秦安敏 刘思丽 魏诗雨

[摘要] 目的 观察全程无缝护理在初产妇产后并发症预防中的应用效果。 方法 选取2018年3月至2019年3月在我院分娩的86例初产妇进行本研究，随机分为参照组（n=46）和观察组（n=40），参照组采用常规护理，观察组采用全程无缝护理，比较两组并发症发生情况及相关指标情况。 结果 护理后参照组并发症总发生率为34.78%，观察组并发症总发生率为12.50%，差异有统计学意义（P<0.05）;观察组焦虑评分为（19.25±3.72）分、抑郁评分为（16.73±2.81）分、疼痛程度評分为（2.09±0.38）分、平均住院时间为（7.31±2.04）d，上述指标均低于参照组，差异有统计学意义（P<0.05）;观察组护理满意率为（89.35±5.61）%，高于参照组，差异有统计学意义（P<0.05）。 结论 为初产妇提供全程无缝护理可较好预防产后并发症，相关指标良好，初产妇产后更安全，值得推广使用。

[关键词] 全程无缝护理;初产妇;产后并发症;预防;焦虑;抑郁

[Abstract] Objective To observe the application efficacy of whole process seamless nursing in preventing postpartum complications of primiparas. Methods A total of 86 primiparas who delivered in our hospital from March 2018 to March 2019 were selected and randomly divided into the reference group（n=46） and the observation group（n=40）. The reference group was given routine nursing， and the observation group was given seamless nursing. The incidence of complications and related indicators of the two groups were compared. Results After nursing， the total incidence of complications in the control group was 34.78%， while that in the observation group was 12.50%， and the difference was statistically significant（P<0.05）. The scores of anxieties was（19.25±3.72） points， depression was（16.73±2.81） points， pain degree was（2.09±0.38） points and average hospitalization time was（7.31±2.04） days in the observation group. The above indexes in the observation group were lower than those in the control group， and the difference was statistically significant（P<0.05）. The nursing satisfaction rate of the observation group was（89.35±5.61） % higher than that of the control group， and the difference was statistically significant（P<0.05）. Conclusion The whole process seamless nursing for primipara can better prevent postpartum complications， the related indexes are good， primiparas are safer after childbirth， and it is worthy of wide application.

[Key words] Whole process seamless nursing; Primipara; Postpartum complication; Prevention; Anxiety; Depression

首次分娩容易发生较多状况，产妇的心理和机体状况对分娩过程均会造成影响，产妇产后常出现出血、抑郁等情况，对初产妇产后恢复造成影响[1]，故护理压力大，常规护理多用健康宣教等，护理指导内容较传统，未能掌握每位初产妇的情况，护理风险未降[2]。如果临床未能正视常规护理中的问题，初产妇整个分娩过程较痛苦，身心俱疲。若能改用全程无缝护理，能有效预估初产妇产后并发症，可提前预防，让产妇顺利恢复，保障相关指标，现报道如下。

1 资料和方法

1.1 一般资料

选取2018年3月至2019年3月在我院分娩的86例初产妇进行本研究，随机分为参照组（n=46）和观察组（n=40）。纳入标准[3]：所有产妇均为单胎、首次分娩，自愿签署知情同意书，经医院医学伦理委员会审批。排除标准[4]：严重疾病、不足月分娩、精神异常等。两组均为女性，参照组平均年龄（28.46±3.29）岁，平均孕龄（39.15±0.41）周;观察组平均年龄（28.57±3.16）岁，平均孕龄（39.24±0.52）周。两组一般资料比较，差异无统计学意义（P>0.05），具有可比性。