模拟手指套对经阴道分娩产妇阴道撕裂伤口愈合质量的影响

Effect of Nursing of Simulated Finger Sleeves on Quality of Healing of Vaginal Rupture Wounds in Maternal Transvaginal Delivery

目的探讨模拟手指套护理对经阴道分娩产妇阴道撕裂伤口愈合质量的影响。方法选取2018年8月~2020年2月在我院经阴道分娩出现阴道撕裂伤或阴道侧切伤口的182例产妇为研究对象,采用随机数字表法将其分为观察组(91例)和对照组(91例),对照组实施常规护理,观察组在会阴侧切和伤口护理时实施模拟手指套护理,比较两组产妇伤口暴露、感染情况,平均伤口愈合时间及愈合率。结果观察组护理过程中手套破损率、手术刺伤率、手套过敏率、伤口暴露率、伤口感染率均低于对照组,差异有统计学意义(P<0.05);观察组伤口愈合率为97.80%(89),明显高于对照组85.71%(78),差异有统计学意义(2=8.937,P=0.007);观察组平均伤口愈合时间为(3.69±0.35)d,较对照组(4.98±0.57)d短,差异有统计学意义(t=5.859,P=0.015)。结论模拟手指套护理可有效降低经阴道分娩产妇阴道撕裂或侧切伤口暴露率和感染率,对缩短伤口愈合时间,提高伤口愈合率及愈合质量具有积极作用。

Objective To explore the effect of simulated finger sleeve nursing on the quality of wound healing in vaginal tears of parturient women.Methods 182 women who had vaginal lacerations or lateral vaginal wounds during vaginal delivery in our hospital from August 2018 to February 2020 were selected as the research subjects,and they were divided into an observation group(91 cases)and a control group by random number table In the group(91 cases),the control group was given routine care,and the observation group was given simulated finger cuff care during lateral perineal incision and wound care.The wound exposure and infection status of the two groups were compared,and the average wound healing time and healing rate.Results In the observation group,the glove breakage rate,surgical puncture rate,glove allergy rate,wound exposure rate,and wound infection rate were lower than the control group,the difference was statistically significant(P<0.05);the wound healing rate of the observation group was 97.80%(89),significantly higher than the control group by 85.71%(78),the difference was statistically significant(2=8.937,P=0.007);the average wound healing time of the observation group was(3.69±0.35)d,which was higher than that of the control group(4.98±0.57)d is short,the difference is statistically significant(t=5.859,P=0.015)..Conclusion Simulated finger sleeve nursing can effectively reduce the exposure rate and infection rate of vaginal tears or side-cut wounds in women undergoing vaginal delivery,and have a positive effect on shortening wound healing time,improving wound healing rate and healing quality.