摘要
目的 探讨聚焦解决模式配合改良预测评分在瘢痕子宫产妇中的应用价值。方法 前瞻性选取2020年1月—2022年12月就诊的瘢痕子宫产妇60例,按照随机数字表法分为研究组(n=30)和常规组(n=30),常规组给予常规护理干预,研究组在常规护理干预基础上给予聚焦解决模式配合改良预测评分,均干预至患者出院。比较2组患者再次分娩结局、平均产程、产后出血量、护理满意度、干预前和分娩前1 d情绪状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]及应对方式。结果 研究组经阴道分娩率83.33%(25/30)高于常规组60.00%(18/30)(P<0.05),分娩前1 d的SAS、消极应对和SDS评分低于常规组(P<0.05),积极应对评分高于常规组(P<0.05),平均产程短于常规组(P<0.05),产后出血量低于常规组(P<0.05),护理满意度高于常规组(P<0.05),差别均有统计学意义。结论 聚焦解决模式配合改良预测评分可提升瘢痕子宫再次分娩产妇阴道分娩率,缩短产程,减少术后出血量,减轻产妇负性情绪,调节产妇应对方式,提升产妇的护理满意度。
Objective To explore the application value of the focused solution model combined with improved predictive scores in the treatment of puerperae with scarred uterus.Methods Sixty cases of puerperae with scarred uterus attending the clinic from January 2020 to December 2022 were prospectively selected and divided into study group(n=30)and routine group(n=30)according to randomized numerical table method.The routine group was given routine nursing intervention and the study group was given focused solution model with improved predictive scores on the basis of routine nursing intervention,both interventions were given until the patients were discharged from the hospital.The outcome of re-delivery,average duration of labor,postpartum hemorrhage,nursing care satisfaction,and emotional state\and coping styles of the patients were compared between the two groups before the intervention and 1 day before delivery.Results The rate of transvaginal delivery in the study group was 83.33%(25/30)higher than 60.00%(18/30)in the conventional group(P<0.05);the scores of SAS,negative coping,and SDS 1 day before delivery were lower than those of the conventional group(P<0.05),and the scores of positive coping were higher than those of the conventional group(P<0.05);the average duration of labor was shorter than that of the conventional group(P<0.05),and the amount of postpartum hemorrhage was lower than that of the conventional group(P<0.05);nursing satisfaction was higher than that of the conventional group(P<0.05),and the differences were statistically significant.Conclusion Focused solution model combined with improved predictive scores can improve the vaginal delivery rate,shorten labor,reduce postoperative bleeding,reduce negative emotions,adjust coping styles,and improve maternal nursing satisfaction.
作者
叶肖云
罗国洪
李慧媚
YE Xiaoyun;LUO Guohong;LI Huimei(Department of Gynaecology and Obstetrics,Shipai Hospital of Dongguan City,Dongguan 523330,China)
出处
《福建医科大学学报》
2024年第4期271-275,共5页
Journal of Fujian Medical University
基金
东莞市社会发展科技项目(20211800902852)。
关键词
聚焦解决模式
改良预测评分
瘢痕子宫
分娩结局
应对方式
focused solution model
improved predictive scores
scarred uterus
delivery outcome
coping style
