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预见性护理干预对凶险性前置胎盘剖宫产患者母婴结局的影响(1)
http://www.100md.com 2019年9月5日 《中国当代医药》 2019年第25期
     [摘要]目的 研究預见性护理干预对凶险性前置胎盘剖宫产患者母婴结局的影响。方法 选取我院2017年5月~2018年7月收治的160例凶险性前置胎盘患者作为研究对象,按照患者不同的入院时间将其分为观察组(80例)和对照组(80例)。对照组采用常规的护理方法,观察组在此基础上采用预见性护理。比较两组产妇术前、术中、术后的情绪焦虑情况以及产妇的并发症发生情况、新生儿的不良状况、患者及其家属的护理满意度。结果 观察组产妇术中及术后的焦虑评分均低于对照组,差异有统计学意义(P<0.05);观察组术中和术后的焦虑评分均显著低于术前,差异有统计学意义(P<0.05)。观察组产妇的产后出血量显著少于对照组,差异有统计学意义(P<0.05);观察组产妇的伤口感染发生率显著低于对照组,差异有统计学意义(P<0.05)。观察组的新生儿并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。观察组产妇及其家属的总满意率显著高于对照组,差异有统计学意义(P<0.05)。结论 预见性护理干预能够有效改善凶险性前置胎盘剖宫产患者的母婴结局,值得推广应用。

    [关键词]预见性护理干预;凶险性前置胎盘;剖宫产患者;母婴结局

    [中图分类号] R473 [文献标识码] A [文章编号] 1674-4721(2019)9(a)-0208-03

    Influence of predictive nursing intervention on maternal and infant outcomes of patients with dangerous placenta previa undergoing cesarean section

    FENG Miao-qian HUANG Wei XIAO Ying HE Li-jun

    Operation Room, Boai Hospital of Zhongshan City in Guangdong Province, Zhongshan 528400, China

    [Abstract] Objective To study the influence of predictive nursing intervention on maternal and infant outcomes of patients with dangerous placenta previa undergoing cesarean section. Methods A total of 160 patients with dangerous placenta previa admitted to our hospital from May 2017 to July 2018 were selected as the research objects, and they were divided into the observation group (80 cases) and the control group (80 cases) according to different admission time. The control group was given routine nursing methods, while the observation group was given predictive nursing on this basis. The preoperative, intraoperative and postoperative emotional anxiety, the occurrence of complications, the adverse condition of newborns and the satisfaction of patients and their families were compared between the two groups. Results The intraoperative and postoperative anxiety scores of the observation group were lower than those of the control group, with statistical significance (P<0.05). The intraoperative and postoperative anxiety score of the observation group was significantly lower than that of the preoperative score, with statistical significance (P<0.05). The amount of postpartum hemorrhage in the observation group was significantly less than that in the control group, with statistical significance (P<0.05); the incidence of wound infection in the observation group was significantly less than that in the control group, with statistical significance (P<0.05). The incidence of neonatal complications in the observation group was significantly lower than that in the control group, with statistical significance (P<0.05). The total satisfaction rate of the puerpera and their family members in the observation group was significantly higher than that in the control group, with statistical significance (P<0.05). Conclusion Predictive nursing intervention can effectively improve the maternal and infant outcomes of caesarean section patients with dangerous placenta previa, and it is worth popularizing and application., 百拇医药(冯苗倩 黄伟 肖英 何丽君)
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