中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
24期
2895-2897
,共3页
产后晕厥%临床护理路径%意外事件
產後暈厥%臨床護理路徑%意外事件
산후훈궐%림상호리로경%의외사건
Postpartum syncope%Clinical care pathway%Accidents
目的 运用临床路径的工作和方法,预防和减少产后晕厥的发生,为医院在预防意外事件发生实施全面质量管理中提供可供借鉴的临床护理路径.方法 2009年9月至2010年7月根据Nesbitt高危评分表对180例有阴道分娩意愿的孕妇进行评估,对入院产妇进行选择,排除有并发症及高龄产者.按随机数字表分为观察组和对照组两组,各90例.两组产妇年龄、孕周、胎产次、胎方位、文化程度等一般情况比较,差异均无统计学意义(P＞0.05).两组均在产前进行母乳喂养宣教,病室及入产房发放护理安全告知书及予以常规护理,观察组根据制定的自然分娩临床护理路径表由责任护士进行专职护理.根据临床路径的护理程序分为人院时、分娩前、分娩时、分娩后4h4个阶段进行护理干预.比较两组产妇分娩的产程时间、血压、产后出血量、心理状态、产后晕厥发生的情况.结果 观察组和对照组总产程[(638±163.2)min比(714±204.6) min],产后下床前收缩压[(120.57±5.46) mm Hg比(106.62±7.72) mm Hg],镇痛效果(94％比44％),产后晕厥发生率(1.1％比11.1％),两组差异均有统计学意义(t/x2值分别为2.683,4.73,53.02,7.84;P ＜0.05).结论 临床护理路径可以有效防止产后晕厥的发生,降低病区意外事件的发生率.
目的 運用臨床路徑的工作和方法,預防和減少產後暈厥的髮生,為醫院在預防意外事件髮生實施全麵質量管理中提供可供藉鑒的臨床護理路徑.方法 2009年9月至2010年7月根據Nesbitt高危評分錶對180例有陰道分娩意願的孕婦進行評估,對入院產婦進行選擇,排除有併髮癥及高齡產者.按隨機數字錶分為觀察組和對照組兩組,各90例.兩組產婦年齡、孕週、胎產次、胎方位、文化程度等一般情況比較,差異均無統計學意義(P＞0.05).兩組均在產前進行母乳餵養宣教,病室及入產房髮放護理安全告知書及予以常規護理,觀察組根據製定的自然分娩臨床護理路徑錶由責任護士進行專職護理.根據臨床路徑的護理程序分為人院時、分娩前、分娩時、分娩後4h4箇階段進行護理榦預.比較兩組產婦分娩的產程時間、血壓、產後齣血量、心理狀態、產後暈厥髮生的情況.結果 觀察組和對照組總產程[(638±163.2)min比(714±204.6) min],產後下床前收縮壓[(120.57±5.46) mm Hg比(106.62±7.72) mm Hg],鎮痛效果(94％比44％),產後暈厥髮生率(1.1％比11.1％),兩組差異均有統計學意義(t/x2值分彆為2.683,4.73,53.02,7.84;P ＜0.05).結論 臨床護理路徑可以有效防止產後暈厥的髮生,降低病區意外事件的髮生率.
목적 운용림상로경적공작화방법,예방화감소산후훈궐적발생,위의원재예방의외사건발생실시전면질량관리중제공가공차감적림상호리로경.방법 2009년9월지2010년7월근거Nesbitt고위평분표대180례유음도분면의원적잉부진행평고,대입원산부진행선택,배제유병발증급고령산자.안수궤수자표분위관찰조화대조조량조,각90례.량조산부년령、잉주、태산차、태방위、문화정도등일반정황비교,차이균무통계학의의(P＞0.05).량조균재산전진행모유위양선교,병실급입산방발방호리안전고지서급여이상규호리,관찰조근거제정적자연분면림상호리로경표유책임호사진행전직호리.근거림상로경적호리정서분위인원시、분면전、분면시、분면후4h4개계단진행호리간예.비교량조산부분면적산정시간、혈압、산후출혈량、심리상태、산후훈궐발생적정황.결과 관찰조화대조조총산정[(638±163.2)min비(714±204.6) min],산후하상전수축압[(120.57±5.46) mm Hg비(106.62±7.72) mm Hg],진통효과(94％비44％),산후훈궐발생솔(1.1％비11.1％),량조차이균유통계학의의(t/x2치분별위2.683,4.73,53.02,7.84;P ＜0.05).결론 림상호리로경가이유효방지산후훈궐적발생,강저병구의외사건적발생솔.
Objective To use clinical pathway project and method to prevent and reduce postpartum syncope,in order to provide clinical care path for reference for hospitals to prevent accidents in the implementation of total quality management.Methods According to high-risk score chart NESBITT,180 expectant mothers from September 2009 to July 2010,those who had complications and elder primipara eliminated,were evaluated.They were divided into two groups,each of which had 90 cases.The differences of age,week of pregnancy,times of births,position of fetus and standard of culture of two groups were not statistically significant ( P ＞ 0.05 ).Both groups received breast feeding promotion,nursing safety notice before entering the delivery room,and conventional care,while the observation group also received full-time care by nurses according to the clinical pathway of natural childbirth.Nursing procedures were divided into admission,before,during and 4 hours after delivery according to the pathway.Maternity patients' time of labor stage,blood pressure,postpartum bleeding,psychological status and postpartum syncope were compared between two groups.Results The time of labor stage of the observation group was(638 ± 163.2)min and that of the control group was (714 ± 204.6)min,postpartum systolic pressure before leaving the bed of the observation group was ( 120.57 ± 5.46) mm Hg and that of the control group was ( 106.62 ± 7.72 )mm Hg,analgesic effect of the observation group was 94％ and that of the control group was 44％,and the rate of postpartum syncope of the observation group was 1.1％ and that of the control group was 11.1％.All differences were statistically significant (t =2.683,4.73;x2 =53.02,7.84,respectively;P ＜0.05).Conclusions Clinical care pathway can effectively prevent postpartum syncope and reduce accidents in wards.
