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作 者:林秋萍 林晓玲 李碧珠 LIN Qiuping;LIN Xiaoling;LI Bizhu(Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou 362000,China;不详)
机构地区:[1]福建医科大学附属泉州第一医院,福建泉州362000
出 处:《中外医学研究》2021年第12期92-94,共3页CHINESE AND FOREIGN MEDICAL RESEARCH
摘 要:目的:探讨风险评估及个性化护理应用于妊娠期高血压疾病(HDCP)患者剖宫产术后的效果。方法:选取笔者所在医院2019年1月-2020年2月收治的90例HDCP患者作为研究对象,均行剖宫产,其中2019年1-7月收治的44例为对照组,接受常规护理干预,2019年8月-2020年2月收治的46例为观察组,在对照组基础上接受风险评估及个性化护理干预。比较两组术后并发症[下肢深静脉血栓形成(DVT)、下肢肿胀、肠胀气、产后出血]发生率、干预前后下肢双腿周径、下肢血流速度、PZB的服务质量量表(SERVQUAL)评分。结果:观察组下肢DVT、下肢肿胀发生率均低于对照组,差异均有统计学意义(P<0.05),两组肠胀气、产后出血发生率比较差异无统计学意义(P>0.05);干预后观察组下肢双腿周径低于对照组,下肢血流速度高于对照组,SERVQUAL各项评分均高于对照组,差异均有统计学意义(P<0.05)。结论:风险评估及个性化护理应用于HDCP患者,可加快血流速度,减轻剖宫产术后下肢肿胀,减少下肢DVT发生,提高护理工作满意度。Objective:To explore the effect of risk assessment and personalized nursing in patients with hypertensive disorders complicating pregnancy (HDCP) after cesarean section.Method:Ninety HDCP patients admitted to our hospital from January 2019 to February 2020 were selected as the research subjects,all of whom underwent cesarean section,44 patients admitted from January to July 2019 were selected as the control group and received routine nursing intervention,46 patients admitted from August 2019 to February 2020 were selected as the observation group,received risk assessment and personalized nursing intervention on the basis of the control group.The incidence of postoperative complications (DVT,lower extremity swelling,intestinal flatulence,postpartum hemorrhage),the circumferential diameter of lower extremity legs,lower extremity blood flow velocity,and SERVQUAL score of PZB before and after intervention were compared between the two groups.Result:The incidence of lower extremity DVT and lower extremity swelling in the observation group was lower than that in the control group,the differences were statistically significant (P<0.05),while the incidence of intestinal flatulence and postpartum hemorrhage between the two groups had no statistical significance (P>0.05).After intervention,the circumferential diameter of lower limbs in the observation group was lower than that in the control group,the blood flow velocity of lower limbs was higher than that in the control group,and the SERVQUAL scores were higher than those in the control group,the differences were statistically significant (P<0.05).Conclusion:The application of risk assessment and personalized nursing in HDCP patients can accelerate blood flow speed,reduce lower limb swelling after cesarean section,reduce lower limb DVT,and improve nursing satisfaction.
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