风险式护理在产科中的应用效果研究
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摘要
目的研究风险式护理在产科中的应用效果及对患者产后感染的影响。方法选取2015年3月—2016年3月在衢州市妇幼保健院妇产科就诊的产妇90例,按照随机数字的方法分为常规护理组和风险式护理组,各45例。常规护理组产妇采用常规护理手段,风险式护理组采用风险式预防手段进行护理。采用焦虑自评量表(SAS)与抑郁自评量表(SDS)对产妇的心理状态进行评定,进行护理满意度调查,统计2组产妇住院时间、医疗失误率、产后感染情况。结果 2组护理后SAS评分和SDS评分显著低于护理前,差异具有统计学意义(均P<0.05);护理后,风险式护理组SAS评分和SDS评分低于常规护理组,差异具有统计学意义(均P<0.05)。常规护理组住院时间高于风险式护理组,差异具有统计学意义(P<0.05);常规护理组医疗失误率高于风险式护理组,差异具有统计学意义(P<0.05)。风险式护理组护理总满意度显著高于常规护理组,差异具有统计学意义(P<0.05)。风险式护理组产妇总感染率低于常规护理组,差异具有统计学意义(P<0.05)。结论风险式护理在产科应用中效果显著,可以减少产妇抑郁发生,缩短住院时间,减少产妇产后发生感染。
Objective To study the effect of risk nursing in obstetrics and its effect on postpartum infection. Methods A total of 90 pregnant women who were admitted to the department of obstetrics and gynecology of our hospital from March 2015 to March 2016 were selected. According to the method of random numbers, they were divided into routine nursing group and risk nursing group, with 45 cases in each group. The routine nursing group adopted the routine nursing method, and the risk nursing group adopted the risk prevention method for nursing. Anxiety self-rating scale(SAS) and depression self-rating scale(SDS) were used to evaluate the psychological status of parturients, and nursing satisfaction was investigated to calculate the hospitalization time, medical error rate and postpartum infection of the two groups. Results The SAS and SDS scores of the conventional nursing group and the risky nursing group were significantly lower than those before nursing, showing statistical difference(P<0.05). After nursing, the SAS and SDS scores of the risky nursing group were lower than those of the conventional nursing group, showing a statistical difference(P<0.05). The hospitalization time of the routine nursing group was higher than that of the risk nursing group, showing statistical difference(P<0.05). The rate of medical error in the conventional nursing group was higher than that in the risk nursing group, showing statistical difference(P<0.05). The total nursing satisfaction of the risky nursing group was significantly higher than that of the conventional nursing group, showing a statistical difference(P<0.05). The total infection rate of parturients in the risky nursing group was lower than that in the conventional nursing group, showing a statistical difference(P<0.05). Conclusion The effect of risk nursing in obstetric application is remarkable. It can reduce the occurrence of maternal depression, shorten the hospital stay and reduce the incidence of postpartum infection.
Objective To study the effect of risk nursing in obstetrics and its effect on postpartum infection. Methods A total of 90 pregnant women who were admitted to the department of obstetrics and gynecology of our hospital from March 2015 to March 2016 were selected. According to the method of random numbers, they were divided into routine nursing group and risk nursing group, with 45 cases in each group. The routine nursing group adopted the routine nursing method, and the risk nursing group adopted the risk prevention method for nursing. Anxiety self-rating scale(SAS) and depression self-rating scale(SDS) were used to evaluate the psychological status of parturients, and nursing satisfaction was investigated to calculate the hospitalization time, medical error rate and postpartum infection of the two groups. Results The SAS and SDS scores of the conventional nursing group and the risky nursing group were significantly lower than those before nursing, showing statistical difference(P<0.05). After nursing, the SAS and SDS scores of the risky nursing group were lower than those of the conventional nursing group, showing a statistical difference(P<0.05). The hospitalization time of the routine nursing group was higher than that of the risk nursing group, showing statistical difference(P<0.05). The rate of medical error in the conventional nursing group was higher than that in the risk nursing group, showing statistical difference(P<0.05). The total nursing satisfaction of the risky nursing group was significantly higher than that of the conventional nursing group, showing a statistical difference(P<0.05). The total infection rate of parturients in the risky nursing group was lower than that in the conventional nursing group, showing a statistical difference(P<0.05). Conclusion The effect of risk nursing in obstetric application is remarkable. It can reduce the occurrence of maternal depression, shorten the hospital stay and reduce the incidence of postpartum infection.
