项彩和 张茜茜 杨成瑶

[摘要] 目的 分析围产期护理模式对瘢痕子宫产妇心理状态及妊娠结局的影响。 方法 选取我院2017年2月～2018年2月收治的160例瘢痕子宫患者，按数字表法随机分为对照组（n=80）和研究组（n=80），对照组患者采用常规护理模式进行护理，研究组患者采用围产期护理模式护理，观察两组患者妊娠结局、心理状态，并对两组患者护理满意度进行对比，做好记录进行分析。 结果 护理前两组患者的SAS、SDS评分比较，差异无统计学意义（P>0.05），护理后研究组患者的SAS、SDS评分明显低于对照组患者（P<0.05）；研究组患者的护理满意度显著高于对照组患者（P<0.05）；研究组患者剖宫产以及产钳助产比例明显低于对照组患者（P<0.05），自然分娩比例显著高于对照组患者（P<0.05）。 结论 围产期护理模式能够调整瘢痕子宫产妇的心理状态，对改善产妇妊娠结局有一定积极作用，值得在临床上推广和应用。

[关键词] 围产期护理；瘢痕子宫；心理状态；妊娠结局

[中图分类号] R473.71 [文献标识码] B [文章编号] 1673-9701（2018）25-0151-04

[Abstract] Objective To analyze the effect of perinatal nursing care model on mental status of couples with scarred uterus and maternal pregnancy outcomes. Methods A total of 160 patients with scarred uterus who were admitted to our hospital from February 2017 to February 2018 were selected. According to the number table method， they were randomly divided into control group （n=80） and study group （n=80）. Patients in the control group were given conventional nursing care model. Patients in the study group were given perinatal nursing care model. The pregnancy outcomes and mental status were observed in the two groups of patients， and the nursing satisfaction was compared between the two groups. The data were recorded for further analysis. Results There was no significant difference in SAS and SDS scores between the two groups before nursing （P>0.05）. The SAS and SDS scores in the study group after nursing were significantly lower than those in the control group（P<0.05）； the nursing satisfaction in the patients in the study group was significantly higher than that in the control group（P<0.05）； the proportion of Cesarean section and forceps delivery in the study group was significantly lower than that in the control group（P<0.05）. The proportion of spontaneous delivery was significantly higher than that in the control group（P<0.05）. Conclusion The perinatal nursing model can adjust the mental status of couples with scarred uterus. It has a certain positive effect on improving maternal pregnancy outcomes. It is worthy of promotion and adoption in clinical practice.

[Key words] Perinatal nursing care； Scarred uterus； Mental status； Pregnancy outcomes

随着社会经济的不断发展，人们的生活水平不断提高，医疗水平也随之提高。妊娠是女性患者的人生大事，关系到家庭和睦和整个社会的发展。随着生活质量的提高，产妇对分娩的要求不仅仅局限在医疗技术，同样需要做好配套护理工作[1]。常规护理模式已无法满足患者需求，围产期护理模式可以提高患者满意度，提高护理人员的护理态度和护理质量，为此围产期护理模式逐渐得到采用和推广。产妇在围产期的心理状态较为压抑，生理反應较为严重，产妇容易出现焦虑和抑郁心理，种种负面情绪会使患者在妊娠过程中产生不良反应，对妊娠结局产生不良影响[2]。围产期护理模式能够根据不同患者的围产期反应做出不同护理措施，提供相应的心理护理等缓解产妇的不良情绪，对妊娠结局有积极作用。为……