孕产妇需求为中心的连续性管理模式在剖宫产后再次妊娠孕妇中的应用  

Application of Continuous Management Mode Centered on Maternal Needs in Pregnant Women with Re-pregnancy after Cesarean Section

作　　者：刘华容[1] LIU Huarong(Affiliated Obstetrics and Gynecology Hospital of Zhejiang University Medical College,Hangzhou 310002,China)

机构地区：[1]浙江大学医学院附属妇产科医院,浙江杭州310002

出　　处：《中外医学研究》2022年第30期100-104,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨孕产妇需求为中心的连续性管理模式在剖宫产后再次妊娠孕妇中的应用。方法:选取2019年6月-2021年6月浙江大学医学院附属妇产科医院接收的386例剖宫产后再次妊娠孕妇。根据随机数字表法将其分为对照组和观察组,各193例。对照组给予常规管理,观察组给予孕产妇需求为中心的连续性管理模式。比较两组入组时、分娩前1 d情绪状况,入组时、产后24 h分娩应对情况,不良妊娠、新生儿情况及产后情况,分娩方式。结果:分娩前1 d,观察组妊娠特有焦虑问卷(PAQ)、妊娠压力量表(PPS)评分均低于对照组(P<0.05)。产后24 h,观察组分娩态度量表(CAQ)评分低于对照组,简化中文版分娩自我效能量表(CBSEI-C32)评分高于对照组(P<0.05)。观察组不良妊娠、新生儿情况及产后情况发生率为7.77%,低于对照组的16.06%(P<0.05)。观察组阴道分娩率高于对照组(P<0.05)。结论:孕产妇需求为中心的连续性管理模式可有效改善剖宫产后再次妊娠孕妇情绪状况及分娩应对情况,并降低不良妊娠与分娩结局发生率,进一步提高阴道分娩率。Objective:To explore the application of continuous management mode centered on maternal needs as center in pregnant women with re-pregnancy after cesarean section.Method:From June 2019 to June 2021,386 pregnant women withre-pregnancy after cesarean section admitted to the Affiliated Obstetrics and Gynecology Hospital of Zhejiang University Medical College were selected.According to the method of random number table,they were divided into control group and observation group,193 cases in each group.The control group was given routine management,and the observation group was given continuous management mode centered on maternal needs.The emotional status at joining the group and 1 day before delivery,delivery coping condition at joining the group and 24 hours after delivery,adverse pregnancy,neonatal situation,postpartum condition and delivery mode of the two groups were compared.Result:One day before delivery,the scores of pregnancy-specific anxiety questionnaire (PAQ) and pregnancy pressure scale (PPS) in the observation group were lower than those in the control group (P<0.05).Twenty-four hours after delivery,the childbirth attitude scale (CAQ) score of the observation group was lower than that of the control group,and the simplified Chinese childbirth self-efficacy inventory scale (CBSEI-C32) score was higher than that of the control group (P<0.05).The incidence of adverse pregnancy,neonatal condition and postpartum condition in the observation group was 7.77%,which was lower than 16.06% in the control group (P<0.05).The vaginal delivery rate in the observation group was higher than that in the control group (P<0.05).Conclusion:The continuous management mode centered on maternal needs can effectively improve the emotional status and delivery coping condition of pregnant women withre-pregnancy after cesarean section,reduce the incidences of adverse pregnancy and delivery outcomes,and further improve the vaginal delivery rate.

关 键 词：孕产妇需求为中心 连续性管理模式 剖宫产 再次妊娠 母婴结局 

分 类 号：R473.71[医药卫生—护理学]