护理干预对剖宫产术后再次分娩方式的影响

郑娟

（汉中市中心血站，陕西汉中，723000）

浏览次数：74次 下载次数：374次

摘要：

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。

关键词：护理干预；剖宫产；分娩方式；分娩结局

中图分类号：R473.71文献标志码：A文章编号：2096-1413(2017)04-0151-03

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

ZHENG Juan

(Hanzhong Blood Center, Hanzhong 723000, China)

ABSTRACT: 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.

KEYWORDS: nursing intervention; cesarean section; delivery mode; delivery outcome

参考文献：

[1] 周颖.孕期健康教育对孕妇分娩方式的影响[J].齐鲁护理杂志,2014,20(20):93.

[2] 罗健.剖宫产术后再次妊娠患者分娩方式对母婴的影响探究[J].浙江创伤外,2015,20(3):528-530.

[3] 王秀宣,张晓菊.孕期系统化健康教育对孕妇选择分娩方式及纯母乳喂养的影响[J].海南医学,2014,25(7):1060-1062.

[4] 张惠,邱荣霞,张国献.健康教育干预对孕妇选择分娩方式的影响[J].医学临床研究,2014,31(11):2239-2241.

[5] 王展,张雪茹,于欣,等.围生期健康教育对初产妇分娩方式影响的研究[J].中华妇幼临床医学杂志:电子版,2012,8(3):320-322.

[6] 谢美银,仇天宏.疤痕子宫产妇的临床护理[J].实用临床医药杂志,2011,15(2):75-76.

[7] 彭巧.剖宫产术后再次妊娠阴道分娩安全问题分析及临床护理路径探讨[J].牡丹江医学院学报,2014,35(4):141-143.

[8] 郑琳.全程连续性助产护理对剖宫产术后阴道分娩妊娠结局及护理满意度的影响[J].中国临床护理,2015,7(5):405-407.