护理行为感知在前置胎盘剖宫产手术中的意义

为探讨护理行为感知在前置胎盘剖宫产手术患者中应用的价值,本研究选取我院拟实施剖宫产的前置胎盘妊娠妇女90例,收集时间为2015年1月至2017年4月,随机将其分为观察组(手术期护理实施护理行为感知模式)和常规组(常规护理模式)各45例,并对比两组产妇术中出血量、术后24 h出血量、新生儿基本情况及产妇焦虑情绪变化情况。研究发现,观察组产妇的术中、术后24 h出血量均显著低于常规组,差异具有统计学意义(p<0.05);观察组和常规组的新生儿体质量差异无统计学意义(p>0.05);观察组新生儿1 min及5 min Apgar评分高于常规组,差异具有统计学意义(p<0.05);观察组的产后并发症发生概率为15.56%,显著低于常规组的35.56%,差异具有统计学意义(p<0.05);产前24 h、产后24 h,观察组的HAMA评分均低于常规组,差异具有统计学意义(p<0.05)。结果表明,护理行为感知在前置胎盘剖宫产手术患者中应用有利于减轻产妇的焦虑情绪、减少术中及术后出血量,提高新生儿的Apgar评分,并降低手术并发症的风险。

Significance of Nursing Behavior Perception in Caesarean Section of Placenta Previa

To explore the value of the application of nursing behavior perception in the patients undergoing cesarean section of placenta previa, in this study, 90 pregnant women with placenta previa who were scheduled to undergo caesarean section in our hospital were selected. The collection time was from January 2015 to April 2017, and they were randomly divided into observation group(nursing behavior perception mode during operation) and routine group(routine nursing mode), with 45 cases in each group. We compared the intraoperative blood loss, bleeding volume 24 h after operation, the basic situation of newborns, and the maternal anxiety changes between the two groups. The study found that the intraoperative and postoperative 24 h bleeding volume in the observation group were significantly lower than that in the routine group, and the difference was statistically significant(p<0.05). There was no significant difference in the newborns body mass between the observation group and the routine group(p>0.05). The Apgar scores of the 1 min and 5 min neonates in the observation group were higher than those in the routine group, and the difference was statistically significant(p<0.05). The incidence of postpartum complications in the observation group was 15.56%,which was obviously lower than that in the routine group(35.56%), and the difference was statistically significant(p<0.05). The HAMA scores of the observation group were lower than those of the routine group 24 hours before and24 hours after delivery, and the difference was statistically significant(p<0.05). The results showed that the application of nursing behavioral perception in patients undergoing placenta previa caesarean section would be helpful to alleviate maternal anxiety, reduce the amount of intraoperative and postoperative bleeding, improve the Apgar score of newborns, and reduce the risk of surgical complications.