引用本文:朱媛媛,梁会妮.[cn_title][J].[journal_cn_name],2018,[volume]([issue]):96-98.[点击复制]
zhuyuanyuan,liang huini.[en_title][J].[journal_en_name],2018,[volume]([issue]):96-98.[点击复制]
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胎盘前置剖宫产术围手术期综合护理干预的效果评价
朱媛媛,梁会妮
0
(甘肃省妇幼保健院国际医疗部A区)
摘要:
目的 探讨在胎盘前置剖宫产术围手术期综合护理干预的临床效果。方法 回顾性分析2012年4月至2017年4月甘肃省妇幼保健院产科接收的78例胎盘前置行剖宫产术产妇的临床资料,2012年4月至2014年6月期间给予的是常规护理干预,共29例为对照组,2014年7月至2017年4月给予围手术期综合护理干预,共49例为为观察组。比较两组产妇术中出血量、妊娠结局、新生儿Apgar评分及患者满意度。结果 观察组术后出血量、住院时间少于对照组,产后新生儿Apgar评分高于对照组,且产妇对护理服务的满意度也高于对照组,均P<0.05。两组均无孕产妇及新生胎儿死亡,产后45 d复查结果均良好。结论 对前置胎盘剖宫产产妇围手术期实施综合护理干预可减少产后出血,加快术后恢复,提高产妇对护理服务的满意度。
关键词:  胎盘前置,剖宫产术,围手术期,综合护理
DOI:
基金项目:
Clinical effect of comprehensive nursing intervention on placenta previa cesarean section during perioperative period
zhuyuanyuan,liang huini
(Department of A District of International Medical of Gansu maternal and child health hospital;Department of general surgery, Minqin People's Hospital)
Abstract:
Objective To investigate the clinical effects of comprehensive nursing intervention on the paitents with placenta previa who received cesarean section. Methods The clinical data of 78 patients with placenta previa who received cesarean section from April 2012 to April 2017 in Gansu Provincal Maternity and Child-care Hospital were analysed retrospectively. The patients from April 2012 to June 2014 (n=29) receiving routine nursing were compared with the patients from July 2014 to April 2017 (n=49) receiving perioperative comprehensive care intervention in the matters of amounts of hemorrhage, pregnancy outcomes, neonatal Apgar scores and satisfaction rates. Results The amounts of hemorrhage in observation group was significantly less than that in control group (P<0.05). The postoperative hospitalization time in observation group was significantly shorter (P<0.05). The neonatal Apgar scores in observation group were significantly higher than those in control group (P<0.05). The satisfaction rate of nursing service in observation group was 93.87% which was significantly higher than that in control group (82.76%, P<0.05). No maternal and fetal death appeared in two groups. Two cases with postpartum hemorrhage and 3 premature newborns occurred in observation group. Three cases with postpartum hemorrhage and 2 cases with premature birth occurred in control group. The difference between the two groups had no statistical significance (P>0.05). All the patients had a good recovery after 45 days.Conclusion Comprehensive nursing intervention for the patients with placenta previa who received cesarean section at perioperative can reduce postpartum hemorrhage and promote the recovery of patients which improves the satisfaction on nursing services.
Key words:  Placenta previa  Cesarean section  Perioperative period  Comprehensive nursing

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