针对性护理措施对剖宫产产妇产褥感染的预防效果  

The Preventive Effect of Targeted Nursing Measures on Puerperal Infection in Cesarean Women

作　　者：许妍 XU Yan(Yingkou Maternity and Children's Hospital,Yingkou 115000,China)

机构地区：[1]营口市妇产儿童医院,辽宁营口115000

出　　处：《中国医药指南》2022年第27期17-20,共4页Guide of China Medicine

摘　　要：目的 论对剖宫产产妇实施针对性护理预防产褥感染的效果。方法 对2019年1月至2020年10月来我院接受剖宫产的118例产妇通过随机抽签方法分为观察组(59例)和对照组(59例)。分别对产妇通过针对性护理(观察组)和常规护理(对照组)进行干预,比较不同护理后产妇的产褥感染发生率和满意度。结果 ①观察组产妇产后不同时间段的疼痛明显比对照组更轻,数据的统计学差异显著(P <0.05)。②产前,两组产妇的GAD-7量表评分和PHQ-9量表评分之间的差异无显著性(P> 0.05);产后再次对患者的上述评分进行评价,虽然两组患者都有改善,但观察组的改善效果更为理想,有统计学差异性(P <0.05)。③在护理满意度上观察组[58例(98.31%)]所取得的评价效果相比对照组[53例(89.83%)]明显更好,有统计学差异性(P <0.05)。④在产褥感染发生率方面,观察组[3例(5.08%)]的概率相比对照组[13例(22.03%)]明显更低,有统计学差异性(P <0.05)。⑤护理前评价两组患者在生活质量评分方面的差异,显示差异无统计学意义(P> 0.05);护理后再次评估生活质量评分可得观察组和对照组,虽然生活质量都有提升,但观察组的生活质量更为理想,有统计学差异性(P <0.05)。结论 针对剖宫产产妇实施针对性护理是可以减少产褥感染发生率的有效护理模式,该护理还可以提升护理满意度,缓解患者的负面情绪,减轻疼痛,提高整体生活质量,是有效的护理模式。Objective To discuss the effect of targeted nursing on prevention of puerperal infection for caesarean section women. Methods One hundred and eighteen puerperae who came to our hospital for cesarean section from January 2019 to October 2020 were randomly divided into observation group(59 cases) and control group(59 cases). The puerperae were intervened through targeted nursing(observation group) and routine nursing(control group) to compare the incidence and satisfaction of puerperal infection after different nursing care. Results(1) The pain in the observation group at different time periods after delivery was significantly lighter than that in the control group, and the data was statistically different(P<0.05).(2) Before delivery, there was no significant difference between the scores of GAD-7 scale and PHQ-9 scale between the two groups(P>0.05);improved, but the improvement effect of the observation group was more ideal, with statistical difference(P<0.05).(3) In terms of nursing satisfaction, the evaluation effect of the observation group [58 cases(98.31%)] was significantly better than that of the control group [53 cases(89.83%)], with statistical difference(P<0.05).(4) In terms of the incidence of puerperium infection, the probability of the observation group [3 cases(5.08%)] was significantly lower than that of the control group [13 cases(22.03%)], with statistical difference(P<0.05).(5) The difference in the quality of life scores of the two groups of patients was evaluated before nursing, and the difference was not statistically significant(P>0.05). The quality of life in the observation group was more ideal, with statistical difference(P<0.05). Conclusion Implementing targeted nursing for cesarean section mothers is an effective nursing model that can reduce the incidence of puerperal infection. This nursing can also improve nursing satisfaction, relieve patients’ negative emotions, reduce pain after cesarean section, and improve the overall quality of life. It is an effective nursing care method.

关 键 词：针对性护理 剖宫产 产褥感染 预防策略 满意度 生活质量 疼痛 

分 类 号：R473.71[医药卫生—护理学]