基于改良早期预警评分的护理在剖宫产产妇中的应用  

Application of nursing based on improved early warning scores in cesarean section women

作　　者：姚春芳 万丽[1] YAO Chunfang;WAN Li(Department of Obstentrics,Nanjing Hospital,Nanjing Medical University(Nanjing First Hospital),Jiangsu Province Nanjing210006,China)

机构地区：[1]南京医科大学附属南京医院(南京市第一医院)产科,江苏南京210006

出　　处：《中国医药导报》2021年第5期185-188,196,共5页China Medical Herald

摘　　要：目的观察剖宫产患者应用基于改良早期预警评分(MEWS)的护理对产后出血的影响。方法回顾分析并分别收集于2018年1月—2019年12月南京医科大学附属南京医院完成分娩及随访的124例剖宫产患者的临床资料,按照病例收集时间将2018年1月—12月入院的61例患者作为对照组,实施常规护理干预;将2019年1月—12月入院的63例患者作为观察组,实施基于MEWS的护理干预,两组均干预至出院结束,记录并比较两组产后出血率、术后相关指标、并发症发生率;于干预前、出院前1 d评估两组负性情绪[采用抑郁自评量表(SDS)、焦虑自评量表(SAS)评估]。结果观察组产后出血率低于对照组,泌乳始动时间、肛门通气时间、住院时间均短于对照组,差异有统计学意义(P<0.05);出院前1 d,两组SDS、SAS评分均较干预前降低,且观察组低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论为剖宫产患者实施基于MEWS的护理干预,可降低产后出血率,缩短患者泌乳始动时间、肛门通气时间及住院时间,更利于改善患者焦虑、抑郁等负性情绪,应用价值高。Objective To observe the effect of nursing based on modified early warning scores(MEWS)on postpartum hemorrhage in patients with cesarean section.Methods Clinical data of 124 patients with cesarean section who completed delivery and follow-up in Nanjing Hospital,Nanjing Medical University from January 2018 to December 2019 were retrospectively analyzed and collected.According to the time of case collection,61 patients admitted to hospital from January 2018 to December 2018 were selected as the control group for routine nursing intervention.Sixty-three patients admitted to the hospital from January to December 2019 were selected as the observation group,and MEWS based nursing intervention was implemented.Both groups were treated until the end of discharge,and the rate of postpartum bleeding,postoperative related indicators and the incidence of complications were recorded and compared between the two groups;Negative emotions in the two groups were assessed before intervention and one day before discharge(self-rating depression scale[SDS]and self-rating anxiety scale[SAS]were used to evaluate the negative emotions).Results The rate of postpartum hemorrhage in the observation group was lower than that in the control group,and the time of lactation initiation,anal ventilation duration and hospital stay in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05);one day before discharge,SDS and SAS scores in both groups were lower than before intervention,and observation group was lower than control group,the differences were statistically significant(P<0.05);there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Nursing intervention based on MEWS for patients with cesarean section can reduce the rate of postpartum bleeding,shorten the beginning time of lactation,anal ventilation time and length of hospital stay,and is more conducive to improving patients’negative emotions such as anxiety and depr

关 键 词：剖宫产 基于改良早期预警评分 产后出血 术后恢复 并发症 负性情绪 

分 类 号：R473.7[医药卫生—护理学]