安全护理在瘢痕子宫再次妊娠阴道分娩中的实施效果.docVIP

安全护理在瘢痕子宫再次妊娠阴道分娩中的实施效果 　　[摘要] 目的 探讨安全护理在瘢痕子宫再次妊娠阴道分娩中的实施效果。方法 整群选取该院产科2016年1―6月期间645例瘢痕子宫再次妊娠，其中阴道分娩产妇104例纳入研究，按照随机数字分配的原则分作两组，其中参照组52例实施常规护理干预，实验组52例在参照组的基础上加强产程安全护理。对两组产妇的出血量、住院时间以及护理满意度情况进行记录与分析。 结果 实验组产妇的出血量为（251.7±36.5）mL，显著少于参照组的（844.2±87.2）mL，t=9.544，P0.05差异有统计学意义；实验组产妇的住院时间为（4.1±1.4）d，显著短于参照组的（5.8±1.8）d，t=3.467，P0.05差异有统计学意义；实验组产妇的护理满意度为96.15%，显著高于参照组的80.77%，χ2=4.035，P0.05差异有统计学意义。结论 对瘢痕子宫再次妊娠阴道分娩产妇在常规护理的基础上实施产程安全护理，不仅能提升产妇的阴道分娩成功率，还能减少出血量，减轻经济负担，利于提升临床护理质量，值得临床推广应用。 　　[关键词] 安全管理；瘢痕子宫；阴道分娩 　　[中图分类号] R47 [文献标识码] A [文章编号] 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， P0.05； Experimental maternal hospitalization time was （4.1±1.4）d， significantly shorter than the control group （5.8±1.8）d，t=3.467，P0.05； The experimental group of maternal care satisfaction was 96.15%， significantly higher than that of control group 80.77%，χ2=4.035，P0.05）. 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