摘要
目的通过对孕产妇的风险评估，实施预见性护理，探讨其对孕产妇产时和产后的影响。方法对2005年7月-2006年7月入住我院妇产科分娩的1316例孕产妇进行产科风险评估，讨论其相关因素，实施预见性护理，与2004年6月-2005年6月入住我院妇产科实施常规护理分娩的1371例孕产妇进行比较，观察2组不同护理对产妇产时和产后的影响。结果进行产程监测过程中的风险评估，及时实施预见性护理的孕产妇能被及时发现潜在的危险因素，及早预防和处理，达到有效减少难产、产后出血、宫颈裂伤、新生儿窒息、产后尿潴留、产后伤口感染等产科并发症的发生。结论进行产科风险评估，针对风险的相关因素，实施预见性护理，可有效地提高护理护理质量，减少产科并发症，从而达到提高产科护理质量，保障母婴安全的目的。
Intention By risk-evaluating the lying-in women, to implement predictable nursing process, and probe into the effect at the time of or after production. Methods Based on fully understanding and agreement on the experiment, self-choosing and randomly-grouped, 1371 cases of lying-in women, which are defined as an experimental group, are implemented with predictable nursing process after risk evaluation; while another 1371 cases of lying-in women, which are defined as a comparing group, are implemented with normal nursing process after normal observation. Observe the difference of the two groups undergoing different nursing process. Results With risk evaluation during the period of confinement monitoring, latent dangerous factors with the lying-in women can be detected timely under implementing predictable nursing process, then with early prevention and treatment, obstetric syndrome, such as dystocia, postpartum flooding, soft birth canal laceration, newly-born baby asphyxiation, urinary retention and cut infection, can be reduced, which results in keeping lying-in women and babies safe and healthy. Conclusions Evaluating related risk factors and carry out preventive nursing cares can effectively improve the nursing quality, avoid related complications, and then guarantee the safty of patients and new borns.
关键词
风险评估
预见性护理
产程监测
分娩
并发症
Risk evaluation
Preventive nursing
Confinement monitoring
Parturition
Complication
