The influence of evidence-based clinical nursing path on the treatment of placenta previa patients undergoing cesarean section

Objective To explore the application of evidence-based clinical nursing pathway in patients undergoing cesarean section with placenta previa. Methods A total of 140 patients with placenta previa who underwent cesarean section in the lower part of the uterus admitted to our hospital from July 2017 to July 2019 were selected and divided into control group and observation group, 70 cases in each group, according to the random number table. The control group received routine nursing care, and the observation group received evidence-based clinical nursing path on the basis of the control group. Pregnancy outcome, neonatal outcome, complication rate and nursing satisfaction were compared between the two groups. Results The amount of postpartum bleeding in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05). The uterine resection rate, allogeneic blood transfusion rate and incision infection rate of the observation group were 0.00% (0/70), 2.86% (2/70) and 4.29% (3/70), respectively, which were all lower than that of the control group[5.71% (4/70), 11.43% (8/70), 15.71% (11/70)], with statistically significant differences (all P<0.05). The Apgar score of neonates in the observation group was higher than that of the control group, and the incidence of neonatal asphyxia and the NICU transfer rate of neonates were 4.29% (3/70) and 2.86% (2/70), respectively, lower than that of the control group[17.14% (12/70) and 14.29% (10/70)], with statistically significant differences (all P<0.05). The incidence of postoperative complications was 4.29% (3/70) in the observation group, 14.29% (10/70) in the control group, 92.86% (65/70) in the observation group, and 81.43% (57/70) in the control group, with statistically significant differences (all P<0.05). Conclusion The clinical nursing pathway based on evidence can effectively improve the pregnancy outcome and neonatal outcome of patients undergoing cesarean section with placenta previa, reduce the occurrence of postoperative complications, and improve nursing satisfaction, which is worthy of clinical application.