摘要
目的 分析护理风险管理对瘢痕子宫患者护理质量的影响。方法 选取厦门市妇幼保健院产科2019年11月—2022年11月收治的瘢痕子宫患者110例,经随机数字表法将其分为对照组与研究组,每组各55例。对照组接受常规护理干预,研究组则接受护理风险管理。对两组的分娩结局及护理质量进行比较。结果 与对照组比较,研究组的阴道分娩率显著提高(P <0.05),新生儿窒息及胎儿窘迫发生率均显著降低(P <0.05)。研究组产后24 h出血量及新生儿体质量显著低于对照组,而新生儿5 min Apgar评分则显著高于对照组,差异均有统计学意义(P <0.05)。与对照组相比,研究组的护理总满意度显著提高(P <0.05),护理风险事件明显减少(P<0.05)。研究组的理论知识、消毒隔离、病区管理、服务质量、专科护理、基础护理等护理质量评分均显著高于对照组,差异有统计学意义(P <0.05)。结论 为瘢痕子宫患者提供护理风险管理,能使其产程明显缩短,显著改善分娩结局;患者满意度及护理质量显著提高,护理风险事件明显减少。
Objective To analyze the influence of nursing risk management on nursing quality of patients with scar uterus.Methods A total of 110 patients with scar uterus were selected and treated in Xiamen Maternal and Child Health Hospital from November 2019 to November 2022.They were divided into control group and study group by random number table method,with 55 patients in each group.The control group received routine nursing intervention,while the research group received nursing risk management.The delivery outcome and nursing quality of the two groups were compared.Results Compared with the control group,the vaginal delivery rate in the study group was significantly increased(P<0.05),while the incidence of neonatal asphyxia and fetal distress was significantly reduced(P<0.05).The 24-hour postpartum bleeding volume and neonatal body mass of the study group were significantly lower than those of the control group,while the 5-minute Apgar score of newborns was significantly higher than that of the control group,with a statistically significant difference(P<0.05).Compared with the control group,the total nursing satisfaction of the study group was significantly improved(P<0.05),and nursing risk events were significantly reduced(P<0.05).The theoretical knowledge,disinfection and isolation,ward management,service quality,specialized nursing,basic nursing,and other nursing quality scores of the research group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Providing nursing risk management for patients with scar uterus can significantly shorten the labor process,significantly improve the delivery outcome,significantly improve patient satisfaction and nursing quality,and significantly reduce nursing risk events,which is worth promoting.
作者
王少芳
杨碧凤
WANG Shaofang;YANG Bifeng(Department of Obstetrics,Xiamen Maternal and Child Health Hospital,Xiamen Fujian 361003,China)
出处
《中国卫生标准管理》
2023年第17期176-180,共5页
China Health Standard Management
关键词
护理风险管理
瘢痕子宫
护理质量
分娩结局
护理风险事件
阴道分娩
nursing risk management
scared uterus
nursing quality
delivery outcome
nursing risk events
vaginal delivery
