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1、剖宮產(chǎn)I韋I術(shù)期護(hù)理T預(yù)的療效觀察[摘要]目的:探討剖宮產(chǎn)I制術(shù)期護(hù)理干預(yù)的效果。方法:將138例產(chǎn)婦隨機分為兩組,對照組69例實施術(shù)示常規(guī)護(hù)理,觀察組69例在對照組護(hù)理的基礎(chǔ)上實施綜合護(hù)理干預(yù)。結(jié)果:觀察組產(chǎn)婦的心理狀況、術(shù)后48h泌乳量、滿意度較對照組明顯提高(1X0.05),觀察組產(chǎn)婦術(shù)后疼痛程度較輕,扌非氣時間縮短,腹脹消失或減輕,與對照組相比羌異有統(tǒng)計學(xué)意義(P<0.05)o結(jié)論:剖宮產(chǎn)圍術(shù)期的綜合護(hù)理干預(yù)可提高產(chǎn)婦的滿意度及護(hù)理質(zhì)量、縮短手術(shù)時間和住院時間。[關(guān)鍵詞]剖宮產(chǎn);圍術(shù)期;護(hù)理干預(yù);護(hù)理研究[中圖分類號]R473.71[文獻(xiàn)標(biāo)識碼]C
2、[文章編號]1674-4721(2011)07(c)-159-03Theobservationofthecurativeeffectontheinterferesoftheuterine-incisiondeliveryperioperativeperiodnursingLlFenying,SONGDongdong,TANGXiaojunDepartmentofGynaecologyandObstetrics,XinhaiHospitalofGuangzhouCity,theSecondAff訂iatedHospitaiofGuangdongPharmac
3、euticalUniversity,GuangdongProvince,GuangZhou510300,China[Abstract]Objective:Todiscussthecurativeeffectsoftheinterferesoftheuterine-incisiondeliveryperioperativeperiodnursing.Methods:138lying-inwomenwererandom!ydividedintotwogroups,69casesinthecontrolgroupoctuallzedtheusualcareaft
4、ersurgery,andonthebasisofthecontrolgroup,69casesintheobservationgroupactualizedthecolligationnursinginterferes.Results:Intheobservationgroup,thelying-inwomen'spsychologicstatus,amountofthelactationaftersurgery48hours,degreeofsatisfactionwerehigherthanthecontrolgroup(P〈0.05)?Tntheo
5、bservationgroup,thelying-inwomenzssorenessdegreeaftersurgerywasverymild,becurtailedtheaerofluxustime,abdominaldistensiondisappearedorlightened,comparedwiththecontrolgroup,haddifferentstatisticalsignificanee(P<0.05).Conelusion:Thecolligationnursinginterferesintheuterine-incisiondel
6、iveryperioperativeperiodcanimprovethelying-inwomenfsdegreeofsatisfactionandqua]ityofcare,shortedthenumberoftreatmentsandlengthofstay.[Keywords]Uterine-incisiondelivery;Perioperativeperiod;Nursinginterferes;Nursingstudy剖宮產(chǎn)術(shù)為經(jīng)腹切開子宮取出已達(dá)成活胎兒的手術(shù),是婦產(chǎn)科常見大手術(shù)z—。近幾年人們健康意識和生活水平提高、巨大兒及高危兒增多、產(chǎn)
7、婦對分娩疼痛恐懼增加等,使剖宮產(chǎn)率居高不下[1]0剖宮產(chǎn)率的上升在一定程度上標(biāo)志著醫(yī)療技術(shù)的進(jìn)步和人們文化素質(zhì)的提高,高剖宮產(chǎn)率可以有效降低孕產(chǎn)婦和用生兒死亡率。但產(chǎn)婦在剖宮產(chǎn)屮要承受如麻醉、出血、感染、羊水栓塞等各種意外風(fēng)險,而且產(chǎn)麻并發(fā)癥如盆腔臟器粘連、切口延期愈合、腹痛、貧血、月經(jīng)紊亂、異位妊娠的發(fā)生率遠(yuǎn)高于白然分娩[2]。醫(yī)生的精湛技術(shù)及護(hù)理人員的精心護(hù)理是剖宮產(chǎn)時母嬰安全的重要保障。如何更好地護(hù)理剖宮產(chǎn)產(chǎn)婦,使其早口康復(fù)是婦產(chǎn)科醫(yī)護(hù)人員關(guān)心并不斷探討的課題⑶O加強剖宮產(chǎn)產(chǎn)婦用術(shù)期的精心綜合護(hù)理干預(yù),可保證母嬰健康和減少并發(fā)癥。選擇2009年1月~
8、2010年10月在木院實施剖宮產(chǎn)產(chǎn)婦69例給予綜合護(hù)理干預(yù),取得滿