90例会阴裂伤产妇应用模拟手指护理的临床分析  

Clinical analysis of simulated finger care in 90 cases of delivery women with perineal laceration

作　　者：李彩芬[1] 李彩红[1] 陈淑瑜[2] 

机构地区：[1]深圳市龙岗区妇幼保健院,深圳市518172 [2]深圳市龙岗区人民医院

出　　处：《护理实践与研究》2017年第18期73-75,共3页Nursing Practice and Research

基　　金：深圳市龙岗区2016年度医疗卫生科技计划项目(20160608092246772)

摘　　要：目的:探讨应用模拟手指护理对产妇会阴裂伤的临床疗效。方法:选取我院2016年9月~2017年1月经阴道分娩行会阴左侧切术的90例产妇,按随机分配原则等分为观察组和对照组,对照组采取常规护理模式,在会阴切开时助产人员穿戴无菌手套进行操作;观察组在会阴切开时助产人员穿戴模拟手指套进行会阴切开以及切口的缝合,对比两组产妇分娩后疼痛变化情况、切口暴露、感染情况、护理满意度及切口愈合的时间。结果:(1)两组产妇VAS评分均于产后第1天最高,产后第3天最低,呈逐渐下降的趋势。产后第1天、第2天、第3天,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05)。(2)观察组未出现刺伤及感染情况,对照组有6例刺伤、6例感染出现,两组对比差异均有统计学意义(均P<0.05);观察组护理满意度明显高于对照组,差异有统计学意义(P<0.05);观察组切口愈合时间短于对照组,差异有统计学意义(P<0.05)。结论:应用模拟手指护理可降低产妇切口疼痛,促进产妇切口愈合,减少切口感染,提高产妇对护理的满意度,值得临床上进一步推广应用。Objective： To explore the clinical effect of simulated finger care on delivery women with perineal laceration. Methods： A total of 90 delivery women who delivered by perineal left cutting in our hospital from September 2016 to January 2017 were divided into observation group and control group by the principle of random distribution. The control group was treated with conventional nursing mode. The midwife wore sterile gloves to carry out the operation during the perineal incision. In the observation group,midwife wore simulated fingers for perineal incision and incision suture. The postpartum pain changes,incision exposure,infection,nursing satisfaction and incision healing time in the two groups were compared. Results：（ 1） The VAS scores of the two groups were the highest on the first day of postpartum and the lowest in the third day of postpartum,showing a gradually decrease. The VAS score of the observation group was lower than that of the control group on day 1,day 2 and day 3 after the delivery and the difference was statistically significant（ P〈0. 05）.（ 2） There were no stab wounds and infection in the observation group,while in the control group 6 cases were stabbed and 6 cases were infected.The difference between the two groups was statistically significant（ all P〈0. 05）. The nursing satisfaction of the observation group was significantly higher than that of the control group,and the difference was statistically significant（ P〈0. 05）. The incision healing time in the observation group was shorter than that in the control group,and the difference was statistically significant（ P〈0. 05）. Conclusion： The application of simulated finger care can reduce maternal incision pain,promote maternal incision healing,reduce incision infection and improve maternal satisfaction with nursing. It is worthy of further clinical application.

关 键 词：模拟手指 护理 产妇 会阴裂伤 

分 类 号：R473.71[医药卫生—护理学]