临床护理路径在重度子痫前期剖宫产产妇中的应用效果  

Effects of clinical nursing pathway on the severe preeclampsia for women after cesarean section

作　　者：陈瑜婷[1] 陈文娟[2] 吴玲玲[1] 陈丽[1] 薛月清[1] 李妍[1] 陈妙金[1] 

机构地区：[1]广东省湛江中心人民医院产科,524037 [2]广东省妇幼保健院产科,广州511442

出　　处：《中华现代护理杂志》2016年第14期2019-2021,共3页Chinese Journal of Modern Nursing

基　　金：湛江市科技攻关计划项目（2015B01162）

摘　　要：目的：探讨实施临床护理路径对重度子痫前期剖宫产产妇的护理效果。方法将未实施临床护理路径的50例重度子痫前期剖宫产产妇作为对照组，将实施临床护理路径的50例重度子痫前期剖宫产产妇作为研究组，对比两组住院时间、医疗费用、血压指标（SBP、DBP、MAP）及并发症情况。结果研究组 ICU 停留时间（64．51±24．13）h、住院时间（6．56±3．02）d，显著短于对照组（85．96±28．55）h、（9．69±4．58）d，且医疗费用显著低于对照组（P ＜0．05）；研究组 SBP、DBP、MAP 水平改善情况优于对照组（P ＜0．05）。研究组并发症总发生率10．64％，显著低于对照组30．30％（P ＜0．05）。结论实施临床护理路径对重度子痫前期剖宫产产妇的护理效果显著，具有重要临床应用价值。Objective To explore the implementation effects of cli nical nursing path for severe preeclampsia pregnant women after cesarean section.Methods A total of 50 cases with severe preeclampsia after cesarean section who did not undergo clinical nursing pathway were chosen as control group,while another 50 cases with the same disease who received clinical nursing pathway were treated as study group,and we compared the length of hospital stay,medical cost,index of blood pressure （SBP,DBP,MAP）,and complications of two groups.Results ICU stay time （64.51 ±24.1 3）h,length of hospital stay （6.56 ±3.02）d of the study group were significantly shorter than （85.96 ±28.55）h,（9.69 ±4.58）d in the control group, and medical costs were significantly lower than that of control group （P 〈0.05）;SBP,DBP,MAP improvement were better than those of control group （P 〈0.05）.In addition,the overall complication incidence in the study group was lower than that of the control group （1 0.64% vs 30.30%,P 〈0.05 ）.Conclusions It is remarkable to implement clinical nursing pathway on severe preeclampsia for women after cesarean section which is valuable to be applied in clinical work.

关 键 词：剖宫产 临床护理路径 重度子痫前期 

分 类 号：R473.71[医药卫生—护理学]