前置胎盘孕妇行剖宫产时给予手术室护理干预的效果  

Effect of Operating Room Nursing Intervention for Pregnant Women with Placenta Previa During Cesarean Section

作　　者：何玲玲 周佩珊[1] 张燕[1] 张隆盛[1] HE Lingling;ZHOU Peishan;ZHANG Yan;ZHANG Longsheng(不详;Jieyang People’s Hospital,Jieyang 522000,China)

机构地区：[1]揭阳市人民医院,广东揭阳522000

出　　处：《中外医学研究》2022年第8期87-90,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：2020年揭阳市科技计划项目(YLWS004)。

摘　　要：目的:探讨前置胎盘孕妇行剖宫产时给予手术室护理干预的效果。方法:选取揭阳市人民医院于2020年1月-2021年3月收治的80例行剖宫产术前置胎盘孕妇。按数字奇偶法将其分为综合组(n=40)与对照组(n=40)。对照组采取常规护理干预,综合组在对照组基础上采取手术室护理干预。比较两组护理前后心理状况,临床指标,术后并发症,新生儿状况。结果:护理后,综合组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较对照组明显更低(P<0.05)。综合组术中、术后出血量较对照组明显更少(P<0.05),综合组住院时间较对照组明显更短(P<0.05)。综合组术后并发症发生率较对照组明显更低(P<0.05)。综合组新生儿出生后10 min阿氏(Apgar)评分较对照组明显更高(P<0.05),新生儿窒息发生率较对照组明显更低(P<0.05)。结论:前置胎盘孕妇行剖宫产时给予手术室护理干预可有效改善产妇心理状况,减少术中、术后出血量,降低术后并发症风险,还可明显缩短产妇住院时间,改善新生儿状况,因此值得推广应用。Objective:To explore the effect of operating room nursing intervention for pregnant women with placenta previa during cesarean section.Method:Eighty pregnant women with placenta previa undergoing cesarean section admitted to Jieyang People’s Hospital from January 2020 to March 2021 were selected.They were divided into comprehensive group(n=40)and control group(n=40)by numerical parity method.The control group took routine nursing intervention,and the comprehensive group took operating room nursing intervention on the basis of control group.Psychological status before and after nursing,clinical indicators,postoperative complications and neonatal status were compared between the two groups.Result:After nursing,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the comprehensive group were significantly lower than those in the control group(P<0.05).Compared with the control group,the amount of intraoperative and postoperative blood loss in the comprehensive group were significantly less(P<0.05),and the hospital stay in the comprehensive group was significantly shorter(P<0.05).The incidence of postoperative complications in the comprehensive group was significantly lower than that in the control group(P<0.05).The Apgar score 10 min after birth of neonatal in comprehensive group was significantly higher than that in control group(P<0.05),and the incidence of neonatal asphyxia was significantly lower than that in the control group(P<0.05).Conclusion:Operation room nursing intervention for pregnant women with placenta previa during cesarean section can effectively improve maternal psychological status,reduce the amount of intraoperative and postoperative blood loss,reduce the risk of postoperative complications,also significantly shorten the maternal hospital stay,improve neonatal status,so it is worth of promotion and application.

关 键 词：前置胎盘 剖宫产 手术室护理 切口愈合 并发症 

分 类 号：R472.3[医药卫生—护理学]