摘要
目的在降低剖宫产术后感染及改善产妇生存质量中实施循证护理模式,以缓解产妇术后疼痛,并降低术后感染及不良反应的发生情况,从而改善产妇的生存质量。方法选取自2008年2月-2012年2月在妇产科住院行剖宫产术分娩的268例产妇,按照入院顺序随机分为两组,每组134例;对照组给予常规护理,观察组在对照组的基础上给予循证护理,观察两组产妇的术后不良反应的发生、术后感染率、术后疼痛情况、产妇的满意度。结果观察组产妇的不良反应发生率为12.41%、感染率为1.49%,对照组分别为23.13%、4.48%(P<0.05);观察组产妇疼痛缓解情况明显优于对照组(P<0.05)。结论循证护理模式可有效预防并发症的发生,降低术后感染率及不良反应发生率,缓解术后疼痛,改善产妇的生存质量,提高产妇及家属对护理工作的满意度。
OBJECTIVE To achieve the goal of alleviating maternal postoperative pain and reducing the occurrence of postoperative infections and adverse reactions through the implementation of evidence-based care model in reducing the cesarean postoperative infection and improving maternal quality of life, thereby improve the quality of maternal survival. METHODS A total of 268 puerpera with cesarean section from Feb. 2008 to Feb. 2012 in obstetrics and gynecology department in our hospital were selected, and were randomly divided into two groups in accordance with the order of admission, with 134 cases in each group. The control group was given conventional nursing while the observation group was given evidence-based nursing on the basis of the control group. The occurrence of postoperative adverse reactions, postoperative infection, postoperative pain, maternal satisfaction degrees were compared between the two groups. RESULTS The rate of adverse reaction in the observation group was 12.41 and the infection rate was 1.49%, which was significantly lower than 23.13% and 4.48% in the control group (P 〈0.05); the maternal pain relief of the observation group was significantly better than the control group (P〈0.05). CONCLUSION Evidence-based nursing model can be effective in preventing the occurrence of complica-tions, reducing the incidence of postoperative infections and adverse reactions, as well as postoperative pain relief and maternal life quality improvement, and at last improving maternal and family satisfaction to care work.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第23期5742-5743,5756,共3页
Chinese Journal of Nosocomiology
基金
海口市科技局基金项目(Y20120061)
关键词
循证护理
剖宫产
术后感染
生存质量
Evidence-based care
Cesarean
Postoperative infection
Quality of life