[摘 要]目的 探讨基于美学原则的切口护理模式对产妇切口愈合及瘢痕美观度的影响。方法 选取2022年9月-2023年6月于南京医科大学附属妇产医院/南京市妇幼保健院行剖宫产的106例初产妇作为研究对象，随机分为对照组和观察组，每组53例。对照组实施常规术后护理，观察组则予以基于美学原则的切口护理模式。比较两组瘢痕程度(Sawada临床评分)、手术瘢痕美观满意评分、瘢痕特征、美观护理自我效能以及护理满意度。结果 观察组Sawada临床评分总分低于对照组，且瘢痕颜色、瘢痕高度、瘢痕硬度、瘙痒程度和触痛感觉5个维度评分均低于对照组(P<0.05)；观察组瘢痕美观满意评分总分高于对照组，且瘢痕面积、高度、柔软度、血管分布、色素沉着、瘙痒、触痛7个维度评分均高于对照组(P<0.05)；观察组瘢痕宽度及厚度小于对照组(P<0.05)，而两组瘢痕长度比较，差异无统计学意义(P>0.05)；观察组美观护理自我效能总分高于对照组，且切口愈合知识、自我护理技能、症状识别、获取知识和心理应对5个维度评分均高于对照组(P<0.05)；观察组护理满意度为94.34%，高于对照组的81.13%(P<0.05)。结论 基于美学原则的切口护理模式可以提高剖宫产产妇切口美观度，促进切口愈合，提高护理满意度，以及改善初产妇的自我切口护理效能，值得临床应用。

    [关键词] 初产妇；剖宫产；美学原则；切口美观度；切口愈合

    [中图分类号] R473 [文献标识码] A [文章编号] 1004-4949(2024)14-0176-05

    Effect of Incision Nursing Mode Based on Aesthetic Principle on Incision Healing and Scar Aesthetics of Parturient Women

    DAI Min， JIAO Hang

    (Department of Obstetrics， Women’s Hospital of Nanjing Medical University/Nanjing Maternity and Child Health Care Hospital， Nanjing 210000， Jiangsu， China)

    [Abstract]Objective To explore the effect of incision nursing mode based on aesthetic principles on incision healing and scar aesthetics of parturients. Methods A total of 106 primiparas who underwent cesarean section in Women’s Hospital of Nanjing Medical University/Nanjing Maternity and Child Health Care Hospital from September 2022 to June 2023 were randomly divided into control group and observation group ......