摘要
目的:探讨产后会阴伤口护理循证方案,为病人提供更安全、优质的护理。方法:应用循证护理的方法获取最佳实践证据,并将证据应用于本院产后病区产妇,分为证据应用前的基线审查、证据引入实践、证据应用后的再次审查3个阶段。比较护士会阴伤口观察执行率、会阴伤口疼痛冰敷、镇痛执行率及疼痛评分、会阴肿胀消肿时间、护士及产妇对会阴伤口护理掌握情况、产妇满意度。结果:护士会阴伤口观察执行率、轻度会阴伤口疼痛冰敷执行率及中度会阴伤口疼痛药物镇痛执行率由基线审查时的10.0%、0、30.8%分别提高到证据应用后的100.0%、61.9%、93.8%,差异有统计学意义(P<0.05);护士对会阴伤口护理的知识从基线审查时的(20.2±1.6)分提高到证据应用后再审查的(24.7±0.6)分,产妇对会阴伤口自我护理知识从基线审查时的(18.7±1.3)分提高到证据应用后再审查的(23.6±1.6)分,差异均有统计学意义(P<0.001);会阴肿胀消肿时间由基线审查时的(3.37±0.74)d提高到证据应用后再审查的(2.50±0.55),差异有统计学意义(P<0.05);证据应用后再审查产妇满意度较基线审查有所提高(P<0.05)。结论:通过循证护理方法可有效规范产后会阴伤口护理水平,提高产妇会阴伤口护理的能力。
Objective:To explore the evidence-based nursing scheme of postpartum perineal wound,so as to provide safer and better nursing for patients.Methods:The best practice evidences were obtained by evidence-based nursing and applied to puerpera in postpartum ward in our hospital,which was divided into three stages:baseline review before evidence application,practice after introduction evidence and re-examination after evidence application.The implementation rate of perineal wound observation,ice compress of perineal wound pain,analgesic implementation rate and pain score,time of perineal swelling and detumescence,score of perineal wound nursing mastered by nurses and puerpera,and satisfaction of puerpera were compared.Results:The implementation rates of perineal wound observation,ice dressing for mild perineal wound pain and drug analgesia for moderate perineal wound pain increased from 10.0%,0 and 30.8%at baseline to 100.0%,61.9%and 93.8%after evidence application,these differences were statistically significant(P<0.05).The nurses′knowledge of perineal wound care increased from 20.2±1.6 at baseline to 24.7±0.6 after evidence application,and the maternal′s self-care knowledge of perineal wound increased from 18.7±1.3 at baseline to 23.6±1.6 after evidence application,These differences were statistically significant(P<0.001);the time of reducing perineal swelling increased from 3.37±0.74 days at baseline to 2.50±0.55 days at re-examination.The difference was statistically significant(P<0.05);the maternal satisfaction during re-examination after evidence application was improved compared with that of the baseline examination(P<0.05).Conclusion:Evidence-based nursing can effectively regulate the nursing of perineal wound and improve the ability of perineal wound nursing in parturient women.
作者
郭晶晶
周立平
周宇恒
李志云
李雪然
庄幼青
GUO Jingjing;ZHOU Liping;ZHOU Yuheng;LI Zhiyun;LI Xueran;ZHUANG Youqing(Guangdong Maternal and Child Health Care Hospital,Guangdong 511400 China)
出处
《循证护理》
2021年第5期646-651,共6页
Chinese Evidence-Based Nursing
关键词
循证护理
产妇
产后
会阴伤口
护理
evidence-based nursing
postpartum perineal
in parturient women puerpera
perineal wound
nursing
