手术护理团队在协同多学科凶险性前置胎盘剖宫产术急救中的配合  

The Cooperation of Surgical Nursing Team in the First aid of Multidisciplinary Dangerous Cesarean Section With Placenta Previa

作　　者：卓青[1] 陈喜萍[1] 韦怡[1] 王允金 许佳斌 ZHUO Qing;Chen Xiping;WEI Yi;WANG Yunjin;XU JiaBin(Department of Operating Room,Fujian Maternity and Child Health Hospital/Affiliated Hospital of Fujian Medical University,Fuzhou Fujian 350001,China;Department of Surgery,Fujian Maternity and Child Health Hospital/Affiliated Hospital of Fujian Medical University,Fuzhou Fujian 350001,China)

机构地区：[1]福建省妇幼保健院/福建医科大学附属医院手术室,福建福州350001 [2]福建省妇幼保健院/福建医科大学附属医院外科,福建福州350001

出　　处：《中国卫生标准管理》2021年第20期158-161,共4页China Health Standard Management

基　　金：福建省自然科学基金资助项目(2019J01517)。

摘　　要：目的探讨手术护理团队在协同多学科凶险性前置胎盘剖宫产术急救中的配合。方法采用类实验设计,选取2019年4-9月福州市某三级甲等妇幼保健院收治的凶险性前置胎盘患者40例为对照组,选取2019年10月-2020年4月该院在协同多学科凶险性前置胎盘剖宫产术急救中采用手术护理团队管理后的40例凶险性前置胎盘患者作为试验组。对照组采用常规诊治措施进行治疗,试验组则在常规诊疗的基础上采用手术护理团队对患者采取有效的管理;对比两组患者在不同措施下临床效果情况;结果在住院时间、术中出血量以及输血量比较,差异有统计学意义(P<0.05);试验组达到满意的患者24例,基本满意患者12例,不满意患者4例;对照组达到满意的患者有15例,基本满意患者17例,不满意患者8例;试验组整体满意度高于对照组,差异有统计学意义(Z=-2.045,P<0.05);结论针对接受剖宫产手术的凶险性前置胎盘患者运用手术护理团队协同多学科手术急救,可以使得病患的住院时间显著缩短,并且能显著降低手术过程中的出血量与输血量,提升护理满意度,改善预后。Objective To explore the cooperation of surgical nursing team in the first aid of cesarean section with multidisciplinary and dangerous placenta previa.Methods This study was an experimental design.40 cases of dangerous placenta previa,who were treated from April to September 2019 in a tertiary Maternal and Child Health Hospital in FuZhou city were choosed as the control group.Meanwhile,other 40 patients with dangerous placenta previa,who were treated from October 2019 to April 2020,were selected as the experimental group.The control group was treated with routine treatment.On the basis of routine diagnosis and treatment,the experimental group was cared by the means of surgical nursing team to take effective management of patients.To compare the clinical effect of the two groups under different measures.Results In comparison of hospitalization time,intraoperative blood loss and transfusion volume,the difference b e t w e e n the control group and the experimental group was statistically significant(P<0.05).There were 24 patients in the experimental group who were satisfied,12 patients with basic satisfaction and four dissatisfied patients.There were 15 patients in the control group,17 patients with basic satisfaction,and 8 dissatisfied patients.The overall satisfaction of the experimental group was higher than that of the control group,the comparison between the two groups was statistically significant(Z=-2.045,P<0.05).Conclusion The surgical nursing team and multidisciplinary first aid,which were used in the patients with dangerous placenta previa undergoing cesarean section,can make the patient stay in hospital significantly shorter as well as significantly reduce the amount of bleeding and blood transfusion during the operation,therefore to improve nursing satisfaction and patients’prognosis.

关 键 词：手术 护理 多学科团队 凶险性前置胎盘 剖宫产 急救 

分 类 号：R472.3[医药卫生—护理学]