基于循证的临床护理路径对前置胎盘行子宫下段剖宫产术患者的应用效果

陈小燕; 柴泽英

doi:10.16766/j.cnki.issn.1674-4152.001473

基于循证的临床护理路径对前置胎盘行子宫下段剖宫产术患者的应用效果

doi: 10.16766/j.cnki.issn.1674-4152.001473

陈小燕¹,
柴泽英^2, ,

1. 诸暨市人民医院江东分院内科分诊室, 浙江诸暨 311800;
2. 诸暨市人民医院江东分院注射室;
3. 诸暨市人民医院泌尿外科, 浙江诸暨 311800;
4. 诸暨市人民医院放射科

基金项目:

浙江省医药卫生科技计划项目(2019KY778)

详细信息

通讯作者:
柴泽英,E-mail:ccsh13674@163.com

中图分类号: R473.71;R719.82
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出版历程
- 收稿日期: 2020-02-18
- 网络出版日期: 2022-08-06

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

CHEN Xiao-yan¹,
CHAI Ze-ying^{2
, ,}

Department of Hospital Infection, Taizhou Hospital of Zhejiang Province, Taizhou, Zhejiang 317000, China

摘要

摘要: 目的探讨基于循证的临床护理路径对前置胎盘行子宫下段剖宫产术患者的应用效果及护理满意度情况。方法选取2017年7月—2019年7月在浙江省台州医院收治的行子宫下段剖宫产手术的前置胎盘患者140例，根据随机数字表法将其分为对照组和观察组各70例。对照组患者应用常规护理，观察组在对照组的基础上应用基于循证的临床护理路径。比较2组患者妊娠结局、新生儿结局、并发症发生率及护理满意度。结果观察组患者产后出血量低于对照组患者,差异具有统计学意义(P<0.05)；观察组子宫切除率、输入异体血率及切口感染率分别为0.00%(0/70)、2.86%(2/70)、4.29%(3/70)，均低于对照组的5.71%(4/70)、11.43%(8/70)、15.71%(11/70)，差异均具有统计学意义(均P＜0.05)；观察组新生儿Apgar评分高于对照组，且新生儿窒息发生率及新生儿转入NICU率分别为4.29%(3/70)、2.86%(2/70)，均低于对照组的17.14%(12/70)、14.29%(10/70)，差异均具有统计学意义(均P＜0.05)；观察组术后并发症发生率为4.29%(3/70)，对照组为14.29%(10/70)，观察组护理满意度为92.86%(65/70)，对照组为81.43%(57/70)，差异具有统计学意义(均P＜0.05)。结论基于循证的临床护理路径可有效改善前置胎盘行子宫下段剖宫产术患者的妊娠结局和新生儿结局，减少患者术后并发症的发生，提高护理满意度，值得临床应用。
- 循证护理 /
- 临床护理路径 /
- 前置胎盘 /
- 剖宫产
Abstract: 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.
- Evidence-based nursing /
- Clinical nursing pathway /
- Placenta previa /
- Cesarean delivery