自制临床路径表单在防治产后出血中的应用  

Study on application of clinical nursing path form to prevent and treat postpartum hemorrhage in puerperal women

作　　者：王红艳[1] 张瑞红[1] 朱敏靖 

机构地区：[1]河北省唐县人民医院产科,河北唐县072350

出　　处：《医学研究与教育》2016年第3期38-41,共4页Medical Research and Education

摘　　要：目的科学制定并使用产后护理临床路径表单,早期发现产后出血征兆,改善预后。方法根据参考书及临床资料科学制定产后护理临床路径表单,将2015年1—6月分娩产妇1180例作为观察组,护士使用产后护理临床路径表单进行护理记录;将2014年1—6月分娩的产妇1 180例作为对照组,将所得数据进行统计分析。结果观察组产后出血例数与对照组比较差异无统计学意义,发生大量出血致输血例数少于对照组;异常症状发现率高于对照组,差异有统计学意义。结论护士通过使用产后临床路径表单进行产后护理,能很好地规范护士尤其是新上岗护士的行为,及时早期发现产后异常症状及出血量增多,从而早期干预,防治产后出血的发生与发展。Objective To detect the abnormal symptoms early and prevent severe complications in the puerpral women. Methods Nurses observed the puerpral women and recorded the abnormal symptoms tollowing the post- partum nursing clinical path forms which was developed according to the reference books and clinical data, collected and analysed the related data of six months from January to July in 2015 and 2014.Results Tha cases of postpartum hemorrage in 2015 were compared with that of 2014 ,there were no significant differences.Compared the data of 2014,the eases of blood transfusion resulted from severe postpartum hemorrhage in 2015 were less than that of 2014,the rates of abnormal symptoms detected by nurses in 2015 were more than that of 2014,there were significant differences. Conclusion Nurses behavior can be regulated, especially the new hirely nurses. The abnormal symptoms can be detected early in puerpera with employing the clinical nursing path form which was scientific, practical and simple. Postpartum hemorrhage and other＇s complications can be prevented and treated in the early stage with the use of the form.

关 键 词：产妇 临床路径表单 产后出血 

分 类 号：R714[医药卫生—妇产科学]