文章摘要
钟影.综合性护理干预措施在高龄产妇剖宫产分娩中的应用[J].安徽医药,2019,23(11):2262-2265.
综合性护理干预措施在高龄产妇剖宫产分娩中的应用
Application of comprehensive nursing intervention in cesarean section of elderly women
  
DOI:10.3969/j.issn.1009?6469.2019.11.038
中文关键词: 剖宫产术/护理  分娩疼痛  焦虑  催乳素  高龄产妇  综合性护理
英文关键词: Cesarean section/nursing  Labor pain  Prolactin  Maternal age  Comprehensive nursing
基金项目:海南省卫生计生委科研课题( 16A200053)
作者单位
钟影 海口市妇幼保健院手术室海南海口 570203 
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中文摘要:
      目的探讨综合性护理干预措施在高龄产妇剖宫产分娩中的应用效果。方法选取 2016年 6月至 2017年 7月在海口市妇幼保健院接受剖宫产分娩的 35岁以上高龄产妇 110例,采用随机数字表法分为对照组和观察组,每组各 55例,对照组高龄产妇行常规剖宫产护理流程,观察组对高龄产妇进行产前、中、后三个阶段相关生理和心理干预的综合性护理,比较两组产妇产后切口感染及分娩并发症发生情况,两组产妇护理干预前后的疼痛、焦虑自评量表( SAS)和抑郁自评量表( SDS)评分,两组产妇护理后泌乳量及血清 PRL水平,两组新生儿的 Apgar评分及并发症发生情况,以及两组产妇对护理的满意度。结果观察组产妇产后剖宫产切口感染率( 1.18%比 5.45%)及分娩并发症发生率( 3.62%比 12.69%)、产妇的疼痛、 SAS和 SDS评分、新生儿的并发症发生率( 1.81%比 12.73%)均低于对照组;观察组产妇护理后的泌乳量及血清催乳素( PRL)水平、产妇对护理的满意度( 89.09%比 65.45%)高于对照组,差异有统计学意义( P<0.05)。结论通过综合性护理干预的实施,能降低高龄产妇发生切口感染和分娩并发症,能降低产妇的疼痛感,缓解产妇焦虑、抑郁等不良情绪,提高产妇产后生活质量,能促进产妇分泌母乳量,保证新生儿营养需求,减少新生儿并发症的发生,可提高产妇对护理工作的满意度,值得临床推广应用。
英文摘要:
      Objective To explore the effect of comprehensive nursing intervention on cesarean section in elderly women.Methods From June 2016 to July 2017,110 cases of pregnant women over 35 years of age over the age of caesarean delivery in our hospitalwere randomly divided into the control group and the observation group,with 55 people in each group. And the control group of theelderly women were given the routine caesarean section nursing process in our hospital.The observation group had the related physi?ology and heart of the three stages before,during,and after the birth of the senior women.In the comprehensive nursing care,the postpartum incision infection and childbirth complications were compared between the two groups.The pain,SAS and SDS scores before and after the nursing intervention in the two groups,the amount of lactation and PRL in the two groups of parturients,the Apgar score of the two groups and the incidence of complications,and the nursing of the two groups of parturients.Satisfaction were compared. Results The infection rate of cesarean section and the incidence of complications,the pain of parturient,the SAS and SDS scores and the incidence of complications of the newborn were all lower than those of the control group.The level of serumPRL and the satisfaction of parturients to nursing were higher than those of the control group,with significant difference(P<0.05). Conclusion Through the implementation of comprehensive nursing intervention,the incidence of incisional infection and child? birth in the pregnant women were reduced,the pain of the parturient,the bad mood of maternal anxiety and depression were allevi? ated,the quality of puerpera’s postpartum life and the production of mother’s breast milk were improved,which guarantee the nutri?tional requirement of the newborn and reduce the complication of newborns.The occurrence of disease can improve maternal satis?faction with nursing work,which is worthy of clinical application.
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