延续性护理服务在高龄剖宫产产妇中的应用

　　【摘要】 目的 探析延续性护理服务在高龄剖宫产产妇中的应用效果。方法 150例院行剖宫产手术的高龄产妇作为研究对象， 采用随机分配原则分为对照组与观察组， 每组75例。对照组产妇出院时对其进行常规出院指导， 观察组产妇实施出院后延续性护理服务。对两组的临床干预效果进行比较。结果 观察组产妇出院后乳房胀痛、乳头皲裂及乳头凹陷发生率分别为2.67%、1.33%、2.67%， 均明显低于对照组的10.67%、9.33%、12.00%， 差异均具有统计学意义（P<0.05）。观察组产妇对新生儿护理和母乳喂养知识的掌握率分别为96.00%、97.33%， 均高于对照组的85.33%、84.00%， 差异均具有统计学意义（P<0.05）。观察组产妇对医院护理工作的满意度评分为（58.46±2.36）分， 高于对照组的（41.15±2.74）分， 差异具有统计学意义（P<0.05）。结论 高龄剖宫产产妇出院后接受延续性护理服务， 可改善产妇乳房不健康情况， 提升产妇对喂养和新生儿护理相关知识的知晓率， 同时可以提升产妇对医院护理工作的满意度， 有利于护理工作的顺利开展。
　　【关键词】 延续性护理服务;剖宫产产妇;高龄;效果
　　DOI：10.14163/j.cnki.11-5547/r.2018.12.089
　　【Abstract】 Objective To investigate and analyze the application effect of continuous nursing service in senile puerpera with cesarean section. Methods A total of 150 senile puerpera with cesarean section as study subjects were randomly divided into control group and observation group， with 75 cases in each group. The control group received routine discharge guidance， and the observation group received continuous nursing service after discharge. The clinical intervention effect between the two groups was compared. Results The observation group had obviously lower incidence of breast distention， chapped nipple and nipple depression after discharge respectively as 2.67%， 1.33% and 2.67% than 10.67%， 9.33% and 12.00% in the control group， and their difference was statistically significant （P<0.05）. The observation group had higher maternal knowledge of newborn nursing and breastfeeding rate respectively as 96.00% and 97.33% than 85.33% and 84.00% in the control group， and their difference was statistically significant （P<0.05）. The observation group had higher maternal satisfaction on hospital nursing work score as （58.46±2.36） points than （41.15±2.74） points in the control group， and their difference was statistically significant （P<0.05）. Conclusion Application of continuous nursing service for senile puerpera with cesarean section after discharged can improve maternal breast health， maternal knowledge of newborn nursing and breastfeeding rate， and maternal satisfaction with hospital nursing. It is conducive to the smooth development of nursing work.
　　【Key words】 Continuous nursing service; Puerpera with cesarean section; Senile; Effect
　　隨着生活节奏加快和二胎政策的开放， 高龄产妇的数量不断增加， 产妇高龄化会增加分娩的难度和危险性， 同时也会对婴儿造成不同程度的影响。大多数高龄产妇均接受剖宫产手术， 术后容易并发多种并发症， 对其实施针对性护理尤为重要[1， 2]。但产妇在医院的住院时间短， 院外护理方面则需要运用延续性护理服务模式。为研究延续性护理服务的应用价值， 本文以于本院行剖宫产手术的150例高龄产妇作为研究对象， 通过随机对照的方式进行探究和评价， 具体报告如下。

相关热词搜索：延续性 产妇 高龄 护理 剖宫产