文安笑 周丽华

[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（P<0.05）；且剖宫产率显著低于甲组（P<0.05）。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（P<0.05）。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（P<0.05）。 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（P<0.05）.Cesarean section rate of group B was lower than that of group A（P<0.05）.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 （P<0.05）.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（P<0.05）. Conclusion For maternal pregnancy again with clinical scar uterus，system health education can enhance rate of vaginal delivery and improve outcomes of maternal and child.

[Key words] Scar uterus；Pregnancy again；Health education

近些年来，伴随子宫病变概率的逐步升高与剖宫产技术在临床上的广泛应用，瘢痕子宫孕产妇也越来越多，并引起了医院的重点关注。“瘢痕子宫”即子宫上存在较大瘢痕，一般女性在行剖宫产术、子宫肌瘤剔除术与子宫破裂修复术等手术后就会成为瘢痕子宫[1]。瘢痕子宫孕产妇在怀孕期间易出现子宫破裂出血，或引发宫外孕情况，对母婴健康带来极大影响。为此，进一步强化对瘢痕子宫再次妊娠孕产妇的护理干预，显得尤为必要，对确保母婴健康有不可忽视的作用。基于此，我院对收治的瘢痕子宫再次妊娠孕产妇实施健康教育干预，取得较好效果，现报告如下。

1 资料与方法

1.1 一般资料

抽选我院于2014年4月～2015年3月收治的132例瘢痕子宫再次妊娠孕产妇作为观察对象。纳入标准：存在1次剖宫产史；上次剖宫产术切口为子宫下段横切口；上次剖宫产后无术后感染情况；均经医院伦理委员会审核通过，且所有患者均签署了知情同意书。……