循证护理在部分性前置胎盘中的临床应用.docVIP

循证护理在部分性前置胎盘中的临床应用 杨春梅卢燕菊(广东高要市妇幼保健院 526100) 【中图分类号】R473.71【文献标识码】B【文章编号】1672-5085 (2012)52-0315-02 【摘要】目的分析探讨循证护理模式对部分性前置胎盘的临床应用效果。方 法对我院收治的35例部分性前置胎盘患者实施循证护理，即回顾性分析常规 护理时的临床资料，确定主护理问题，查阅文献获取循证支持，定制提高护理质 量的护理方案。结果35例患者治疗期间满意度明显提高，其中发生2例产后 出血与5例早产，经及时发现处理后无影响。结论在部分性前置胎盘患者住院 期间实施循证护理，有效减少了并发症，提高护士主观能动性和护理质量，使患 者身心得到全方位的护理，保证了母婴的安全和生活质量。 【关键词】循证护理部分性前置胎盘 护理干预 Follow certificate nursing at parts of place the application in the placenta before sex 【Abstract】 SummaryPurpose:Analyze a study to follow a certificate nursing mode to parts of the effect for placing the clinical application of placenta before sex.Method:35 sufferers implementations that is parts of to place placenta before sex that accepts to cure to my hospital follow a certificate nursing, then the review analyzes to carry out a normal regulations nursing of clinical data, make sure a main nursing problem, check cultural heritage to obtain to follow certificate support, make to order the nursing project of raising the nursing quality.Result:35 sufferers cure the satisfaction in period obvious exaltation, take place among them 2 postnatal period issue of bloods and 5 prematures, through in time discover a processing behind have no influence.Conclusion:At parts of place placenta before sex the sufferer is hospitalized the period implementation follow a certificate nursing and effectively reduced complications and raised a nurse subjective can move sex and nursing quality, make sufferers mind and body get the nursing of whole aspectses, promised a mother baby of safety and life quality. [Keywords] Follow a certificate nursing Is parts of to place placenta before sex The nursing interferes 1、 临床资料 2009年1月至2012年1月本院收治的部分性前置胎盘患者35例，年 龄23-42岁，平均孕周33.42plusmn;0.75周，初产15例，经产妇20例，其中 孕前有人流史的有26例，入院时伴有阴道流血者33例。 2、 方法 根据过去常规护理的临床资料（包括实践和理论问题），确定循证护理 要点，通过中国知网、中国科技期刊数据库等查阅相关文献获取循证支持，定制 提高护理质量的护理干预方案。 3、 循证护理实践 3.1心理压力 3.1.1问题提出：28至37周发生反复无痛性阴道流血甚至大出血，胎 儿各器官未发育成熟，患者产生紧张及焦虑等负性情绪。 3.1.2循证：患者顾虑大量出血会对影响母胎生命健康，心理压力较大， 医务人员如不及吋了