摘要
目的:探讨品质管理联合预防性护理模式在剖宫产产妇术后感染控制中的应用。方法:选取155例宫产产妇为研究对象,根据术后护理干预方式不同为对照组(n=77)和观察组(n=78)。对照组患者予以常规护理干预;观察组患者予以品质管理联合预防性护理干预,干预时间均为48 h。比较两组产妇干预期间感染情况(括切口、肺部和尿路等感染)、菌落相关指标(切口革兰阴性菌、革兰阳性菌、真菌等)、术后恢复情况(首次排气时间、首次下床活动时间及术后住院天数)和护理质量(护理满意度量表评分);干预前及干预48 h后疼痛程度[数字评定量表(NRS)评分]、产后疲惫[产后疲乏量表(PFS)评分]。结果:干预期间,观察组产妇总感染率、术后恢复时间、护理风险事件发生率低于对照组(P<0.05);护理满意度量表评分高于对照组(P<0.05);两组产妇鉴定的菌落相关指标比较,差异无统计学意义(P>0.05)。干预48 h后,两组产妇NRS、PFS评分均降低(P<0.05),且观察组低于对照组(P<0.05)。结论:品质管理联合预防性护理模式能有效控制剖宫产产妇术后感染,促进产妇恢复,降低产妇疼痛程度及产后疲惫,提高护理质量。
Objective:To explore the application of quality management combined with preventive nursing model in postoperative infection control of puerperae receiving cesarean section.Methods:155 postpartum women were selected as the research subjects,77 puerperae with cesarean section before the quality management combined with preventive nursing model were listed as control group and were given routine nursing model,and 78 puerperae after the implementation were included in observation group and received quality management combined with preventive nursing model.The intervention time for both groups was 48 hours.The infection status during intervention(including incision,lung,and urinary tract infections),colony-related indicators(incision gram-negative bacteria,gram-positive bacteria,fungi,etc.),postoperative recovery status(first exhaust time,first ambulation time,and postoperative hospital stay)and nursing quality(nursing satisfaction scale score)as well as pain degree[Numeric Rating Scale(NRS)score]and postpartum fatigue[Postpartum Fatigue Scale(PFS)score]before intervention and at 48 hours after intervention were compared between the two groups.Results:During the intervention period,the total infection rate,postoperative recovery time and incidence of nursing risk events in observation group were lower than those in control group(P<0.05).The nursing satisfaction in observation group was higher than that in control group(P<0.05).There was no statistically significant difference in colony-related indicators between the two groups(P>0.05).At 48 hours after intervention,the NRS score and PFS scores were reduced in both groups than those before intervention,and the scores were lower in observation group(P<0.05).Conclusion:Quality management combined with preventive nursing model can effectively control the postoperative infection,promote the recovery,reduce the pain degree and postpartum fatigue,and improve the nursing quality in puerperae with cesarean section.
作者
汤何瑞
任倩
王振林
TANG He-rui;REN Qian;WANG Zhen-lin(Department of Obstetrics and Gynecology,Bozhou Maternal and Children's Health Care and Family Planning Service Center,Bozhou Maternal and Children's Health Hospital,Bozhou 236800,Anhui,China;Department of Internal Medicine,Bozhou Maternal and Children's Health Care and Family Planning Service Center,Bozhou Maternal and Children's Health Hospital,Bozhou 236800,Anhui,China)
出处
《川北医学院学报》
2025年第2期269-272,共4页
Journal of North Sichuan Medical College
关键词
剖宫产
品质管理
预防性护理模式
术后感染控制
Cesarean section
Quality management
Preventive nursing model
Postoperative infection control
