探讨系统性健康教育在瘢痕子宫再次妊娠患者中的应用效果  

The effect of systematic health education in re-pregnancy with scar uterus

作　　者：郭小慧[1] 张月鲜[1] GUO Xiaohui;ZHANG Yuexian(Department of Obstetrics and Gynecology,Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010050,Inner Mongolia,China)

机构地区：[1]内蒙古医科大学附属医院妇产科,呼和浩特010050

出　　处：《中国性科学》2020年第11期71-73,共3页Chinese Journal of Human Sexuality

摘　　要：目的探讨系统性健康教育在瘢痕子宫再次妊娠患者中的应用效果。方法选取2015年7月至2016年7月内蒙古医科大学附属医院接诊的128例瘢痕子宫再次妊娠患者作为研究对象。根据护理方案不同分为观察组(n=64)和对照组(n=64)。对照组予以常规方法护理干预,观察组在对照组基础上予以系统性健康教育,两组均进行1个月护理,护理完毕后对两组分娩方式、分娩知识知晓情况、焦虑自评量表(SAS)和抑郁自评量表(SDS)得分,以及其他护理效果进行比较。结果观察组患者阴道分娩率为93.8%,明显高于对照组的62.5%,差异具有统计学意义(P<0.05)。观察组患者护理后1个月,分娩知识知晓优良率为89.1%,高于对照组的70.4%,差异具有统计学意义(P<0.05)。两组患者护理后1个月,观察组患者SDS和SAS评分均低于对照组,差异具有统计学意义(P<0.05)。观察组患者并发症发生率、护理满意度、新生儿评分、产后出血量均显著优于对照组,差异具有统计学意义(P<0.05)。结论将系统性健康教育用于瘢痕子宫再次妊娠患者,能提高阴道分娩率和分娩知识知晓优良率,改善分娩结局,降低产妇心理波动,值得推广应用。Objective To explore the effect of systematic health education in re-pregnancy with scared uterus.Methods A total of 128 re-pregnancy patients with scar uterus,admitted to the Affiliated Hospital of Inner Mongolia Medical University from July 2015 to July 2016,were selected and divided into observation group(n=64)and control group(n=64)according to different nursing plans.The control group was given routine nursing interventions,and the observation group was added systematic education.After 1 month of nursing care,delivery way,aware of knowledge about delivery,self-rating of anxiety scale(SAS)and self-rating depression scale(SDS)score,and other nursing effects were compared.Results The rate of vaginal delivery in the observation group was 93.8%,significantly higher than that in the control group(62.5%),and the difference was statistically significant(P<0.05).After one month of nursing,the excellent and good rate of knowledge about delivery in the observation group was 89.1%,higher than 70.4%of the control group,with statistically significant difference(P<0.05).After one month of nursing,SDS and SAS scores of patients in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The incidence of complications,nursing satisfaction,neonatal score and postpartum hemorrhage in the observation group were significantly better than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Applying systematic health education to the re-pregnancy patients with scar uterus can improve the rate of vaginal delivery and knowledge about delivery,improve the outcome of childbirth,and reduce the psychological fluctuation of the puerpera,which is worthy of popularization and application.

关 键 词：系统性健康教育 瘢痕子宫 阴道分娩 心理波动 

分 类 号：R714[医药卫生—妇产科学]