引文
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[13] 王芳.风险防范式护理在儿科护理管理中的应用[J].护理实践与研究,2015,12(9):92-93.
[14] 徐兰,汪晓霞,陶晓玲.护理风险评估和预防式护理在心血管病患者中的应用[J].西部医学,2016,28(9):1324-1327.
[15] 郑李明,骆建梅,陈舒飞,等.护理风险管理对产科护理质量管理的影响[J].齐齐哈尔医学院学报,2015,36(2):273-274.
[16] 王丹,孙雪榕,徐雪莹,等.产科护理管理中风险管理对护理满意度的影响[J].中国医药指南,2017,15(18):297-298.
[17] 罗胜英.产科护理风险因素分析及管理对策[J].中国实用医药,2015,10(25):285-286.
[18] 毛莉.妇产科护理中感染问题的分析和探讨[J].护士进修杂志,2013,28(9):815-817.
[19] 姜瑞华.试产时间与产后感染的相关性研究[J].中国基层医药,2015,22(14):2146-2147.
[2] 胡绣华,封红伟,鲁娟等.产妇产后初期抑郁状况及影响因素[J].中国健康心理学杂志,2018,26(2):194-197.
[3] FROEHLICH R J,MAGGIO L,HAS P,et al.Improving obstetric hypertensive emergency treatment in a tertiary care women’s emergency department[J].Obstet Gynecol,2018,132(4):850-858.
[4] TROIANO N H,WITCHER P M.Maternal mortality and morbidity in the united states:classification,causes,preventability,and critical care obstetric implications[J].J Perinat Neonatal Nurs,2018,32(3):222-231.
[5] 丁海燕,安晨凤,孙超,等.产前焦虑抑郁情绪对产科并发症和妊娠结局的影响[J].中国基层医药,2015,22(1):28-31.
[6] 王丽.产科分娩护理中实施人文关怀对其护理舒适度及护理满意度的影响探讨[J].实用妇科内分泌杂志(电子版),2017,4(2):90.
[7] 祝志梅,黄丽华,冯志仙,等.产科护理质量敏感性指标的构建[J].中华护理杂志,2016,51(5):573-577.
[8] 余作琼,阳晓晴.危机式护理管理理论在产科安全管理中的研究进展[J].护理研究,2015,2(26):3214-3217.
[9] ZELELLW D A,TEGEGNE T K.Level of partograph utilization and its associated factors among obstetric caregivers at public health facilities in East Gojam Zone,Northwest Ethiopia[J].PLoS One,2018,13(7):e0200479.
[10] ORTEGA BARCO M A,MU?OZ DE RODRíGUEZ L.Evaluation of the nursing care offered during the parturition process.controlled clinical trial of an intervention based on Swanson’s theory of caring versus conventional care[J].Invest Educ Enferm,2018,36(1):e05.
[11] 王珺.风险防范式护理在产科护理管理中的应用分析[J].中国卫生标准管理,2015,6(26):252-253.
[12] 赵嘉敏.产科风险分级护理对初产妇分娩方式及产程的影响[J].齐齐哈尔医学院学报,2015,36(27):4199-4200.
[13] 王芳.风险防范式护理在儿科护理管理中的应用[J].护理实践与研究,2015,12(9):92-93.
[14] 徐兰,汪晓霞,陶晓玲.护理风险评估和预防式护理在心血管病患者中的应用[J].西部医学,2016,28(9):1324-1327.
[15] 郑李明,骆建梅,陈舒飞,等.护理风险管理对产科护理质量管理的影响[J].齐齐哈尔医学院学报,2015,36(2):273-274.
[16] 王丹,孙雪榕,徐雪莹,等.产科护理管理中风险管理对护理满意度的影响[J].中国医药指南,2017,15(18):297-298.
[17] 罗胜英.产科护理风险因素分析及管理对策[J].中国实用医药,2015,10(25):285-286.
[18] 毛莉.妇产科护理中感染问题的分析和探讨[J].护士进修杂志,2013,28(9):815-817.
[19] 姜瑞华.试产时间与产后感染的相关性研究[J].中国基层医药,2015,22(14):2146-2147.