鄧惠貞
【摘要】 目的 探討在剖宮產(chǎn)手術(shù)護理中實施臨床護理路徑的效果。方法 72例剖宮產(chǎn)手術(shù)產(chǎn)婦, 隨機分為參考組與實驗組, 各36例。參考組采用一般責任制護理模式, 實驗組實施臨床護理路徑。對比兩組產(chǎn)婦的健康知識掌握度、新生兒護理能力、個人護理能力情況和護理滿意度狀況。結(jié)果 實驗組產(chǎn)婦的健康知識掌握度、新生兒護理能力以及個人護理能力評分均高于參考組, 差異均具有統(tǒng)計學(xué)意義 (t=20.199、29.868、6.378, P<0.05)。實驗組滿意度為97.22%, 高于參考組的80.56%, 差異具有統(tǒng)計學(xué)意義 (P<0.05)。結(jié)論 在剖宮產(chǎn)手術(shù)護理中實施臨床護理路徑可以有效增強產(chǎn)婦護理能力, 提高產(chǎn)婦護理滿意度, 值得推廣。
【關(guān)鍵詞】 臨床護理路徑;剖宮產(chǎn)手術(shù);護理應(yīng)用;效果研究
DOI:10.14163/j.cnki.11-5547/r.2017.33.091
Study on application effect of clinical nursing pathway in nursing of cesarean section DENG Hui-zhen. Guangzhou Women and Children Medical Center, Guangzhou 510180, China
【Abstract】 Objective To discuss the effect of clinical nursing pathway in nursing of cesarean section. Methods A total of 72 puerpera with cesarean section were randomly divided into control group and experimental group, with 36 cases in each group. The control group received general responsibility system nursing mode, and the experimental group received clinical nursing pathway. Comparison were made on health knowledge mastery, neonatal nursing ability, personal nursing ability and nursing satisfaction status between two groups. Results The experimental group had higher health knowledge mastery degree, neonatal nursing ability, and personal nursing ability score than the control group, and their difference was statistically significant (t=20.199, 29.868, 6.378, P<0.05). The experimental group had higher satisfactory as 97.22% than 80.56% in the control group, and the difference was statistically significant (P<0.05). Conclusion The implementation of clinical nursing pathway in cesarean section nursing can effectively enhance the maternal nursing ability and improve the satisfaction of maternal nursing. It is worth promoting.
【Key words】 Clinical nursing pathway; Cesarean section; Nursing application; Effect study
剖宮產(chǎn)是產(chǎn)科領(lǐng)域中較為常見也是比較重要的手術(shù)之一, 近些年來, 剖宮產(chǎn)的臨床應(yīng)用越來越普及。雖然采取剖宮產(chǎn)手術(shù)進行分娩可以有效減輕產(chǎn)婦的生產(chǎn)疼痛, 降低難產(chǎn)風險幾率, 但是剖宮產(chǎn)屬于創(chuàng)傷性手術(shù), 一旦處理不當, 可引發(fā)多種并發(fā)癥, 導(dǎo)致手術(shù)風險大大增加[1]。為此, 需要采取有效的臨床護理方法對產(chǎn)婦進行相應(yīng)的護理干預(yù), 以提高手術(shù)效果, 降低意外風險的發(fā)生。臨床護理路徑是一種較為常見的臨床護理模式, 該護理模式主要是通過對護理流程進行科學(xué)的標準制定來確保護理工作的規(guī)范化、合理化, 進而有效提高護理工作的效率, 并最大限度降低醫(yī)患雙方的成本, 促進產(chǎn)婦早日康復(fù)出院。本文研究中, 本院采用臨床護理路徑對剖宮產(chǎn)手術(shù)產(chǎn)婦進行護理干預(yù), 現(xiàn)將其總結(jié)如下。
1 資料與方法
1. 1 一般資料 將本院2016年2~3月入院的72例剖宮產(chǎn)手術(shù)產(chǎn)婦隨機分成參考組與實驗組, 各36例。參考組中, 年齡最小23歲, 最大42歲, 平均年齡(34.36±2.57)歲;其中, 21例初產(chǎn)婦, 15例經(jīng)產(chǎn)婦;平均孕次(2.13±0.41)次。實驗組中, 年齡最小24歲, 最大41歲, 平均年齡(34.39±2.51)歲;其中, 20例初產(chǎn)婦, 16例經(jīng)產(chǎn)婦;平均孕次(2.21±0.33)次。兩組產(chǎn)婦一般資料比較, 差異無統(tǒng)計學(xué)意義(P>0.05), 具有可比性。
1. 2 護理方法
1. 2. 1 參考組 采取一般責任制護理模式, 如常規(guī)住院檢查、用藥監(jiān)督管理、母乳喂養(yǎng)知識等。endprint