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风险管理对急诊剖宫产产妇母婴结局的影响研究

作者:张爱玉

所属单位:河南省洛阳市妇女儿童医疗保健中心北院手术室 (河南 洛阳 471000)

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摘要

目的 探究风险管理对急诊剖宫产产妇母婴结局的影响。方法 将2015年6月-2016年6月收治入院的116例急诊剖宫产 患者,采用简单随机抽样法分为研究组和对照组(对照组:2015年6月-2015年12月,研究组:2016年1月-2016年6 月),每组各58例。2组均实施常规护理干预措施,研究组在此基础上增加护理风险管理。对比2组护理综合情况 (护理满意度、护理不良事件、护患纠纷)、围生儿不良事件发生率及产妇产后并发症发生率的差异性。结果 ① 研究组护理满意度较对照组高,2组护患纠纷和护理不良事件发生率对比无统计学意义(P>0.05);②2组围生儿死 亡、肺炎及颅内出血发生率对比无统计学意义(P>0.05);研究组围生儿不良事件总发生率及产妇产后并发症总发 生率均较对照组低(P<0.05)。结论 风险管理能有效改善急诊剖宫产产妇母婴结局,提高护理满意度。

Objective To explore the effect of risk management on maternal and infant outcomes of emergency cesarean section. Methods From Jun. 2015 to Jun. 2016, 116 cases of emergency cesarean section patients were randomly divided into study group (58 cases, Jan. 2016 to Jun. 2016) and control group (58 cases, Jun. 2015 to De. 2015). Both groups were given routine nursing intervention, besides, the study group was given additional risk management. The comprehensive situations of nursing (nursing satisfaction degrees, nursing adverse events and nursing disputes), the incidence rates of adverse events in perinatal infants and the incidence rates of postpartum complications in women were compared between the two groups. Results The nursing satisfaction degree in the study group was higher than that in the control group(P<0.05), there were no significant differences in the incidence of nursing disputes, nursing adverse events, death, pneumonia and intracranial hemorrhage of perinatal infants between the two groups (P>0.05); not only the total incidence rate of adverse events in perinatal period, but also the incidence rate of postpartum complications in women of the study group were all lower than those of the control group(P<0.05). Conclusion Risk management can not only effectively improve the maternal and infant outcomes of emergency cesarean section, but also reduce the risk of nursing disputes.

【关键词】风险管理;护理管理;急诊剖宫产;母婴结局

【中图分类号】R719;R47

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2018.02.023

前言

急诊剖宫产是产科处理胎儿宫内窘迫相对安全且 快速有效的一种手段[1]。妊娠分娩是一种特殊生理状 态,在此过程中对产妇及婴儿生命造成威胁的风险因 素众多。有研究显示,剖宫产与自然分娩比孕产妇死 亡风险更高,孕产妇和围生儿并发症发生率明显上 升[2]。风险管理指医院通过识别、评估现有的、潜在 的风险,然后采取有效措施控制风险事件的发生、减 少风险事件对患者及医务人员的不良影响[3]。急诊剖 宫产往往情况危急,在此种情况下做好风险管理十分 重要,以便尽可能避免潜在风险,使产妇获得最佳的 母婴结局。基于此,本研究选取我院收治的急诊剖宫产患者116例进行研究,以探讨探究风险管理对急诊 剖宫产产妇母婴结局的影响,现报告如下。