全程性护理在凶险性前置胎盘围术期的应用  

Application of whole-course nursing in perioperative period of dangerous placenta previa

作　　者：徐怡雯 王滟 周晓清 Xu Yiwen;Wang Yan;Zhou Xiaoqing(Obstetrics Department,Hospital of Obstetrics and Gynecology Affiliated to Fudan University,Shanghai 200011,China)

机构地区：[1]复旦大学附属妇产科医院产科,上海200011

出　　处：《国际护理学杂志》2024年第12期2230-2234,共5页international journal of nursing

摘　　要：目的探究采用全程性护理在凶险性前置胎盘围术期患者中的应用效果。方法选取2017年2月至2022年5月复旦大学附属妇产科医院接治的76例凶险性前置胎盘患者作为研究对象,根据护理方案将患者分为全程组(全程性护理,39例)和常规组(常规护理,37例),比较两组住院情况、心理状态、新生儿结局、并发症情况。结果全程组患者术后恢复时间短于常规组,其术后24 h出血量、视觉模拟疼痛评分表(VAS)评分均少于常规组,差异有统计学意义(P<0.05);与干预前比较,干预后两组14项汉密尔顿焦虑量表(HAMA14)、24项汉密尔顿抑郁量表(HAMD24)评分明显降低,其中全程组两表评分均低于常规组,差异有统计学意义(P<0.05);全程组发生产后出血、切口愈合不良、产褥感染、贫血并发症总发生率(12.82%)明显低于常规组(35.14%),差异有统计学意义(P<0.05);全程组新生儿窒息(Apgar)评分中严重窒息(5.13%)与轻度窒息(17.95%)新生儿占比明显低于常规组(24.32%、29.73%),差异有统计学意义(P<0.05)。结论采用全程性护理能有效改善凶险性前置胎盘围术期患者母婴结局,促进患者预后恢复,可进一步推广应用。Objective To explore the application effect of whole-course nursing in patients with dangerous placenta previa during perioperative period.Methods A total of 76 patients with dangerous placenta previa treated in this hospital from February 2017 to May 2022 were selected as the study objects.According to the nursing plan,the patients were divided into the whole-course group(whole-course nursing,39 cases)and the conventional group(routine nursing,37 cases).Hospitalization,psychological state,neonatal outcome and complications were compared between the two groups.Results The postoperative recovery time of the whole-course group was shorter than that of the conventional group,and the 24 hours postoperative blood loss and visual analogue scale(VAS)score were lower than those of the conventional group,and the differences were statistically significant(P<0.05).Compared with before intervention,the Hamilton Anxiety Scale 14-item(HAMA14)and Hamilton Depression Scale 24-item(HAMD24)scores of the two groups were significantly reduced after intervention,and the HAMA14 and HAMD24 scores of the whole-course group were lower than those of the conventional group,and the differences were statistically significant(P<0.05).The total incidence of postpartum hemorrhage,poor incision healing,puerperal infection and anemia in the whole-course group(12.82%)was significantly lower than that in the conventional group(35.14%),and the difference was statistically significant(P<0.05).The proportion of neonates with severe asphyxia(5.13%)and mild asphyxia(17.95%)in whole-course group was significantly lower than that in conventional group(24.32%and 29.73%),and the difference was statistically significant(P<0.05).Conclusions The use of whole-course nursing can effectively improve the maternal and infant outcomes of patients with dangerous placenta previa during perioperative period,promote the recovery of patients'prognosis,and can be further popularized.

关 键 词：全程性护理 凶险性前置胎盘 围术期 

分 类 号：R473.71[医药卫生—护理学]