临床护理路径在剖宫产孕妇分娩过程中的应用效果研究

Study on the Application Effect of Clinical Nursing Pathway in the Delivery of Cesarean Section Pregnant Women

目的探究临床护理路径在剖宫产孕妇分娩过程中的应用效果。方法方便选取2015年1月—2016年6月期间于该院行剖宫产的80例孕妇作为对照组;方便选择2016年7月—2017年12月期间行剖宫产孕妇80例作为观察组,对照组实施常规剖宫产护理干预,观察组在对照组基础上实施临床护理路径。统计两组产妇首次肛门排气时间、下床活动时间及住院时间等围术期指标;采用该院自制《产妇知识评价量表》、护理满意度量表以评价两组产妇知识掌握程度及护理满意度;观察两组住院期间尿潴留、切口感染等并发症发生情况。结果观察组肛门排气时间[(19.48±5.27)h vs(24.25±5.80)h]、下床活动时间[(28.50±5.74)h vs(38.24±8.46)h]、及住院时间[(6.83±0.98)d vs(7.80±1.35)d]均短于对照组,差异有统计学意义(t=5.444、8.521、5.201,P<0.05);观察组知识掌握评分(88.15±6.72)分、护理满意度评分(9.60±0.34)分,均高于对照组的(67.30±9.44)分、(8.52±0.76)分,差异有统计学意义(t=16.094、11.602,P<0.05);两组产妇均顺利分娩,观察组并发症发生率1.25%,低于对照组的10.00%,差异有统计学意义(χ2=4.238,P<0.05)。结论临床护理路径在剖宫产孕妇分娩过程中可取得显著应用效果,能够有效促进产妇术后康复,利于提高产妇对相关知识的掌握程度及护理满意度,降低并发症发生率。

Objective To explore the application effect of clinical nursing pathway in the delivery of cesarean section pregnant women.Methods Convenient select 80 pregnant women who underwent cesarean section in our hospital from January 2015 to June 2016 were used as the control group.80 pregnant women who underwent cesarean delivery from July 2016 to December 2017 were convenient selected selected as observation groups.The control group performed routine cesarean section nursing intervention,and the observation group implemented the clinical nursing path on the basis of the control group.The perioperative indicators such as the first anal exhaust time,the time of getting out of bed and the length of hospital stay were counted.The self-made "Mothers Knowledge Evaluation Scale" and the Nursing Satisfaction Scale were used to evaluate the maternal knowledge of the two groups and the satisfaction of nursing degree;observed complications such as urinary retention and wound infection during hospitalization.Results The anus exhaust time of the observation group [(19.48±5.27)h vs (24.25±5.80)h],the time of getting out of bed [(28.50±5.74)h vs (38.24±8.46)h],and the hospitalization time [(6.83±0.98)d vs (7.80±1.35) d] were shorter than the control group,the difference was statistically significant (t=5.444,8.521,5.201,P<0.05);observation group knowledge master score (88.15±6.72)points,nursing satisfaction score (9.60±0.34)points were higher than those of the control group (67.30±9.44)points and (8.52±0.76)points,the difference was statistically significant (t=16.094,11.602,P<0.05).Both groups of women gave birth smoothly.The incidence of complications in the observation group was 1.25%,which was lower than that in the control group (10.00%).The difference was statistically significant (χ^2=4.238,P<0.05).Conclusion The clinical nursing pathway can achieve significant application results during the delivery of cesarean section pregnant women,which can effectively promote postoperative recovery of maternal,and improve the maternal knowledge of the relevant knowledge and satisfaction of nursing,and reduce the incidence of complications.