Effects of personalized comfort care combined with operating room safety management on stress response, maternal and fetal outcomes and service quality of primiparous women undergoing cesarean section after vaginal delivery
个性化舒适护理配合手术室安全管理对顺产转剖宫产初产妇应激反应、母婴结局及服务质量的影响

摘要

目的 探讨顺产转剖宫产初产妇开展个性化舒适护理配合手术室安全管理对其应激反应、母婴结局和服务质量的影响。方法 选取2023年9月至2024年8月顺产转剖宫产初产妇66例，随机数字表法对研究对象进行分组，分为观察组（个性化舒适护理配合手术室安全管理）和对照组（传统手术室护理）各33例，对比效果。结果 观察组应激反应指标水平、产后出血率均低于对照组（P<0.05），观察组新生儿1分钟Apgar评分、服务质量评分均高于对照组（P<0.05）。结论 个性化舒适护理配合手术室安全管理可有效减轻顺产转剖宫产初产妇的应激反应，改善母婴结局，提升服务质量，效果良好。

Abstract

Objective To explore the impact of personalized comfort care combined with operating room safety management on the stress response, maternal and infant outcomes, and service quality for first-time mothers who transition from vaginal delivery to cesarean section.
Methods A total of 66 first-time mothers who had a vaginal delivery followed by a cesarean section were selected between September 2023 and August 2024. They were randomly divided into an observation group (personalized comfort care combined with operating room safety management) and a control group (traditional operating room care), each consisting of 33 cases, to compare their effects.
Results The stress response indicators and postpartum hemorrhage rates in the observation group were lower than those in the control group (P<0.05). The newborns' 1-minute Apgar score and service quality scores in the observation group were higher than those in the control group (P<0.05).
Conclusion   Personalized comfort care combined with operating room safety management can effectively reduce the stress response in first-time mothers who transition from vaginal delivery to cesarean section, improve maternal and infant outcomes, and enhance service quality, with good results.