陈淑瑜　黄丽梅　李彩芬　李彩红

【摘要】 目的：分析模擬手指护理干预对会阴裂伤产妇护理满意度及切口愈合时间的影响。方法：将2016年10月-2017年11月因会阴裂伤症状于本院进行治疗的92例产妇作为研究对象。采用随机数字表法将所有入选对象分为观察组与对照组，对照组予以常规护理，于会阴切开时穿戴无菌手套操作；观察组在常规护理基础上，使用模拟手指套对产妇会阴进行切开与缝合处理。对比两组产妇对护理服务的满意度、切口状况、愈合时间及疼痛程度的差异。结果：观察组产妇对护理服务总满意率显著高于对照组（P<0.05）；观察组切口暴露率、切口感染率均显著低于对照组（P<0.05）；两组产妇经产后护理，VAS疼痛评分均显著降低，观察组产后1、2、3 d VAS疼痛评分均显著低于对照组（P<0.05）；观察组切口愈合时间较对照组明显更短（P<0.05）。结论：临床中针对会阴裂伤产妇，在常规护理的基础上应用模拟手指护理干预可有效缓解产妇疼痛症状，改善其切口愈合时间，减少切口暴露与切口感染发生率，且该护理模式产妇满意度较高，有临床推广应用价值。

【关键词】 模拟手指护理； 会阴裂伤； 切口愈合； 护理满意度

Effect of Simulated Finger Nursing Intervention on Maternal Nursing Satisfaction and Wound Healing Time of Episiotomy/CHEN Shuyu，HUANG Limei，LI Caifen，et al.//Medical Innovation of China，2018，15（12）：085-088

【Abstract】 Objective：To analyze the effect of simulated finger nursing intervention on the nursing satisfaction of patients with episiotomy and incision healing.Method：From October 2016 to November 2017，92 maternal women treated by our hospital for symptoms of perineal laceration were selected as the study subjects.All subjects were divided into observation group and control group by random grouping method. The control group was given routine nursing and wearing sterile gloves during incision of perineal.On the basis of routine nursing，the observation group used the simulated finger sleeve to cut and suture the perineum of the parturient.The differences of satisfaction，incision status，healing time and pain degree of two groups of patients were compared.Result：The total satisfaction rate of nursing service in the observation group was significantly higher than that in the control group（P<0.05）.The exposure rate and incision infection rate in the observation group were significantly lower than those in the control group（P<0.05），VAS pain scores were significantly lower in the observation group than those in the control group（P<0.05）.The VAS pain scores of the observation group on the 1，2，3 day after delivery were significantly lower than those in the control group（P<0.05）.Conclusion：The clinical application for maternal perineal laceration，simulating finger nursing intervention can effectively alleviate pain symptoms on the basis of routine nursing，improve the wound healing time，reduce the incidence of incision infection and incision exposure，and the nursing mode of maternal satisfaction has higher clinical application value.

【Key words】 Simulated finger nursing； Perineum laceration； Incision healing； Nursing satisfaction

First-authors address：Shenzhen Longgang District Peoples Hospital，Shenzhen 518172，China

doi：10.3969/j.issn.1674-4985.2018.12.024

会阴侧切是针对阴道分娩困难产妇而采用的手术助产方式，该手术方式能有效缩短产妇分娩时间，并降低孕妇与新生儿出现风险的概率[1]。近期有相关学者报告称，会阴侧切手术虽对分娩困难的产妇有一定的助产作用，但部分产妇可能因会阴侧切操作方式不当或产妇自身原因导致会阴裂伤情况出现[2-3]。会阴裂伤症状出现不但会对产妇造成难以忍受的疼痛，还可能对其分娩结局产生影响。因而，临床中针对已出现会阴裂伤的产妇应采取针对性护理措施进行处理。从以往相关研究报道中，我们发现针对会阴裂伤产妇采用常规护理虽对切口愈合有一定促进作用，但效果并不显著，产妇仍有较大的切口感染风险[4]。近期，有学者研究报告称，针对会阴侧切术后会阴感染的产妇，在常规护理的基础上采用模拟手指护理干预有较为显著的效果[5-6]。……