循证护理在降低剖宫产术后感染及改善产妇生存质量中的效果研究

Effect of Evidence-based Nursing on Reducing Infection after Cesarean Section and Improving Maternal Quality of Life

目的研究循证护理在降低剖宫产术后感染及改善产妇生存质量中的效果。方法回顾分析2016年9月~2017年11月在我院行剖宫产的130例产妇临床资料,随机分为对照组和观察组,各65例。对照组给予常规护理,观察组在对照组基础上给予循证护理,观察两组产妇术后感染发生率、伤口愈合时间、排气时间、疼痛评分、术后不良反应发生率以及护理满意度。结果观察组术后感染发生率为6.15%,低于对照组的13.85%,差异具有统计学意义(P<0.05)。观察组伤口愈合时间、排气时间均短于对照组,术后疼痛评分低于对照组,差异均具有统计学意义(P<0.05)。观察组不良反应发生率为15.39%,低于对照组的26.15%,差异有统计学意义(P<0.05)。观察组护理满意度为96.92%,高于对照组的83.28%,差异有统计学意义(P<0.05)。结论在剖宫产术中应用循证护理,可降低术后感染发生率,缩短伤口愈合时间和排气时间,减轻产妇疼痛,减少不良反应,提高产妇护理满意度,值得临床推广和应用。

Objective To investigate the effect of evidence-based nursing in reducing infection after cesarean section and improving maternal quality of life.Methods The clinical data of 130 cases of cesarean section in our hospital from September 2016 to November 2017 were analyzed retrospectively and randomly divided into control group and observation group with 65 cases each.The control group was given routine nursing,and the observation group was given evidence-based nursing on the basis of the control group.The incidence of postoperative infection,wound healing time,exhaust time,pain score,postoperative adverse reaction rate and nursing satisfaction were observed in the two groups.Results The incidence of postoperative infection in the observation group was 6.15%,lower than that in the control group 13.85%,and the difference was statistically significant(P<0.05).The wound healing time and exhaust time in the observation group were shorter than those in the control group.Postoperative pain scores were lower than those in the control group,with statistically significant difference(P<0.05).The incidence of adverse reactions in the observation group was 15.39%,lower than that in the control group 26.15%,the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 96.92%,which was higher than that of the control group 83.28%,and the difference was statistically significant(P<0.05).Conclusion The application of evidence-based nursing in caesarean section can reduce the incidence of postoperative infection,shorten the healing time and exhaust time of the wound,reduce the pain of the parturient,reduce the adverse reaction,and improve the satisfaction of parturient nursing.It is worthy of clinical popularization and application.