产程观察联合综合护理在剖宫产术后再妊娠经阴道分娩孕妇中的应用效果观察  

Observation of labor process combined with comprehensive nursing care in cesarean section postoperative pregnancy after vaginal delivery of pregnant women in the application of the effect of observation

作　　者：程鸽[1] 辛玲[1] 王伟[1] 郭晓娜 Cheng Ge;Xin Ling;Wang Wei;Guo Xiaona(Delivery Room,Laiyang Central Hospital,Yantai,Shandong Province,Yantai 255200,China)

机构地区：[1]山东省烟台市莱阳中心医院产房,265200

出　　处：《国际护理学杂志》2018年第24期3323-3326,共4页international journal of nursing

摘　　要：目的探讨产程观察联合综合护理在剖宫产术后再妊娠经阴道分娩孕妇中的应用效果。方法选取2016年2月~2017年5月该院85例剖宫产术后再妊娠孕妇作为研究对象,根据入院顺序分为观察组43例和对照组42例。对照组给予一般护理及产程观察,观察组在此基础上联合综合护理进行干预。对比两组经阴道分娩成功率、新生儿结局及护理满意度。结果观察组经阴道分娩成功率[93.02%(40/43)比76.19%(32/42)]较对照组高,差异有统计学意义(P<0.05);两组新生儿不良结局发生率[4.65%(2/43)比7.14%(3/42)]比较,差异无统计学意义(P>0.05),观察组Apgar评分较对照组高,初次母乳喂养时间较对照组短,差异有统计学意义(P<0.05);观察组护理满意度[93.02%(40/43)比73.81%(31/42)]较对照组高,差异有统计学意义(P<0.05)。结论产程观察联合综合护理可有效提高剖宫产术后再妊娠产妇经阴道分娩成功率,有利于改善新生儿结局、缩短初次母乳喂养时间,且护理满意度高,值得临床推广应用。Objective To investigate the effect of combined nursing care in postoperative vaginal delivery of pregnant women after cesarean section.Methods A total of 85 pregnant women with repregnancy after cesarean section in the hospital from February 2016 to May 2017 were selected as the research objects. According to the admission order,they were divided into the observation group (43 cases) and the control group (42 cases). The control group was given general nursing and labor process observation,observation group on this basis combined with comprehensive nursing intervention. The success rate of vaginal delivery,neonatal outcome and nursing satisfaction of the two groups were compared.Results The success rate of vaginal delivery in the observation group was higher than that in the control group [93.02% (40/43) vs76.19%(32/42)] ,and the difference was statistically significant (P<0.05). There was no significant difference in the incidence of adverse outcomes between the two groups [4.65% (2/43) vs 7.14% (3/42)],and the difference was not statistically significant (P>0.05). Apgar score of the observation group was higher than that of the control group,and the initial breast-feeding time was shorter than that of the control group,and the difference was statistically significant (P<0.05). The nursing satisfaction degree of the observation group was higher than the control group [93.02%(40/43)vs73.81%(31/42)],and the difference was statistically significant (P<0.05).Conclusions Observation of labor process combined with comprehensive nursing can effectively improve the success rate of vaginal delivery of pregnant women after cesarean section,improve neonatal outcomes,shorten the time of first breastfeeding,and nursing satisfaction is high.It is worthy of clinical promotion and application.

关 键 词：剖宫产术后再妊娠 经阴道分娩 产程观察 综合护理 

分 类 号：R473.71[医药卫生—护理学]