剖宫产术后并发症预防的循证护理

Evidence-based nursing on prevention of postoperative complications of cesarean section

目的将循证护理应用于剖宫产术后并发症预防，促进患者康复。方法通过对453例剖宫产患者的实际情况进行分析，应用计算机网络检索有关文献，查阅相关资料，寻找证据，对资料的可靠性，实用性进行分析、评价，并将所获得的证据和护理专业技能、临床经验、患者的愿望和需求相结合，制定并实施护理方案。结果本研究453例剖宫产患者，经过循证后实施有针对性的护理措施，392例患者术后未出现并发症，59例患者经循证护理恢复正常，1例发生术后子痫，1例发生脂肪液化，2例心脏病（患者术前本身疾病），经积极对症处理病情基本平稳。结论通过对剖宫产患者术后的循证护理实践，促进护士自觉寻找具有科学依据的护理实证来指导工作，对产后可能出现的不良反应及并发症采取措施进行干预，预防和减少不良反应及并发症的发生，保证了患者的安全和治疗效果。

Objective To explore the evidence-based nursing on prevention of surgical complications for cesarean section women, and promote the patient rehabilitation. Methods Based on the actual situation analysis of 453 cases with cesarean section, retrieved relevant literature, referred to the relevant material, looking for the evidence of reliability of the data and practical analysis, reviews, and nursing professional skills, clinical experience, patients＇ desire and demand for the integration of the formulation and implementation of care plan. Results Among 453 cases, after the implementation of evidence-based nursing measures targeted, 392 patients with no postoperative complications, 59 cases of patients with postoperative complications, 1 case of postoperative eclampsia, 1 cases of fat liquefaction, 2 cases of heart disease （preoperative patients with the disease itself）. Conclusions Evidence-based nursing is valuable, reliable scientific research results, which can reduce the adverse reaction and the complications, and promote nurses to look for the evidence - based nursing methods for patients.