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目的探讨胎膜早破患者臀部抬高依从性的影响因素。方法采用质性研究的方法,对10名胎膜早破且先露部尚未衔接或异常胎位的病人,深入访谈,采用Colaizzi的现象学资料七步分析法分析收集到的资料,详细了解影响臀部抬高依从性的因素。结果访谈资料经过一系列分析步骤后,提炼出4个主题,1对抬高臀部的重要性认知不足;2患者主观意识不舒适,体位下滑后,未及时纠正;3臀部抬高准确性低;4影响其他活动。针对四个影响因素提出相应的措施。结论臀部抬高是治疗胎膜早破患者的一项重要措施,提高胎膜早破患者臀部抬高的依从性,有效地保证卧床休息,抬高臀部,极大减少了对胎膜早破患者母儿的危害。
Objective To investigate the influencing factors of hip compliance in patients with premature rupture of membranes. Methods A qualitative study was conducted in 10 interviews with premature rupture of membranes and unplanned pregabalous or abnormal fetal position in-depth interviews with Colaizzi’s phenomenological data analysis by seven-step analysis of the data collected to understand in detail the impact on the buttocks Elevate compliance. Results After a series of analysis steps, the interview data were extracted four subjects, one on the importance of raising the hip cognitive deficiencies; 2 subjective awareness of patients uncomfortable, postural decline, did not promptly corrected; 3 the accuracy of hip elevation is low ; 4 affect other activities. According to the four influencing factors, we put forward corresponding measures. Conclusion Hip elevation is an important measure to treat patients with premature rupture of membranes and improve the compliance of hip uplift in patients with premature rupture of membranes, effectively ensuring bed rest and raising the buttocks, which greatly reduces the risk of premature rupture of membranes The harm of mother and child.