双向质量反馈模式在妊娠高血压患者剖宫产康复中应用

Application of bi-directional quality feedback pattern during recovery of puerpera with pregnancy induced hypertension after cesarean section

目的:探讨双向质量反馈模式在妊娠高血压患者剖宫产后康复应用效果。方法:以本院2016年1月—2017年12月收治的110例妊娠高血压剖宫产患者为研究对象,按随机数字表法分为观察组和对照组各55例,对照组在剖宫产术后采用常规护理干预,观察组在常规护理基础上采用双向质量反馈模式护理。对两组术后恢复指标、并发症、心理状态、生活质量等进行评价比较。结果:观察组首次排气时间、自主排尿时间、开始泌乳时间、下床活动时间均低于对照组(P<0.05)。观察组术后并发症发生率(9.1%)低于对照组(21.8%),SDS、SAS评分低于对照组,生活质量评分高于对照组(均P<0.05)。结论:双向质量反馈模式在妊娠高血压患者剖宫产康复中应用效果显著,能促进患者术后生理指标的尽快恢复,降低并发症发生,改善患者的负性情绪和生活质量,有较好的临床应用价值。

Objective： To investigate the effect of bidirectional quality feedback pattern used in recovery of puerpera with pregnancy induced hypertension after cesarean section. Methods： From January 2016 to December 2017, 110 pregnant women with pregnancy induced hypertension who experienced cesarean section in Yantai maternal and child health care hospital were selected as subjects, and were divided into observation group and control group randomly （55 cases in each group）. The women in control group were treated by conventional nursing intervention after cesarean sec- tion, and the women in observation group were given bidirectional quality feedback pattern except conventional nursing intervention after cesarean section. The index of recovery after cesarean section, the incidence of postoperative compli- cations, psychological state, and quality of life of women were evaluated and compared between the two groups. Re- sults.. The times to postoperative first exhaust, to postoperative self urination, to postoperative starting lactation, and to postoperative up and activity in observation group were significant shorter than those in control group （P〈0.05）. The incidence of postoperative complications in observation group was 9.1%, which was significant lower than that （21.80%） in control group （P〈0.05）. The scores of SDS and SAS of women in observation group were significant low- er than those in control group, but the score of quality of life of women in observation group was significant higher than that of women in control group （P〈0.05）. Conclusion： The bidirectional quality feedback pattern used in recov- ery of puerpera with pregnancy induced hypertension after cesarean section has good clinic effect, which can promote the postoperative recovery of physiological indexes of women, can reduce complications, can release the patient＇s nega- tive mood, and can improve quality of life, so it is worthy of clinical application.