护理连续性服务模式对瘢痕子宫再次妊娠产妇的应用及影响

doi:10.3760/cma.j.issn.1007-1245.2023.06.026

国际医药卫生导报 ›› 2023, Vol. 29 ›› Issue (6): 854-858.DOI: 10.3760/cma.j.issn.1007-1245.2023.06.026

护理连续性服务模式对瘢痕子宫再次妊娠产妇的应用及影响

岳亚萍¹ 夏文炎¹ 牛文芳²

¹郑州市妇幼保健院产科，郑州　450000；²郑州市妇幼保健院ICU，郑州　450000

收稿日期:2022-10-19 出版日期:2023-03-15 发布日期:2023-04-02
通讯作者: 岳亚萍，Email：chenyunguo2402@126.com
基金资助:
河南省医学科技攻关计划联合共建立项项目（LHGJ20200743、LHGJ20200749）

Continuous nursing service mode for pregnant women with scar uterus

Yue Yaping¹, Xia Wenyan¹, Niu Wenfang²

¹Department of Obstetrics, Zhengzhou Maternal and Child Health Hospital, Zhengzhou 450000, China;²Department of Intensive Care Unit, Zhengzhou Maternal and Child Health Hospital, Zhengzhou 450000, China

Received:2022-10-19 Online:2023-03-15 Published:2023-04-02
Contact: Yue Yaping, Email: chenyunguo2402@126.com
Supported by:
Co-construction Project of Problem-tackling Plan of Medical Science and Technology in Henan (LHGJ20200743 and LHGJ20200749)

摘要/Abstract

摘要：

目的　观察护理连续性服务模式对瘢痕子宫再次妊娠产妇的影响。方法　选取郑州市妇幼保健院2021年5月至2022年5月的91例瘢痕子宫再次妊娠产妇进行研究，以产妇入院顺序编号分组，对照组45例，实施常规护理，年龄28～43（35.69±3.50）岁，孕周36～41（38.65±1.03）周，距离上次剖宫产时间27～63（45.28±8.74）个月；观察组46例，实施护理连续性服务模式，年龄27～44（35.78±4.03）岁，孕周36～40（38.36±0.72）周，距离上次剖宫产时间26～65（45.67±9.42）个月。比较两组分娩方式、不良分娩结局发生情况、干预前后分娩应对能力、焦虑情绪、护理满意度。统计学方法采用t检验、χ²检验。结果　观察组自然分娩率高于对照组［50.00%（23/46）比26.67%（12/45）］，剖宫产率低于对照组［28.26%（13/46）比48.89%（22/45）］，不良分娩结局发生率低于对照组［4.35%（2/46）比22.22%（10/45）］，差异均有统计学意义（χ²=5.233、4.090、6.348，均P<0.05）；干预后，观察组分娩应对量表（CCB）评分高于对照组［（51.23±5.84）分比（46.72±4.29）分］，广泛焦虑性量表（GAD-7）评分低于对照组［（10.05±2.83）分比（12.57±3.46）分］，差异均有统计学意义（t=4.191、3.807，均P<0.05）；观察组护理满意度高于对照组［95.65%（44/46）比77.78%（35/45）］，差异有统计学意义（χ²=6.348，P<0.05）。结论　瘢痕子宫再次妊娠产妇应用护理连续性服务模式后，不仅自然分娩率提高，不良分娩结局发生率降低，且产妇分娩应对能力提高，焦虑情绪缓解，护理满意度也显著改善。

关键词:

瘢痕子宫, 剖宫产, 自然分娩, 满意度, 焦虑

Abstract:

Objective　To observe the influence of continuous nursing service mode on the pregnant women with scar uterus. Methods　Ninety-one pregnant women with scar uterus treated in Zhengzhou Maternal and Child Health Hospital from May 2021 to May 2022 were selected for the study. The pregnant women were divided into a control group (45 cases) and an observation group (46 cases) according to the admission order. The control group were 28-43 (35.69±3.50) years old and 36-41 (38.65 ± 1.03) weeks pregnant, and took cesarean section 27-63 (45.28±8.74) months ago. The observation group were 27-44 (35.78±4.03) years old and 36-40 (38.36±0.72) weeks pregnant, and took cesarean section 26-65 (45.67±9.42) months ago. The control group took routine nursing, and the observation group took continuous nursing service mode. The delivery modes, adverse delivery outcomes, delivery coping abilities before and after the intervention, anxiety, and nursing satisfaction were compared between the two groups. t and χ² tests were applied. Results　The natural delivery rate in the observation group was higher than that in the control group [50.00% (23/46) vs. 26.67% (12/45)], and the cesarean section rate and incidence of adverse delivery outcomes were lower than those in the control group [28.26% (13/46) vs. 48.89% (22/45) and 4.35% (2/46) vs. 22.22% (10/45)], with statistical differences (χ²=5.233, 4.090, and 6.348; all P<0.05). After the intervention, the score of Delivery Coping Scale (CCB) in the observation group was higher than that in the control group [(51.23±5.84) vs. (46.72±4.29)], and the score of Generalized Anxiety Disorder (GAD-7) was lower than that in the control group [(10.05±2.83) vs. (12.57±3.46)], with statistical differences (t=4.191 and 3.807; both P<0.05). The nursing satisfaction of the observation group was higher than that of the control group [95.65% (44/46) vs. 77.78% (35/45)], with a statistical difference (χ²=6.348, P<0.05). Conclusion Continuous nursing service mode for women with scar uterus pregnancy not only increases the natural delivery rate and decreases the incidence of adverse delivery outcomes, but also improve their ability to cope with delivery and nursing satisfaction.

Key words:

Scar uterus, Cesarean section, Natural delivery, Satisfaction, Anxiety

岳亚萍夏文炎牛文芳.

护理连续性服务模式对瘢痕子宫再次妊娠产妇的应用及影响 [J]. 国际医药卫生导报, 2023, 29(6): 854-858.

Yue Yaping, Xia Wenyan, Niu Wenfang.

Continuous nursing service mode for pregnant women with scar uterus [J]. International Medicine and Health Guidance News, 2023, 29(6): 854-858.

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护理连续性服务模式对瘢痕子宫再次妊娠产妇的应用及影响

Continuous nursing service mode for pregnant women with scar uterus

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