安全護理在瘢痕子宮再次妊娠陰道分娩中的實施效果

[摘要] 目的 探討安全護理在瘢痕子宮再次妊娠陰道分娩中的實施效果。方法 整群選取該院產科2016年1—6月期間645例瘢痕子宮再次妊娠，其中陰道分娩產婦104例納入研究，按照隨機數字分配的原則分作兩組，其中參照組52例實施常規護理干預，實驗組52例在參照組的基礎上加強產程安全護理。對兩組產婦的出血量、住院時間以及護理滿意度情況進行記錄與分析。 結果 實驗組產婦的出血量為（251.7±36.5）mL，顯著少于參照組的（844.2±87.2）mL，t=9.544，P<0.05差異有統計學意義；實驗組產婦的住院時間為（4.1±1.4）d，顯著短于參照組的（5.8±1.8）d，t=3.467，P<0.05差異有統計學意義；實驗組產婦的護理滿意度為96.15%，顯著高于參照組的80.77%，χ2=4.035，P<0.05差異有統計學意義。結論 對瘢痕子宮再次妊娠陰道分娩產婦在常規護理的基礎上實施產程安全護理，不僅能提升產婦的陰道分娩成功率，還能減少出血量，減輕經濟負擔，利于提升臨床護理質量，值得臨床推廣應用。

[關鍵詞] 安全管理；瘢痕子宮；陰道分娩

[中圖分類號] R47 [文獻標識碼] A [文章編號] 1674-0742（2016）10（b）-0159-03

[Abstract] Objective To explore the safety nursing effect in scar uterus pregnancy vaginal delivery again. Methods Group select our hospital maternity from January 2016 to June 2016， 645 cases of scar uterus during pregnancy vagina childbirth puerpera included studies again， according to the principle of random number assigned into two groups， control group 52 cases through routine nursing intervention， the experimental group，52 cases in control group on the basis of strengthening nursing labor safety.On two groups of maternal vaginal delivery success rate， blood loss， hospital stay and nursing satisfaction for recording and analysis. Results Experimental maternal blood loss for （251.7±36.5）mL， significantly less than the control group （844.2±87.2）mL， t=9.544， P<0.05； Experimental maternal hospitalization time was （4.1±1.4）d， significantly shorter than the control group （5.8±1.8）d，t=3.467，P<0.05； The experimental group of maternal care satisfaction was 96.15%， significantly higher than that of control group 80.77%，χ2=4.035，P<0.05）. Conclusion Pregnancy again for scar uterus vaginal delivery women on the basis of conventional nursing labor safety nursing， not only can improve the success rate of vaginal delivery of maternal， still can reduce blood loss， reduce the economic burden， conducive to improving the quality of clinical nursing， worthy of clinical popularization and application.

[Key words] Safety management； Scar uterus； Vaginal delivery

剖宮產直接造成瘢痕子宮，通常對瘢痕子宮再次妊娠的孕婦而言，選擇再次剖宮產分娩的主要因素就是擔心子宮發生破裂，而通過陰道分娩則使得產科醫護工作人員面臨的護理難度更大，如何通過全面科學的安全護理保證整個產程的順利，避免該類產婦陰道分娩失敗顯得極為重要[1]。該院對2016年1—6月期間住院的瘢痕子宮再次妊娠陰道分娩產婦在常規護理的基礎上實施產程安全護理，取得了良好的護理效果，現報道如下。……