探讨护理干预降低产褥感染发生率的效果  

Investigation on effect of nursing intervention on reducing the incidence of puerperal infection

作　　者：冯秀芳 钱健英 何燕琼 FENG Xiu-fang;QIAN Jian-ying;HE Yan-qiong(Zhaoqing Duanzhou District People＇ s Hospital,Zhaoqing 526040,China)

机构地区：[1]肇庆市端州区人民医院,526040

出　　处：《中国现代药物应用》2018年第12期153-155,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探究为产妇实施护理干预对其产褥感染的预防效果。方法 76例产妇,根据随机数字表法分为对照组和观察组,每组38例。对照组行常规护理,观察组在对照组基础上实施护理干预。对两组产妇产褥感染、乳腺炎、会阴切口感染、子宫复旧发生情况进行记录比较,同时通过生活质量评价量表(SF-36)对两组产妇生活质量进行比较。结果观察组产妇的产褥感染率2.63%、乳腺炎发生率5.26%、会阴切口感染率2.63%均显著少于对照组的23.68%、21.05%、21.05%,子宫复旧率94.74%显著高于对照组的63.16%,差异具有统计学意义(P<0.05)。观察组产妇生活质量(躯体功能、角色功能、心理功能、社会功能)评分显著高于对照组,差异具有统计学意义(P<0.05)。结论产妇临床护理中实施护理干预可有效降低其产褥感染发生率以及其他并发症发生率,有利于产妇产后康复,还可有效提升产妇生活质量,因此该种护理模式具有较高的推广价值。Objective To investigate the prevention effect of nursing intervention on reducing the incidence of puerperal infection. Methods A total of 76 puerpera were divided by random number table method into control group and observation group, with 38 cases in each group. The control group received conventional nursing, and the observation group received nursing intervention on the basis of the control group. The puerperal infection, mastitis, perineal incision infection and occurrence of uterine involution between the two groups were recorded and compared, and the quality of life of the two groups was compared by quality of life assessment scale（SF-36）. Results The observation group had obviously lower puerperal infection rate as 2.63%, incidence of mastitis as 5.26% and perineal incision infection rate as 2.63% than 23.68%, 21.05% and 21.05% in the control group, and obviously higher uterine involution rate as 94.74% than 63.16% in the control group. Their difference was statistically significant（P〈0.05）. The observation group had obviously higher quality of life（physical function, role function, psychological function, social function） score than the control group, and the difference was statistically significant（P〈0.05）. Conclusion Implementation of nursing intervention in maternal clinical nursing can effectively reduce the incidence of puerperal infection and other complications. It is beneficial to the postpartum recovery of puerpera, and can also effectively improve the quality of maternal life. Therefore, the nursing mode contains a high promotion value.

关 键 词：护理干预 产褥感染 不良反应 

分 类 号：R473.71[医药卫生—护理学]