摘要
目的探讨急危重剖宫产手术室护理流程的应用效果。方法将2015年1~12月收治的急危重剖宫产产妇106例作为对照组,2016年1~12月收治的急危重剖宫产产妇118例作为研究组。对照组给予常规护理,研究组实施急危重症剖宫产手术护理流程。比较2组手术室响应时间、术前准备时间、手术时间、血化验单获取时间、术中出血量和新生儿1min、5min的Apgar评分及母婴不良事件发生率、入住重症监护室情况。结果研究组的手术室响应时间、术前准备时间、手术时间、血化验单获取时间、出血量均显著低于对照组,新生儿1min及5min的Apgar评分均显著高于对照组,新生儿窒息、新生儿肺炎、新生儿呼吸道窘迫征及产妇产后出血比例均低于对照组,产妇及新生儿入住重症监护室的比例也低于对照组。结论急危重剖宫产术应用手术室护理流程可有效缩短手术时间、手术响应时间、术前准备时间、血化验单获取时间,降低母婴不良事件发生率及重症监护室的入住率。
Objective To explore the efficacy of operating-room nursing procedure in severe and critical patients undergoing the cesarean section. Methods Totally 118 severe and critical patients to receive cesarean section between January and December 2016 were selected into the study group, while another 106 admitted between January and December 2015 were chosen into the control group. The control group was given the routine care, while the study group was provided with nursing according to the operating room nursing procedure. The response time, preoperative preparation time, operation time, blood test time, blood loss, the 1^st and 5^th minute Apgar scores after neonatal birth, maternal adverse event and ICU hospitalization rate were compared between the two groups. Results The 1st and 5th minute Apgar score after the neonatal birth of the study group were significantly higher than those of the control group. The response time of the operating room, preoperative preparation time, operation time, blood test acquisition time and blood loss of the study group were significantly lower than those of the control group. Moreover, the incidence of neonatal asphyxia, pneumonia, respiratory distress and maternal postpartum hemorrhage of the study group were significantly lower than those of the control group. The proportion of maternal and neonatal stay in NICU were significantly lower in the study group than those of the control group. Conclusions The operating room nursing procedure can shorten operation time, operation response time, preoperative preparation time and time of blood test, reduce the incidence of maternal and neonatal adverse reactions and the stay in ICU among severe and critical patients undergoing the cesarean section.
出处
《中国临床护理》
2017年第6期518-521,共4页
Chinese Clinical Nursing
关键词
剖宫产
手术室护理
危重病
Cesarean section
Operating room nursing
Severe and critical condition
