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1、翅戶18£=;捲!1宮產(chǎn)手術(shù)中的贈(zèng)2018-03-2910:29:58中國現(xiàn)代醫(yī)生2018年6期梁喜華[摘要]目的觀察舒適護(hù)理模式在二次剖宮產(chǎn)術(shù)中的應(yīng)用效果。方法回顧性分析200例在我院行二次剖宮產(chǎn)手術(shù)產(chǎn)婦資料。將采用常規(guī)護(hù)理方法的100例產(chǎn)婦作為對照組,采用舒適護(hù)理模式的100例產(chǎn)婦作為觀察組。比較兩組產(chǎn)婦術(shù)中出血量、術(shù)后下床活動(dòng)時(shí)間、切口愈合時(shí)間及患者對護(hù)理工作的滿結(jié)果觀察組術(shù)中出血量、術(shù)后下床活動(dòng)時(shí)間、切口愈合時(shí)間均少(短)于對照組,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。觀察組對護(hù)理服務(wù)的滿意度為96.00%,明顯
2、高于對照組的78.00%,差異有統(tǒng)計(jì)學(xué)意義(Pv0.05)。結(jié)論舒適護(hù)理服務(wù)模式在二次剖宮產(chǎn)術(shù)中的應(yīng)用能提高產(chǎn)婦手術(shù)過程的舒適程度,提高其對護(hù)理工作的滿意度,促進(jìn)產(chǎn)婦的術(shù)后康復(fù),值得臨床推廣應(yīng)用。[關(guān)鍵詞]妊娠;瘢痕子宮;剖宮產(chǎn);舒適護(hù)理[中圖分類號]R473.71[文獻(xiàn)標(biāo)識碼]B[文章編號]1673-9701(2018)06-0156-04[Abstract]ObjectiveToobservetheeffectofcomfortablenursingmodeinsecondarycesareansection.M
3、ethodsAretrospectiveanalysisofmaternaldataof200casesofsecondcesareansectioninourhospitalwascarriedout.Took100maternalwomenwhotookconventionalnursingmethodascontrolgroupand100maternalwomenwhotookcomfortablenursingmodeasobservationgroup.Bleedingvolume,postoperati
4、veambulationtime,incisionhealingtimeandpatientsatisfactionwithnursingwerecomparedbetweenthetwogroups.ResultsTheintraoperativebloodlossvolume,postoperativeambulationtimeandincisionhealingtimeoftheobservationgroupwereallless(shorter)thanthoseofthecontrolgroup.The
5、rewassignificantdifferencebetweenthetwogroups(P<0.05).Thesatisfactionrateofthenursingserviceintheobservationgroupwas96.00%,whichwassignificantlyhigherthanthatinthecontrolgroup(78.00%).Therewassignificantdiffereneebetweenthetwogroups(P<0.05).ConclusionTheapplica
6、tionofcomfortablenursingservicemodelinsecondarycesareansectioncanimprovethedegreeofcomfortofmaternaloperation,improvetheirsatisfactionwithnursingworkandpromotepostoperativerehabilitationofpregnantwomen,whichisworthyofclinicalapplication.[Keywords]Pregnancy:Scar
7、uterus:Cesareansection:Comfortablenursing剖宮產(chǎn)是解決難產(chǎn)、產(chǎn)科嚴(yán)重并發(fā)癥的有效分娩方式,隨著我國I矢療技術(shù)水平的不斷提高及人民群眾的思想觀念轉(zhuǎn)變,剖宮產(chǎn)率表現(xiàn)出不斷上升趨勢[1]。待別是近年國家實(shí)施二孩生育政策Z后,瘢痕子宮再次懷孕的產(chǎn)婦日益增多,致使行二次剖宮產(chǎn)的手術(shù)率不斷上升。由于此類產(chǎn)婦均有過剖宮產(chǎn)手術(shù)史,對行二次剖宮產(chǎn)手術(shù)產(chǎn)生恐懼心理。而焦慮和恐懼可降低機(jī)體對手術(shù)的耐受力,不利于手術(shù)的順利進(jìn)行。因此,采取止確的護(hù)理措施是確保產(chǎn)婦順利康復(fù)的關(guān)鍵[2]。舒適護(hù)理是一種具有
8、個(gè)性化的整體護(hù)理模式,能夠使患者的身心處于輕松、滿意、安寧的狀態(tài),在生理、心理、社會上達(dá)到最愉快的狀態(tài)[3]。我科對二次剖宮產(chǎn)術(shù)中產(chǎn)婦采取舒適護(hù)理模式,從而使產(chǎn)婦順利進(jìn)行手術(shù),提高了?;钯|(zhì)量,取得滿意療效,現(xiàn)報(bào)道如下。1資料與方法1.1一般資料選擇2014年10月?2017年2月在我院行擇期二次剖宮產(chǎn)術(shù)患者200例。年齡28?42歲,平均(35