集束化护理在疤痕子宫阴道分娩安全管理中的应用  

The Application of Bundle Care in Safety Management of Vaginal Birth After Cesarean

作　　者：余丽华[1] 黄亮红 郭肖[1] YU Lihua;HUANG Lianghong;GUO Xiao(The People＇s Hospital of Jinhua,Zhejiang 321000,China)

机构地区：[1]金华市人民医院,浙江金华321000

出　　处：《浙江医学教育》2018年第6期25-27,共3页Zhejiang Medical Education

摘　　要：目的:探索一套系统、科学的护理干预措施,以提高疤痕子宫再次妊娠经阴道分娩过程中母婴安全性。方法:采用集束化护理干预策略对疤痕子宫经阴道分娩产妇进行安全管理,将集束化护理应用前、后的疤痕子宫阴道分娩产妇分别设为对照组和观察组,比较2组产程时间、分娩方式、新生儿窒息率、产后出血发生率及子宫破裂发生率。结果:观察组总产程时间短于对照组,观察组中转剖宫产率、新生儿窒息率、产后出血率均较对照组低,2组差异有统计学意义(P <0. 05)。结论:集束化护理干预措施能有效促进产程进展,降低母婴产时并发症,提高疤痕子宫阴道分娩的安全性。[Objective] To explore a systematic and scintific nursing intervention measure to improve the safety of VBAC. [Method] The Bundle Care was used to manage the women through VBAC. An observation group and a control group and were set with or without Bundle Care. Then, labor time, delivery method, neonatal asphyxia rate, incidence of postpartum bleeding and uterine rupture were compared between the two groups. [Result] The total labor time ofthe observation group wasshorter than that of the control one. The rate of cesarean section, neonatal asphyxia and postpartum bleeding were lower than those in the control group.[Conclusion] The Bundle Care can effectively promote the progress of labor, reducethe complications during labor and improve the mother-infant safety of VBAC.

关 键 词：集束化护理 疤痕子宫 阴道分娩 母婴安全 

分 类 号：R473.71[医药卫生—护理学]