健康教育干预对瘢痕子宫再次妊娠的影响.docVIP

健康教育干预对瘢痕子宫再次妊娠的影响 　　[摘要] 目的 探讨健康教育干预在临床瘢痕子宫再次妊娠孕产妇护理中的应用与效果。 方法 采用随机数字表法将2014年4月～2015年3月于我院产检、分娩的132例瘢痕子宫再次妊娠孕产妇分成甲、乙组，各66例，分别给予其常规护理与健康教育干预，观察两组护理结果。 结果 经系统健康宣教后，乙组阴道试产率为63.63%，与甲组的37.88%比较差异有统计学意义（P0.05）；且剖宫产率显著低于甲组（P0.05）。乙组产妇出血量、新生儿Apgar评分、住院时间、住院费用、新生儿体重均显著优于甲组（P0.05）。甲、乙组产褥感染率与护理满意度分别为22.73%、78.79% vs 7.58%、96.97%，两组比较差异有统计学意义（P0.05）。 结论 健康教育干预可提升临床瘢痕子宫再次妊娠孕产妇阴道分娩率，改善母婴结局。 　　[关键词] 瘢痕子宫；再妊娠；健康教育 　　[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2016）02（b）-0183-03 　　Impact of health education intervention in maternal pregnancy again with scar uterus 　　WEN An-xiao ZHOU Li-hua 　　Department of Obstetrics，Songgang People′s Hospital of Baoan District in Shenzhen City，Shenzhen 518105，China 　　[Abstract] Objective To explore the application and effects of health education intervention in maternal pregnancy care again with clinical scar uterus. Methods 132 maternal pregnancy again with clinical scar uterus of our hospital from April 2014 to March 2015 were divided into group A and group B according to number random method，and each group was 66 cases.Patients of two groups were given routine nursing and health education intervention respectively.The nursing effects of two groups were observed. Results After system health education，vaginal trial production rate in group B was 63.63%，which was 37.88% in group A，and there was statistical significance between two groups（P0.05）.Cesarean section rate of group B was lower than that of group A（P0.05）.Puerperal bleeding volume，newborns Apgar score，hospital stay，hospitalization expense and newborns weight in group B was obvious better than that of group A respectively （P0.05）.The rate of postpartum infections and nursing satisfaction between group A and group B was respectively 22.73%，78.79% and 7.58%，96.97%，and the difference was statistical significance（P0.05）. Conclusion For maternal pregnancy again with clinical scar uterus，system health education can enhance rate of vaginal delivery and improve outcomes of maternal and