骆立芳 陈祖俊

[摘要] 目的 在難产护理的过程中实施预见性护理干预，该种护理模式实施之后，调查和评价该种护理措施的临床护理效果、对并发症发生率的影响及其患者的护理满意度。方法 方便选择该院诊治的100例患者，均为经治疗的难产者，2017年1月—2017年9月为纳入时间，按照抓阄的方式分组，每组50例，抓到有标记的患者归类到研究组（实施预见性护理干预），没有抓到标记的患者归类到对照组（实施常规护理）；在不同护理措施结束之后，对组别之间的剖宫产率、并发症发生率、护理满意度评分及护理效果优良率进行观察和对比。结果 在数据差异对比中发现，存在突出性差异的观察指标有：组别之间的剖宫产率、并发症发生率、护理满意度评分及护理效果优良率，即所有观察指标均差异有统计学意义，且研究组在上述数据[指标分别为：46.00%、6.00%、（80.22±5.11）分、94.00%）]中有较大优势性，差异有统计学意义（P<0.05）。结论 在经治疗的难产患者中，应用预见性护理干预措施，能够降低剖宫产率和并发症发生率，还可以提高护理满意度评分及护理效果优良率，有实施价值。

[关键词] 预见性护理；难产；并发症；满意度

[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2018）02（a）-0163-03

Effect of Foreseeable Nursing Intervention in Dystocia Nursing and Its Effect on Complications and Satisfaction

LUO Li-fang， CHEN Zu-jun

Obstetrics and Gynecology Department， Jiyang County Traditional Chinese Medicine Hospital， Jiyang， Shandong Province， 251400 China

[Abstract] Objective This paper tries to implement the predictive nursing intervention in the process of dystocia nursing. After the implementation of the nursing model， the clinical nursing effect of the nursing care measures， the impact on the complication rate and the nursing satisfaction of the patients were investigated and evaluated. Methods A total of 100 patients in the hospital were conveniently selected， all of whom were treated for refractory labor. From January 2017 to September 2017， 50 cases for each group， they were included in the study and grouped according to the method of grasping. The marked patients were classified into research groups （nursing intervention）. Patients without any marked were classified into control group （routine nursing care）； after the end of different nursing measures， the rate of cesarean section， complication rate， nursing satisfaction score and nursing between groups， good and excellent rate were observed and compared. Results According to the comparison of data differences， there were prominent differences in the observation indicators： cesarean section rate， complication rate， nursing satisfaction score and nursing effect good rate between the groups， thats， all the observed indicators were different， and the research group in the above data of [indicators were： 46.00%， 6.00%， （80.22±5.11）points， 94.00%] had greater advantages，the difference was statistically significant（P<0.05）. Conclusion In the treatment of dystocia patients， the application of predictive nursing interventions can reduce the incidence of cesarean section and complications， but also can improve the nursing satisfaction score and nursing effect of excellent rate， with the implementation value.

[Key words] Predictive care； Dystocia； Complications； Satisfaction degree

难产是由于产妇或者胎儿等相关因素，而造成的缓慢性分娩过程，该种情况的发生极为不利于母婴健康，严重的患者甚至会直接导致母婴死亡[1-2]。在临床中，为了保证分娩安全，所以常会使用剖宫产的方式进行分娩，但是，剖宫产具有并发症较多且手术创伤性大等劣势，所以，产妇在产前或产后都会有不同程度的焦虑情绪出现，大大影响到了患者的生活质量水平。经过相关的医学研……