摘要
目的探讨全程无缝隙护理模式在会阴侧切产妇中的应用效果。方法选择2016年2月至2019年2月我院接诊的初产妇120例,采用随机数字表法分为无缝隙组和对照组各60例,对照组采用常规护理模式,无缝隙组采用全程无缝隙护理模式,比较两组产妇护理前后心理状态、会阴疼痛程度、切口愈合程度、总产程时间、排气时间、泌乳时间及护理满意度。结果两组产妇护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较之前显著降低(P<0.05),且无缝隙组降低幅度大于对照组(P<0.05);无缝隙组产后48 h会阴疼痛程度轻于对照组,切口愈合程度优于对照组,总产程时间、排气时间、泌乳时间均短于对照组(P<0.05);无缝隙组产妇护理满意度(95.00%)高于对照组(73.33%)(P<0.05)。结论全程无缝隙护理模式能有效改善会阴侧切产妇的心理状态,减轻产后会阴疼痛程度,促进切口愈合,提高产妇和护理满意度。
Objective To explore the application effects of whole seamless nursing model in puerperae with perineotomy.Methods A total of 120 primiparaes who were admitted to our hospital from February 2016 to February 2019 were selected and divided into seamless group and control group,60 in each group.The control group was given routine nursing model,and the seamless group was given whole course seamless nursing model.The psychological status,perineal pain degree,wound healing degree,total stage of labor,exhaust time,lactation time and nursing satisfaction were compared between the two groups before and after nursing.Results The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the two groups were significantly decreased after nursing(P<0.05),and the decreases in the seamless group were greater than those in the control group(P<0.05).The perineal pain degree in the seamless group after 48 h of delivery was significantly milder than that in the control group(P<0.05).The wound healing degree in the seamless group was significantly better than that in the control group(P<0.05).The total stage of labor,exhaust time and lactation time in the seamless group were shorter than those in the control group(P<0.05).The nursing satisfaction in the seamless group was slightly higher than that in the control group(95.00%vs.73.33%)(P<0.05).Conclusion The whole course seamless nursing model can effectively improve the psychological status of puerperae with perineotomy,reduce the perineal pain degree after delivery,promote the wound healing,and improve the maternal and nursing satisfaction.
作者
龙会艳
董咏梅
LONG Hui-yan;DONG Yong-mei(Department of Obstetrics and Gynecology,Maternal and Child Health Hospital,Pidu District,Chengdu 611730,China;Department of Obstetrics and Gynecology,Chengdu Fifth People's Hospital,Chengdu 611130,China)
出处
《实用医院临床杂志》
2020年第3期178-181,共4页
Practical Journal of Clinical Medicine
