目的 探究人文关怀联合孕期健康教育对瘢痕子宫再次妊娠产妇的影响。方法 选择本院2019年6月—2020年6月收治的瘢痕子宫再次妊娠满37~41周,23~36岁、胎位正常、自然临产、没有合并内外科疾及产科并发症的产妇中,随机选择110例作为本次研究对象。采用随机数字表法分为观察组55例,采用人文关怀联合孕期健康教育护理;对照组55例,实行产前门诊产检、进行常规健康教育。观察比较两组健康知识评分、分娩结局、护理满意度。结果 观察组健康知识评分（85.51±7.62）分,对照组为（68.74±10.45）分,观察组高于对照组,差异有统计学意义（P<0.05）。观察组阴道分娩例数（34例）多于对照组（11例）,产后出血量（148.62±20.57） mL低于对照组（220.35±35.41） mL,新生儿Apgar评分（8.64±0.86）分高于对照组（7.17±0.92）分,差异有统计学意义（P<0.05）。观察组总满意度96.36%,对照组为83.64%,观察组高于对照组,差异有统计学意义（P<0.05）。结论 人文关怀联合孕期健康教育可提升瘢痕子宫再次妊娠孕妇健康知识知晓度,提升阴道分娩率,改善妊娠结局,提升护理服务满意度。
Objective To explore the effect of humanistic care combined with health education during pregnancy on repregnancy of women with scarred uterus. Methods From June 2019 to June 2020, a total of 110 cases of women with scarred uterus, 37-41 gestational weeks, aged 23 to 36 years, with a normal fetal position, spontaneous labor, and no complications of internal and surgical diseases or obstetric diseases were randomly selected as study subjects and divided into two groups by random number table. The observation group （55 cases） received humanistic care combined with health education during pregnancy, while the control group （55 cases） were subjected to prenatal out-patient examination and routine health education. Health knowledge score, delivery outcome, and nursing satisfaction were observed and compared between the two groups. Results The health knowledge score in the observation group （85.51±7.62） was higher than that in the control group （68.74±10.45） （P<0.05）. The observation group also showed more numbers of vaginal delivery （34 cases vs. 11 cases）, less postpartum blood loss [（148.62±20.57） mL vs. （220.35±35.41） mL], and higher Apgar score [（8.64±0.86） vs. （7.17±0.92）] than the control group （P<0.05）. The total satisfaction rate in the observation group （96.36%） was higher than that in the control group （83.64%） （P<0.05）. Conclusion Humanistic care combined with health education during pregnancy can improve the awareness of health knowledge, vaginal delivery rate, pregnancy outcome, and nursing satisfaction of repregnant women with scarred uterus.
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