国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2010年
16期
2031-2033
,共3页
联合查房%剖宫产%产后抑郁症
聯閤查房%剖宮產%產後抑鬱癥
연합사방%부궁산%산후억욱증
Ward round practice%C-section%Postnatal depression
目的 探讨心血管内科与产科专科护士联合查房对合并心脏疾病产妇产后抑郁症的影响.方法 人选2007年7月至2009年7月我院产科435例合并有心血管疾病(先天性心脏病、高血压、风湿性心脏病、心律失常、其他)的产妇,分为联合查房组(327例)及无联合查房组(108例).联合查房方法为在产科护理人员查房的基础上,心血管内科专科护理人员对患者心血管状况、心率、心律及心功能进行评估,对心血管疾病的一些基本知识、注意事项进行宣教.产后第3天对产妇使用产后抑郁评分表(EPDS)进行测评:EPDS总分＜12分为阴性,≥13分为阳性,即诊断为产后抑郁症,同时记录每组剖宫产率.结果 联合查房组产妇院后剖宫产率及产后抑郁症的发生率分别为51.4%及9.2%;非联合查房组产妇院后剖宫产率及产后抑郁症的发生率分别为67.6%及17.6%;与非联合查房组比较,联合查房组剖腹产率及产后抑郁症发生率明显降低,两组间比较,差异有统计学意义,P＜0.05.结论 与非联合查房组比较,联合查房组剖腹产率及产后抑郁症发生率明显降低,在实际护理工作中,科间协作,护理人员的适当整合是一种值得探讨的工作方法.
目的 探討心血管內科與產科專科護士聯閤查房對閤併心髒疾病產婦產後抑鬱癥的影響.方法 人選2007年7月至2009年7月我院產科435例閤併有心血管疾病(先天性心髒病、高血壓、風濕性心髒病、心律失常、其他)的產婦,分為聯閤查房組(327例)及無聯閤查房組(108例).聯閤查房方法為在產科護理人員查房的基礎上,心血管內科專科護理人員對患者心血管狀況、心率、心律及心功能進行評估,對心血管疾病的一些基本知識、註意事項進行宣教.產後第3天對產婦使用產後抑鬱評分錶(EPDS)進行測評:EPDS總分＜12分為陰性,≥13分為暘性,即診斷為產後抑鬱癥,同時記錄每組剖宮產率.結果 聯閤查房組產婦院後剖宮產率及產後抑鬱癥的髮生率分彆為51.4%及9.2%;非聯閤查房組產婦院後剖宮產率及產後抑鬱癥的髮生率分彆為67.6%及17.6%;與非聯閤查房組比較,聯閤查房組剖腹產率及產後抑鬱癥髮生率明顯降低,兩組間比較,差異有統計學意義,P＜0.05.結論 與非聯閤查房組比較,聯閤查房組剖腹產率及產後抑鬱癥髮生率明顯降低,在實際護理工作中,科間協作,護理人員的適噹整閤是一種值得探討的工作方法.
목적 탐토심혈관내과여산과전과호사연합사방대합병심장질병산부산후억욱증적영향.방법 인선2007년7월지2009년7월아원산과435례합병유심혈관질병(선천성심장병、고혈압、풍습성심장병、심률실상、기타)적산부,분위연합사방조(327례)급무연합사방조(108례).연합사방방법위재산과호리인원사방적기출상,심혈관내과전과호리인원대환자심혈관상황、심솔、심률급심공능진행평고,대심혈관질병적일사기본지식、주의사항진행선교.산후제3천대산부사용산후억욱평분표(EPDS)진행측평:EPDS총분＜12분위음성,≥13분위양성,즉진단위산후억욱증,동시기록매조부궁산솔.결과 연합사방조산부원후부궁산솔급산후억욱증적발생솔분별위51.4%급9.2%;비연합사방조산부원후부궁산솔급산후억욱증적발생솔분별위67.6%급17.6%;여비연합사방조비교,연합사방조부복산솔급산후억욱증발생솔명현강저,량조간비교,차이유통계학의의,P＜0.05.결론 여비연합사방조비교,연합사방조부복산솔급산후억욱증발생솔명현강저,재실제호리공작중,과간협작,호리인원적괄당정합시일충치득탐토적공작방법.
Objective To investigate the effect of united ward rounds by cardiovascular nurses and obstetric nurses on postnatal depression in puerperas with cardiovascular diseases. Methods 435 puerperas giving birth were recruited in this study. The subjects were divided into the group with united ward rounds and the group without united ward rounds(108). The cardiovascular status, heart rate, rhythm, and cardiac function were assessed by cardiovascular nurses besides the regular ward rounds by obtretric nurses. The rates of C- section and postnatal depression were examined in both groups. Results The rates of cCsection and postnatal depression were 51.4% and 9.2% in the group with united ward rounds and 67.6% and 17.6% in the group without united ward rounds. As compared with the group without united ward rounds, the rates of C-section and postnatal depression were significantly decreased in the group with united ward rounds (P< 0.05). Conclu- sions As compared with the group without united ward rounds, C-section and postnatal depression markedly reduce in the group with united ward rounds. Inter-department and nursing staff cooperation is a medical practice worth studying.
