家属陪伴联合母婴早期干预在瘢痕子宫剖宫产手术产妇中的应用效果研究  

Application effect of family accompanying combined with early intervention of mother andinfant in women undergoing caesarean section with cicatrix

作　　者：许会玲 朱应菊 鹿国英 王兴 许燕 刘洋 马东方 XU Huiling;ZHU Yingju;LU Guoying;WANG Xing;XU Yan;LIU Yang;MA Dongfang(Operating Theatre,Ji'nan 271100,Shandong,China;LDRP,People's Hospital Affiliated to Shandong First Medical University,Ji'nan 271100,Shandong,China)

机构地区：[1]山东第一医科大学附属人民医院手术室,山东济南271100 [2]山东第一医科大学附属人民医院家庭化产科,山东济南271100

出　　处：《护士进修杂志》2025年第1期25-29,共5页Journal of Nurses Training

基　　金：济南市卫生健康委员会科技计划项目(编号:2021-2-32)。

摘　　要：目的探讨家属陪伴分娩联合术中母婴早期干预在瘢痕妊娠剖宫产手术中的应用效果。方法选取山东第一医科大学附属人民医院2022年12月—2023年3月符合纳入标准的70例择期瘢痕子宫剖宫产手术产妇及新生儿作为研究对象,根据入住科室随机选择分为对照组和观察组,各35例。对照组实行常规手术照护模式,观察组实行家属陪伴分娩及分娩后母婴早期干预。比较2组新生儿早开奶时间、出院时母乳喂养情况和体温变化;比较2组产妇出血量、手术时间、术中疼痛情况。结果观察组新生儿早开奶的比例、出院时纯母乳喂养的比例、出生后2 h、4 h体温均明显高于对照组(P<0.01),产妇出血量(产后2 h出血量、产后2~24 h出血量)、手术时间、分娩15 min疼痛均明显低于对照组(P<0.01)。结论家属陪伴瘢痕妊娠产妇剖宫产分娩联合术中母婴早期干预有利于新生儿早开奶和体温的稳定、有利于母乳喂养、稳定体温,有利于缩短产妇手术时间、减少出血量、减轻疼痛,具有临床推广价值。Objective To explore the application effect of family accompanying combined with early intervention of mother and infant in women undergoing caesarean section with cicatrix.Methods From December 2022 to March 2023,70 delivery women who met the inclusion criteria for cesarean scar section in People's Hospital Affiliated to Shandong First Medical University and their newborns were selected as the study subject,and were randomly divided into control group and observation group according to the admission departments,35 cases in each group.Family accompanying delivery and early intervention of mother and infant after delivery were implemented in the observation group while routine surgical care mode was received in the control group.Newborn's early initiation of breastfeeding,implementation of breast feeding at discharge,and temperature were compared between 2 groups.The amount of maternal blood loss,operative time,and intraoperative pain were compared between 2 groups.Results The proportions of early initiation of breastfeeding,implementation of breast feeding at discharge,and body temperature at 2 h and 4 h after birth in the observation group were higher than those in the control group(P<0.01),while the amount of postpartum hemorrhage(within 2 h and 2-24 h),operative time,and pain at 15 minutes after delivery were lower than those in the control group(P<0.01).Conclusion Family accompanying and early intervention of mother and infant during cesarean scar section is beneficial to early initiation of breastfeeding,stabilizing the neonatal temperature,promoting breast feeding,shortening the operation time,reducing postpartum hemorrhage and relieving pain,and has clinical promotion value.

关 键 词：家属陪伴 母婴早期干预 瘢痕子宫 护理 

分 类 号：R473.72[医药卫生—护理学]