无缝隙护理在预防剖宫产术后感染中的应用

Application of seamless care in the prevention of postoperative cesarean section infection

目的探讨无缝隙护理在预防剖宫产术后感染中的应用效果。方法选取2016年1月至2018年2月收治的80例剖宫产产妇为研究对象,随机将其分为观察组36例和对照组44例,对照组给予常规护理,观察组在对照组基础上给予无缝隙护理。比较两组产妇围手术期手术时间、术中出血量、术后疼痛、术后体温、并发症发生率及护理满意度,评估两组产妇产前、产后、出院时焦虑自评量表(SAS)、抑郁自评量表(SDS)评分。结果观察组手术时间短于对照组(P <0. 05),疼痛评分低于对照组(P <0. 05),两组术中出血量和术后12 h体温比较,差异无统计学意义(P> 0. 05);观察组并发症发生率低于对照组(P <0. 05);观察组手术相关护理、健康教育、病区环境、医务人员态度方面的满意度评分均高于对照组(P <0. 05);观察组产前、产后、出院时SAS,SDS评分均低于对照组(P <0. 05)。结论无缝隙护理模式有利于减少剖宫产产妇手术时间和术后疼痛,改善围生期不良情绪,降低并发症发生率,提高护理满意度。

Objective To explore the application effect of seamless care in the prevention of postoperative cesarean section infection. Methods To select a total of 80 cesarean delivery women who were admitted to the hospital from January 2016 to February 2018 as research subjects, and they were divided into observation group with 36 cases and control group with 44 cases randomly. The control group was given routine nursing, while the observation group was implemented with seamless care based on the treatment of the control group. The perioperative operative time, intraoperative blood loss, postoperative pain,postoperative body temperature, complication rate and nursing satisfaction were compared between the two groups. The self - rating anxiety scale（SAS） andself - rating depression scale（SDS） scores of the two groups were evaluated before and after delivery as well as at the time of discharge from hospital. Results The operation time of the observation group was shorter than that of the control group（P 〈 0. 05）, and the pain score was lower than that of the control group（P 〈 0. 05）. There was no significant difference in the intraoperative blood loss between the two groups and the 12 - hour post operative body temperatures（P 〉 0. 05）. The incidence of complications in the observation group was lower than that in the control group（P 〈 0. 05）. The satisfaction scores of surgery - related nursing, health education, ward environment, and medical staff attitudes in the observation group were higher than those of the control group（P 〈 0. 05）. The SAS scores and SDS scores of the observation group before and after delivery as well as at discharge from hospital were lower than those of the control group（P 〈 0. 05）. Conclusion The seamless care mode is beneficial to reduce the operation time and post operative pain of cesarean section. It can also improve perinatal adverse moods, reduce the incidence of complications and improve the satisfaction of nursing.