精细化护理在妇产科肥胖患者围术期中应用体会.docVIP

精细化护理在妇产科肥胖患者围术期中应用体会 　　【摘要】 目的 探讨在妇产科肥胖患者围术期中应用精细化护理的效果。方法 80例妇产科肥胖患者， 随机分为观察组和对照组， 各40例。观察组实施精细化护理， 对照组采取常规护理， 对比患者围术期护理效果。结果 观察组术后并发症为5.0%， 低于对照组的20.0%（P0.05）。与对照组对比， 观察组下床活动、排气及住院时间明显更短 （P0.05）。结论 妇产科肥胖患者围术期中应用精细化护理， 可降低术后并发症率， 缩短住院时间， 值得临床推广。 　　【关键词】 精细化护理；妇产科；肥胖患者；围术期 　　DOI：10.14163/j.cnki.11-5547/r.2015.22.154 　　Application experience of refined nursing for obesity patients in department of obstetrics and gynecology during perioperative period ZHANG Gen-lan. Guangdong Lechang City People’s Hospital， Lechang 512200， China 　　【Abstract】 Objective To investigate application effect of refined nursing for obesity patients in department of obstetrics and gynecology during perioperative period. Methods A total of 80 obesity patients in department of obstetrics and gynecology were randomly divided into observation group and control group， and each group contained 40 cases. The observation group received refined nursing， and the control group received conventional nursing. Their nursing effects during perioperative period were compared. Results The observation group had lower incidence of postoperative complications as 5.0% than 20.0% of the control group （P0.05）. Compared with the control group， the observation group had obviously shorter off-bed activity time， exhaust time， and hospital stay （P0.05）. Conclusion Application of refined nursing for obesity patients in department of obstetrics and gynecology during perioperative period reduces incidence of postoperative complications and shortens hospital stay. This method is worthy of clinical promotion. 　　【Key words】 Refined nursing； Department of obstetrics and gynecology； Obesity patients； Perioperative period 　　精细化护理作为一种现代化护理服务模式[1]， 此护理模式基于以人为中心的思想建立， 强调人的自由发展， 为患者提供精细化护理服务， 确保护理安全， 以达到预防并发症、治愈疾病等目的。本院对收治的妇产科肥胖患者实施精细化护理， 报告如下。 　　1 资料与方法 　　1. 1 一般资料 选取2013年1月～2014年6月本院收治的80例妇产科肥胖患者临床资料， 肥胖标准为体质量指数（BMI） ≥25.0 kg/m2 [2]， 随机分为观察组及对照组， 各40例。观察组年龄18～72岁， 平均年龄（38.78±8.44）岁。手术类型：剖宫产、宫腔镜手术、开腹子宫肌瘤剔除术、其他分别为13、10、8、9