产后出血应急预案演练在产科抢救中的价值分析  

Value of Postpartum Hemorrhage Emergency Plan Exercise in Obstetrical Rescue

作　　者：唐赛利 向瑾操[1] 王燕燕[1] Tang Saili,et al(Department of Obstetrics and Gynecology, Houjie Hospital, Dongguan 52300)

机构地区：[1]广东省东莞市厚街医院妇产科,东莞523000

出　　处：《数理医药学杂志》2018年第8期1211-1213,共3页Journal of Mathematical Medicine

基　　金：东莞市社会科技发展一般项目(编号:2018507150231394)

摘　　要：目的:研究并探讨产后出血应急预案演练在产科抢救中的应用价值。方法:某院产科于2017年1月1日~2017年1月31日期间在产房开展产后出血应急预案演练,以产科产后出血作为情景模拟案例,进行产科急救演练,于开展产后出血应急预案演练后的2017年2月1日~2017年12月31日阶段在产房随机抽取50例产后出血产妇,将其设置为观察组,再于开展产后出血应急预案演练前的2016年2月1日~2017年12月31日阶段在产房随机抽取50例产后出血产妇设为对照组。比较两组产妇的总抢救时间、抢救成功率、止血有效率、子宫切除率、心理状况评分、生活质量评分、护理满意度,并比较两个阶段的医生满意度、护理人员产科抢救综合能力考核成绩。结果:观察组产妇的总抢救时间短于对照组(P<0.05),其抢救成功率、止血有效率均高于对照组(P<0.05),而其子宫切除率低于对照组(P<0.05)。在心理状况方面,观察组产妇的焦虑评分、抑郁评分均低于对照组(P<0.05)。在躯体功能、情绪功能、角色功能、社会功能、总体健康等方面,观察组的生活质量评分均高于对照组(P<0.05)。在护理满意度方面,观察组产妇的总满意率为96%,高于对照组的82%(P<0.05)。观察组的医生总满意率为98%,高于对照组的86%(P<0.05)。在综合能力考核成绩方面,观察组阶段护理人员在理论知识、操作水平、应急能力、思维能力、协作能力等方面考核成绩均优于对照组(P<0.05)。结论:在产科针对产后出血开展应急预案演练,可有效提高产房护理人员的综合能力,有利于提高产后出血的抢救效率和效果,减少子宫切除事件,使产妇及医生对护理服务更加满意。Objective：To study and explore the application value of emergency plan for postpartum hemorrhage in obstetrical rescue.Methods：During the period from January 1,2017 to January 31,2017,the obstetrics department of a hospital carried out an emergency plan exercise for postpartum hemorrhage in the maternity ward.The emergency obstetric emergency drill was conducted with obstetric postpartum hemorrhage as a scenario simulation case.50 cases in the delivery room were randomly selected and set as observation group in the period of December 31 st to February 1,2017 after carrying out the emergency preparedness of postpartum haemorrhage.During the period from February 1,2016 to December 31,2017 before the emergency preparedness plan drill of postpartum hemorrhage,50 cases of postpartum hemorrhage were randomly selected as control group.The total rescue time of two groups of women,the success rate of rescue,the efficiency of hemostasis,the hysterectomy rate,the psychological status score,the quality of life score,the satisfaction of nursing,and the satisfaction of doctors in the two stages were compared,and the results of the comprehensive ability assessment of the nursing staff and obstetric rescue were compared.Results：The total rescue time in the observation group was shorter than that in the control group（P〈0.05）.The success rate and the hemostatic effective rate were higher in the observation group than in the control group（P〈0.05）,but the hysterectomy rate was lower than that in the control group（P〈0.05）.The scores of anxiety and depression in the observation group were lower than those in the control group（P〈0.05）.The scores of body function,emotional function,role function,social function and general health in the observation group were higher than those in the control group（P〈0.05）.In terms of nursing satisfaction,the total satisfaction rate of the observation group was 96%,which was higher than that of the control group（82%）（P〈0.05）.The total satisfaction rate of the

关 键 词：产科 护理 产后出血 应急预案演练 

分 类 号：R473.71[医药卫生—护理学]