复发性流产患者清宫术中个性化护理的临床观察  

Clinical observation of individualized nursing in the process of curettage of patients with recurrent spontaneous abortion

作　　者：庞小艳[1] 邓小清[2] 肖翠艳[3] 邹琳[1] 

机构地区：[1]广东医学院附属医院生殖医学中心,广东湛江524001 [2]广东医学院附属医院档案室,广东湛江524001 [3]广东医学院附属医院护理部,广东湛江524001

出　　处：《中国计划生育和妇产科》2014年第8期42-44,共3页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的探讨个性化护理在复发性流产（recurrent spontaneous abortion,RSA）患者清宫术中的作用。方法回顾性分析2010~2013年于广东医学院附属医院确诊的RSA患者236例,将采用常规清宫术的110例患者作为对照组,清宫术过程中给予个性化护理治疗的126例患者作为观察组,比较两组患者的治疗效果。结果观察组患者的术后阴道出血量、人流综合征发生率、吸宫不全发生率均低于对照组（P〈0.05）;观察组患者对RSA认知度、再次妊娠信心率及对护理满意度均高于对照组（P〈0.05）;术后感染率比较,两组差异无统计学意义（P〉0.05）。结论个性化护理可以减少清宫术过程中的并发症,提高RSA患者对手术护理质量的满意度。Objective To explore the role of individualized nursing in the process of curettage of patients with recurrent spontaneous abortion（ RSA）. Methods Data of 236 cases with RSA in The Affiliated Hospital of Guangdong Medical College from2010 to 2013 were retrospectively analyzed. 110 cases accepted routine curettage were divided into control group,126 cases accepted individualized nursing in the process of curettage were divided into observation group. The treatment effect of two groups were compared. Results The amount of vaginal bleeding after surgery,incidence of abortion syndrome and incidence of incomplete evacuation in observation group were significantly lower than that of control group（ P〈0. 05）. The patients＇ awareness rate of RSA,rate of confidence in the success of subsequent pregnancy and the nursing satisfaction degree in observation group were significantly higher than that of control group（ P〈0. 05）. The difference in incidence of postoperative infection rate between two groups had no statistical significance（ P〉0. 05） Conclusion Individualized nursing can reduce the complications during the process of curettage and improve the patients＇ satisfaction with the quality of surgical care.

关 键 词：复发性流产 清宫术 个性化护理 

分 类 号：R473.71[医药卫生—护理学]