目的 了解剖宫产后再次妊娠孕妇经阴道分娩的意愿,为临床工作提供方向.方法 采用自行设计的调查表对168名剖宫产后再次妊娠孕妇经阴道分娩的意愿进行调查.结果 56.54％的剖宫产后再次妊娠孕妇非常不愿意经阴道分娩,不愿意的首要原因是担心试产失败.结论 剖宫产后再次妊娠孕妇不愿意经阴道分娩,对阴道分娩了解不足,提示医护人员要积极开展产前宣教和孕期体质指数控制,以利于经阴道分娩.

To probe into influence of specialized nursing inter-vention on postoperative quality of sexual life of cervical cancer patients in childbearing age.Methods:A total of 110 cases of cervical cancer patients in childbearing age in department of gynecology in our hospital from in January 2010 to in December 2012 were selected as the research objects, and the patients were randomly divided into intervention group and control group,the patients in intervention group received specialized nursing inter-vention,the patients in control group received routine nursing care.The brief index of sexual function for women and BISF W were used for a questionnaire survey,then to compare the quality of sexual life of patients between both groups before and after treatment and to analyze the influen-cing factors.Results:ostoperative quality of sexual life of cervical cancer patients in childbearing age was decreased significantly than that before the treatment (P<0.05);age,educational level,marital status,clinical stage and spouse’s attitude were the main factors of affecting the postoperative qual-ity of sexual life of cervical cancer patients in childbearing age;the frequen-cy of sexual life and sexual life satisfaction of patients in intervention group were higher than that in control group.Conclusion:Quality of sexual life of patients with cervical cancer in childbearing age after operation is signifi-cantly reduced and affected by many factors and the specialized nursing in-tervention can improve the quality of sexual life of patients with cervical cancer in childbearihy age after operation.

目的 探讨集体运动联合家庭跟进式干预对妊娠期糖尿病患者血糖控制效果和妊娠结局的影响.方法 将60例妊娠期糖尿病患者,按入院先后顺序分为干预组和对照组各30例.两组均给予常规护理,干预组在常规护理的基础上接受为期8周左右的集体运动联合家庭跟进式干预.结果 干预组干预后空腹血糖、餐后2h血糖与对照组比较,差异有统计学意义(均P＜0.01),干预组运动依从性好,新生儿呼吸窘迫综合征的发生率显著低于对照组(均P＜0.01).结论 集体运动联合家庭跟进式干预能有效降低孕妇血糖,减少新生儿并发症的发生,促进母婴健康.

[目的]探讨知信行模式干预对正常初产妇产褥期知识、行为的影响。[方法]将符合标准的100例初产妇随机分为实验组50例、对照组50例,实验组采用知信行模式进行健康教育,对照组采用常规教育方法,观察两组初产妇产后3d、出院时及产后3周相关知识掌握程度和健康行为。[结果]实验组出院时及产后3周相关知识掌握程度及健康行为均高于对照组(P<0.05或P<0.01)。[结论]采用知信行模式对正常初产妇进行健康教育,初产妇相关知识掌握全面,产褥期健康行为依从性增强。

>患者女,30岁,2009年11月行剖宫产术,产后予母乳喂养,2010年6月因腿部反复出现瘀斑于本院内科就诊。检查结果示,血红蛋白151 g/L(参考值110～150 g/L),纤维蛋白(FIB)1.6g/L(参考值2～4 g/L),考虑内科疾病;遂至当地三甲医院血液科就诊,复查纤维蛋白原2.1 g/L,考虑血管脆性大,嘱服用维生素C,多食蔬菜、水果,此时患者入睡困难,且早醒伴有午夜惊醒,自觉痛苦,误以为哺乳期夜间哺乳导

Objective To understand knowledge-attitude-practice of normal primiparas in puerperium and provide pertinent health education for them.Methods A survey was conducted with a self-designed knowledge-attitude-practice scale among 182 primiparas in puerperium.Results The scores of knowledge,attitude,practice in puerperium were 13.47±2.13(61.2%),54.20±3.08(63.8%),32.90±2.34(58.8%) respectively.Conclusion Normal primiparas lack adequate knowledge for puerperium.It is essential to guide them with knowledge-attitude-practice model for the complete recovery of primiparas.

为探讨产前健康宣教对产妇健康状况及孕产知识和行为的影响,2010年1～12月,本研究对在我院产前检查并准备在我院分娩的200名孕妇及其家属进行产前健康宣教,取得了良好的效果,现报道如下。

目的:分析护理程序在临床带教工作中的应用,探讨更好的临床授课形式。方法:选择2001年7月~2003年7月参加工作的应届生35人为对照组,按传统从理论到理论的经验式、直接面授的教育模式进行规范化培训;2004年7月~2006年7月参加工作的30人为实验组,按护理程序进行规范化培训。结果:从理论到理论的经验式、直接面授的教育模式效果不如新式的方式。结论:在年轻护士规范化培训中应用护理程序结合新颖的上课方式,可以激发护士的积极性,取得良好的效果。