人性化护理干预在剖宫产手术中的应用效果评价

焦福艳

[摘要] 目的 评价人性化护理干预在剖宫产手术中的应用效果。 方法 选取2016年1月～2017年1月在我院行剖宫产手术的200例产妇作为研究对象，采用随机数字表法随机分为两组。对照组予常规护理，干预组予围术期实施人性化护理，对两组产妇的焦虑心理、疼痛程度及护理满意度进行评价。 结果 经配对t检验显示，干预前两组患者的SAS、VAS评分比较，差异无统计学意义（P>0.05）；干预后，两组患者的SAS、VAS评分均明显降低，且干预组显著低于对照组，差异有统计学意义（P<0.05）。经χ2检验显示，干预组的护理满意度显著高于对照组，差异有统计学意义（P<0.05）。 结论 于剖宫产手术围术期实施人性化护理，具有患者痛苦少、护理满意度高等优点，显著减轻了患者的焦虑心理，提高了护理质量及改善了医患关系。

[关键词] 剖宫产手术；人性化护理；SAS；VAS；护理满意度

[中图分类号] R472；R71 [文献标识码] B [文章编号] 1673-9701（2017）34-0139-03

Application effect evaluation of humanized nursing intervention in caesarean operation

JIAO Fuyan

Department of Obstetrics and Gynecology， Shengli Petroleum Administration Bureau Maternal and Child Health Hospital， Dongying 257097， China

[Abstract] Objective To evaluate the application effect of humanized nursing intervention in cesarean section. Methods A totlal of 200 maternal women who underwent caesarean operation in our hospital from January 2016 to January 2017 were selected as research objects. The patients were divided into two groups using random number table method. The control group was given routine nursing. The intervention group was given humanized nursing in perioperative period. The anxiety， the degree of pain and nursing satisfaction of maternal women in the two groups were evaluated. Results The paired t-test showed that there were no significant differences in SAS and VAS scores between the two groups before intervention（P>0.05）， and SAS and VAS scores of the two groups were significantly decreased after intervention， and the intervention group was significantly lower than the control group， and there was significant difference between the two groups（P<0.05）. The χ2 test showed that the nursing satisfaction of the intervention group was significantly higher than that of the control group， and there was significant difference between the two groups（P<0.05）. Conclusion The implementation of humane nursing in cesarean section during perioperative period has the advantages of less patient pain and higher nursing satisfaction， which significantly reduces the patient's anxiety， improves the nursing quality and the doctor-patient relationship.

[Key words] Cesarean operation； Humanized care； SAS； VAS； Nursing satisfaction

剖宮产术是临床常用的分娩方式之一，近年来比率逐年升高。行剖宫产术时产妇由于对手术不了解，易产生焦虑、紧张、恐惧等不良心理，从而影响手术效果、甚至分娩结局。随着生物-医学模式的不断转变， 以人为本的人性化护理模式在临床护理工作中发挥了重要作用。人性化护理建立在以人为本的理念基础上，强调以人为中心，将“人性化” 融入护理工作的过程中，满足了患者的生理、心理要求，对于改善护患关系、提高护理质量具有重要作用[1-2]。本研究旨在探讨人性化护理干预在剖宫产手术中的应用效果，现报道如下。endprint

1 资料与方法

1.1 一般资料

选取2016年1月～2017年1月在我院行剖宫产手术的200例产妇作为研究对象，排除精神疾病、意识障碍者以及心肺、肝肾功能不全者。年龄19～43岁，平均（29.8±3.2）岁；初产妇162例，经产妇38例；孕周37～42周，平均（38.7±6.8）周；文化程度：初中及以下32例，高中及中专112例、大专及以上56例。所有……