强化健康宣教联合临床护理路径对瘢痕子宫再次妊娠分娩产妇的影响  

Eff ect of enhanced health education combined with clinical nursing pathway on parturients with scarred uterus experiencing re-pregnancy and childbirth

作　　者：张梦洁 夏敏艳 徐兵 沈丽丹 周晓叶 李娟 ZHANG Mengjie;XIA Minyan;XU Bing;SHEN Lidan;ZHOU Xiaoye;LI Juan(Zhangjiagang Hospital Affi liated to Soochow University,Zhangjiagang 215600,China)

机构地区：[1]苏州大学附属张家港医院,江苏省张家港市215600

出　　处：《护理实践与研究》2025年第4期572-576,共5页Nursing Practice and Research

基　　金：张家港市科学技术局科技计划项目(编号:ZKS2111)。

摘　　要：目的探讨强化健康宣教联合临床护理路径对瘢痕子宫再次妊娠分娩产妇的负性情绪与母婴结局的影响。方法将2020年1月—2023年3月医院收治的瘢痕子宫再次妊娠分娩产妇68例按照组间基本特征具有可比性的原则分为观察组和对照组,每组34例。对照组行基础护理,观察组在对照组基础上加用强化健康宣教联合临床护理路径,临床护理路径在入院首日、产后首日、产后次日、产后第3天、产妇出院前以及出院当日实施相应的护理干预。比较两组产妇干预前后负性情绪(汉密尔顿焦虑量表、汉密尔顿抑郁量表),妊娠压力程度(妊娠压力量表),分娩方式(阴道自然分娩、阴道助产分娩、剖宫产),不良妊娠结局(胎儿窘迫、胎膜早破、感染、早产、产后出血)。结果观察组产妇在实施强化健康宣教联合临床护理路径干预后抑郁评分、焦虑评分较对照组低,经比较差异有统计学意义(P<0.05)。观察组产妇在实施强化健康宣教联合临床护理路径干预后妊娠压力较对照组轻,经比较差异有统计学意义(P<0.05)。观察组产妇在实施强化健康宣教联合临床护理路径干预后分娩方式中剖宫产率低于对照组,经比较差异有统计学意义(P<0.05)。干预后观察组产妇的胎儿窘迫、胎膜早破、感染等不良妊娠结局发生率较对照组低,经比较差异有统计学意义(P<0.05)。结论强化健康宣教联合临床护理路径可减轻瘢痕子宫再次妊娠分娩产妇的负性情绪与心理压力,降低产妇剖宫产率,改善妊娠结局。Objective To explore the effect of enhanced health education combined with clinical nursing pathway on negative emotions and maternal and infant outcomes of parturients with scarred uterus experiencing re-pregnancy and childbirth.Methods A total of 68 parturients with scarred uterus experiencing re-pregnancy and childbirth admitted to the hospital from January 2020 to March 2023 were selected.They were divided into an observation group and a control group according to the principle of comparability in basic characteristics between the groups,with 34 cases in each group.The parturients in the control group received basic nursing care,while the parturients in the observation group received enhanced health education combined with clinical nursing pathway in addition to the control group.The clinical nursing pathway implemented corresponding nursing interventions on the first day of admission,the first day postpartum,the second day postpartum,the third day postpartum,before discharge,and on the day of discharge.The negative emotions(Hamilton Anxiety Scale,Hamilton Depression Scale),pregnancy stress level(Pregnancy Stress Scale),delivery methods(spontaneous vaginal delivery,assisted vaginal delivery,cesarean section),and adverse pregnancy outcomes(fetal distress,premature rupture of membranes,infection,premature birth,postpartum hemorrhage)of the two groups of parturients were compared before and after the intervention.Results After implementing the enhanced health education combined with clinical nursing pathway intervention,the depression and anxiety scores in the observation group were lower than those in the control group,the diff erences were statistically signifi cant(P<0.05).After implementing the enhanced health education combined with clinical nursing pathway intervention,the pregnancy stress in the observation group was lighter than that in the control group,and the diff erence was statistically signifi cant(P<0.05).After implementing the enhanced health education combined with clinical nursing pathway inter

关 键 词：瘢痕子宫 再次妊娠分娩 强化健康宣教 临床护理路径 负性情绪 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]