CAJ | 학술논문

目的：探讨健康教育干预对瘢痕子宫再次妊娠选择分娩方式的影响及效益。方法遵照前瞻性研究的实验设计原理，选择2008年7月至2011年7月海口市琼山区妇幼保健院产科收住的瘢痕子宫再次妊娠分娩患者208例为试验组，对试验组进行分娩前健康教育。随机抽取健康教育计划实施前的瘢痕子宫患者116例作为对照组，比较两组患者分娩方式选择的差异及其效益。并对试验组孕妇产不同分娩方法的效益作一比较。结果在实施健康教育干预后，试验组阴道试产率较对照组提高（26．44％vs．14．66％，χ2＝5．986，P＝0．014），阴道试产成功率高于对照组（81．82％vs．52．94％，χ2＝4．338，P＝0．037）。试验组中阴道分娩产妇与同期进行剖宫产妇比较，在产褥感染率、新生儿Apgar评分和体质量上，差异均无统计学意义（P＞0．05）；但阴道分娩产妇住院时间和住院费用均显著低于剖宫产产妇（P＜0．05）。结论健康教育干预可在一定程度上影响瘢痕子宫产妇再次妊娠分娩方式的选择倾向，提高阴道试产率和阴道试产成功率，减少住院时间，节省住院开支。
목적：탐토건강교육간예대반흔자궁재차임신선택분면방식적영향급효익。방법준조전첨성연구적실험설계원리，선택2008년7월지2011년7월해구시경산구부유보건원산과수주적반흔자궁재차임신분면환자208례위시험조，대시험조진행분면전건강교육。수궤추취건강교육계화실시전적반흔자궁환자116례작위대조조，비교량조환자분면방식선택적차이급기효익。병대시험조잉부산불동분면방법적효익작일비교。결과재실시건강교육간예후，시험조음도시산솔교대조조제고（26．44％vs．14．66％，χ2＝5．986，P＝0．014），음도시산성공솔고우대조조（81．82％vs．52．94％，χ2＝4．338，P＝0．037）。시험조중음도분면산부여동기진행부궁산부비교，재산욕감염솔、신생인Apgar평분화체질량상，차이균무통계학의의（P＞0．05）；단음도분면산부주원시간화주원비용균현저저우부궁산산부（P＜0．05）。결론건강교육간예가재일정정도상영향반흔자궁산부재차임신분면방식적선택경향，제고음도시산솔화음도시산성공솔，감소주원시간，절성주원개지。
Objective To investigate the influence of health education on re-pregnancy in patients with uterine scar .Methods A total of 208 patients with uterine scar and re-pregnancy were enrolled as experimental group and given health education before delivery ,and 116 pregnant women with uterine scar ,delivering before the implementa-tion of health education plan ,were enrolled as control group .The delivery options and relative factors were compared between the two groups .Results After the implementation of health education intervention ,vaginal delivery rate was significantly improved (26 .44% vs .14 .66% ,χ2 =5 .986 ,P=0 .014) ,and the successful vaginal delivery rate of experimental group was higher than control group (81 .82% vs .52 .94% ,χ2 =4 .338 ,P=0 .037) .The maternal infec-tion rates ,Apgar score and weight of neonatus in vaginal delivery group were not statistically different with cesarean section group (P>0 .05) ,but the length of hospital stay and charge of in-hospital treatment of vaginal delivery group were significantly lower (P<0 .05) .Conclusion Health education intervention could influence the choice of the de-livery mode in patients with uterine scar during re-pregnancy ,improve the successful vaginal delivery rate ,be helpful in reducing length of hospital stay and saving hospitalization expenses .