产科病房护理中的风险分析及护理对策

Risk Analysis and Nursing Countermeasures in Nursing in Obstetric Ward

目的研究在产科病房护理中存在的风险,并依据风险制定相应的护理措施。方法在该院方便选取124例产妇,时间选为2017年5月-2019年1月使用抽签法进行分组,分为两组各62例,实施常规护理为对照组,实施综合性护理干预为实验组,对比两组产生的临床效果。结果实验组并发症发生率6.45%低于对照组25.81%,差异有统计学意义(χ^(2)=8.585,P<0.05);两组风险事件、投诉、护理差错发生率对比,实验组分别为1.61%、1.61%、3.23%,对照组分别为17.74%、12.90%、17.74%,实验组均低于对照组,差异有统计学意义(χ^(2)=9.226、4.313、6.960,P<0.05);两组满意度对比,实验组96.77%低于对照组87.10%,差异有统计学意义(χ^(2)=3.916,P<0.05);实验组胎头吸引产发生率14.52%低于对照组32.26%,实验组顺产发生率85.48%高于对照组67.74%,差异有统计学意义(χ^(2)=5.446,P<0.05)。结论在产科病房护理中实施综合性护理干预可以降低产后并发症发生率,使产妇恢复更加快速,值得推广。

Objective To study the risks in nursing care in maternity wards,and formulate corresponding nursing measures based on the risks.Methods 124 cases of parturients were screened out in the hospital,and the time was selected from May2017 to January 2019.They were grouped by lottery and divided into two groups with 62 cases in each group.The implementation of routine care was the control group,and the implementation of comprehensive nursing intervention was the experimental group,compared the clinical effects of the two groups.Results The complication rate of the experimental group was 6.45%lower than that of the control group 25.81%,and the difference was statistically significant(χ^(2)=8.585,P<0.05);The comparison of the incidence of risk events,complaints,and nursing errors between the two groups was 1.61%,1.61%,3.23%,the control group were 17.74%,12.90%,17.74%,the experimental group were lower than the control group,the difference was statistically significant(χ^(2)=9.226,4.313,6.960,P<0.05);two groups of satisfaction in contrast,96.77%of the experimental group was lower than 87.10%of the control group,and the difference was statistically significant(χ^(2)=3.916,P<0.05);the incidence of fetal head suction in the experimental group was 14.52%lower than that of the control group32.26%,and the incidence of normal labor in the experimental group 85.48%was higher than 67.74%in the control group,and the difference was statistically significant(χ^(2)=5.446,P<0.05).Conclusion The implementation of comprehensive nursing intervention in the nursing of obstetric ward can reduce the incidence of postpartum complications and make the maternal recovery faster,which is worthy of promotion.