薛志萍

[摘要] 目的 探究人文护理和体位改变联合对疤痕子宫阴道分娩的影响。方法 方便选取该院2015年1月—2017年1月收治的102例疤痕子宫孕妇出现胎位异常后成功阴道试产的临床资料进行分析，将其随机分为分成对照组（51例）与研究组（51例），其中對照组行体位改变护理，研究组于对照组基础上结合人文护理，比较两组心理状态、分娩情况与护理满意度。 结果 研究组精神病性（15.39±3.28）分、抑郁（26.41±5.22）分、偏执（14.26±2.09）分、焦虑（20.18±3.21）分，均较对照组低（P<0.05）；研究组新生儿Apgar评分（9.41±0.59）分、产程出血量（120.03±29.97）mL及产程时间（8.44±2.76）h均优于对照组（P<0.05）；研究组护理满意度评分（91.55±2.37）分显著高于对照组（P<0.05）。结论 疤痕子宫阴道分娩采取人文护理与体位改变干预，有助于产妇心理状态改善，分娩结局优化，具推广价值。

[关键词] 体位改变；人文护理；疤痕子宫阴道分娩

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）05（b）-0141-03

[Abstract] Objective To study the effect of humanistic nursing and body changes on the scar uterine vaginal delivery. Methods 102 cases of scar uterine delivery women with successful trial of labor after the abnormal fetal position admitted and treated in our hospital from January 2015 to January 2017 were convenient selected and randomly divided into two groups with 51 cases in each， the control group adopted the position change nursing， while the research group adopted the humanistic nursing on the basis of the control group， and the mental state， delivery situation and nursing satisfactory degree were compared between the two groups. Results The mental disease， depression， stubborn and anxiety scores in the research group were respectively （15.39±3.28）points， （26.41±5.22）points， （14.26±2.09）points and （20.18±3.21）points， which were lower than those in the control group（P<0.05）， and the Apgar score in newborns， bleeding amount of labor course and labor course time in the research group were respectively （9.41±0.59）points， （120.03±29.97）mL and （8.44±2.76）h， which were better than those in the control group（P<0.05）， and the nursing satisfactory degree in the research group was （91.55±2.37）points， which was higher than that in the control group（P<0.05）. Conclusion The humanistic nursing and position change intervention for scar uterine vaginal delivery contributes to the improvement of mental state of delivery women and optimize the delivery outcome， which is of promotion value.

[Key words] Position change； Humanistic nursing； Scar uterine vaginal delivery

近年来，随着现代科技不断发展，医疗技术水平进步，医疗设备不断更新以及生育观念的转变，剖宫产术分娩者逐年升高，从而导致疤痕子宫产妇增多[1-2]。我国二胎政策开放，使得疤痕子宫再次妊娠分娩率大幅度提高，而产妇由于受到传统观念、疼痛、心理等因素影响，导致产妇阴道分娩质量受到一定影响[3]。为改善妊娠结局，减少剖宫产术带来的并发症，临床常予以护理干预。该研究为明确疤痕子宫产妇出现胎位异常后进行人文护理与体位改变对其分娩情况与产后并发症等的影响，该院针对性方便选取2015年1月—2017年1月收治的102例成功阴道分娩的产妇资料予以分析，现报道如下。

1 资料与方法

1.1 一般资料

方便选取该院收治的102例疤痕子宫孕妇于阴道试产发生胎位异常患者资料分析，随机分为分成对照组（51例）与研究组（51例）。对照组年龄26～40岁，平均（32.41±3.18）岁；体重62～75 kg，平均（68.32±2.68）kg；……