摘要
目的探究循证护理模式在产科中的应用效果,并指导临床实践应用。方法选取2016年1～12月我院接受常规护理的804例产妇与2017年1～12月我院接受循证护理的产妇共862例。比较两组产妇的产程、产后出血情况比较、新生儿Apgar 8～10分婴儿比例和护理的满意度比较。结果循证护理组产妇第一产程(91.41±10.42)min、第二产程(30.84±5.72)min和总产程(121.21±12.08)min均较常规护理组明显缩短,差异有统计学意义(P <0.05);自然分娩产妇中,循证护理组24h出血量> 500mL的产妇共6例,占1.04%,显著低于常规护理组顺产产妇的比例(3.80%),差异有统计学意义(P <0.05);而剖宫产妇中,循证护理组中产后出血的发生率为8.39%,与常规护理组(10.79%)比较,差异无统计学意义(P> 0.05);循证护理组患者中对护理工作的满意率为94.55%,显著高于常规护理组,差异有统计学意义(P <0.05)。结论循证护理可以显著缩短顺产的产程,降低顺产产后出血概率,且患者满意度较高,值得临床推广应用。
Objective To explore the application effect of evidence-based nursing mode in clinical practice of department of obstetricsand to guide clinical practice. Methods 862 parturient women who were given routine nursing from January 2016 to December 2016 and 862 parturient women who were givenevidence-based nursing mode in our hospital from January 2017 to December 2017 were selected.The maternal labor,postpartum hemorrhage,proportion of infants with Apgar 8-10 points and nursing satisfaction were compared between the two groups. Results The first stage of labor,the second stage of labor,and the total laborin the evidence-based nursing groupwere respectively (91.41±10.42)min,(30.84±5.72)min and (121.21±12.08)min,significantly shorter than in the routine nursing group. The difference was statistically significant (P < 0.05).Among parturient women with natural delivery,there were 6 parturient women with blood loss less than 500ml in the evidence-based nursing group within 24h,accounting for 1.04%,which was significantly lower than the proportion of parturient women with natural delivery in the routine nursing group (3.80%).The difference wasstatistically significant (P < 0.05).Among the cesarean section women,the incidence of postpartum hemorrhage in the evidence-based nursing group was 8.39%,which was not significantly different from that of the routine nursing group (10.79%),(P > 0.05).The nursing satisfaction rate of patients in the evidence-based nursing group was 94.55%,which was significantly higher than that in the routine nursing group,and the difference was statistically significant (P < 0.05). Conclusion Evidence-based nursingcan significantly shorten the labor process of delivery and reduce the probability of postpartum hemorrhage,and the patients’ satisfaction is relatively high.It is worthy of clinical promotion and application.
作者
李洁益
陈桓媛
LI Jieyi;CHEN Huanyuan(Department of Obstetrics and Gynecology,Yangjiang People's Hospital,Yangjiang 529500,China)
出处
《中国医药科学》
2019年第8期140-142,共3页
China Medicine And Pharmacy
关键词
循证护理
产科
剖宫产
产后出血
Evidence-based nursing
Department of obstetrics
Cesarean section
Postpartum hemorrhage
