摘要
目的探讨预见性护理对剖宫产瘢痕部位妊娠围术期并发症的干预效果。方法选取自2016年7月~2018年12月我院接诊的134例剖宫产瘢痕部位妊娠产妇为研究对象。按照随机数字表法将产妇分为对照组(n=67)和研究组(n=67)。对照组产妇予以常规传统护理,研究组产妇予以预见性护理。观察比较两组产妇临床指标、并发症情况以及护理满意度。结果研究组产妇术中出血量(201.19±12.43)mL明显少于对照组(310.55±16.52)mL,研究组产妇住院时间、肛门排气时间、初次母乳喂养时间[(7.46±2.47)d、(14.61±3.60)h、(15.38±2.57)h]均明显短于对照组[(11.78±3.61)d、(24.48±5.61)h、(25.76±4.64)h],差异有统计学意义(P<0.05);研究组产妇术中并发症发生率(5.97%)明显低于对照组(25.37%),差异有统计学意义(P<0.05);研究组产妇术后并发症发生率(8.95%)明显低于对照组(25.38%),差异有统计学意义(P<0.05);研究组产妇护理满意度(94.03%)明显高于对照组(82.09%),差异有统计学意义(P<0.05)。结论对剖宫产瘢痕部位妊娠产妇予以围术期预见性护理效果满意,减少产妇术中出血量,缩短手术时间和初次母乳喂养时间。有效降低产妇术中、术后并发症发生率,进一步提高产妇对护理的满意度,值得各地医院推广。
Objective To investigate the effect of predictive nursing on perioperative complications of cesarean section scar pregnancy.Methods A total of 134 pregnant women with cesarean section scars who were admitted to our hospital from July 2016 to December 2018 were enrolled.Maternal women were divided into control group(n=67)and study group(n=67)according to the random number table method.The pregnant women in the control group were given routine traditional care,and the maternal women in the study group were given predictive nursing.The clinical indicators,complications and nursing satisfaction of the two groups were observed and compared.Results The intraoperative blood loss(201.19±12.43)mL in the study group was significantly less than that of the control group(310.55±16.52)mL.The maternal hospitalization time,anal exhaust time,and initial breastfeeding time in the study group[(7.46±2.47)d,(14.61±3.60)h,(15.38±2.57)h]were significantly shorter than those of the control group[(11.78±3.61)d,(24.48±5.61)h,(25.76±4.64)h],and the difference was statistically significant(P<0.05).The incidence of intraoperative complications in the study group(5.97%)was significantly lower than that in the control group(25.37%),and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the study group(8.95%)was significantly lower than that of the control group(25.38%),and the difference was statistically significant(P<0.05).The maternal satisfaction with nursing(94.03%)in the study group was significantly higher than that of the control group(82.09%),and the difference was statistically significant(P<0.05).Conclusion The perioperative predictive nursing for pregnant women with cesarean section scars has satisfactory results,which can reduce the amount of bleeding during maternal surgery,shorten the operation time and initial breastfeeding time.And it can effectively reduce the incidence of complications during and after surgery,and further improve maternal satisfaction with nursing.It
作者
包倩倩
柴泽英
崔娅滢
BAO Qianqian;CHAI Zeying;CUI Yaying(Operating Room,Taizhou Hospital in Zhejiang Province,Taizhou 317000,China;Department of Gynecology,Taizhou Hospital in Zhejiang Province,Taizhou 317000,China)
出处
《中国现代医生》
2020年第22期166-169,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2019KY778)。
关键词
瘢痕部位妊娠
剖宫产
预见性护理
围术期
并发症
Scar pregnancy
Cesarean
Predictive nursing
Perioperative period
Complications
