negative emotion to the childbirth influence,effectively enhances the vagina trial delivery success rate,reduces the maternal and infant bad outcomes and enhances the patient-nurse relations.