Objective: To study the effect of individualized nursing care based on risk assessment on the prognosis of cesarean section, the incidence of postoperative venous thrombosis and postpartum rehabilitation. Methods: A total of 80 parturient women who underwent cesarean section in the Third People's Hospital of Bengbu from January 2021 to April 2022 were selected and randomly divided into the routine group and the study group by random number table method. Routine intervention was performed on parturient women in the routine group, and personalized nursing care based on risk assessment was performed on parturient women in the study group. The prognosis, incidence of postoperative venous thrombosis and postpartum rehabilitation were compared between the two groups. Results: The extubation time, feeding time, lactation time and defecation time of the study group were (10.39±3.56) h, (10.39±2.16) h, (23.41±3.69) h and (26.31±5.16) h, respectively, which were significantly lower than those of the routine group (P<0.05). The D-2 polymers, platelet levels and prothrombin time in the study group were significantly lower than those in the routine group (P<0.05). The VAS scores at 6h, 12h and 24h of the study group were (3.71±1.03), (3.76±0.91) and (3.22±0.83) respectively, which were significantly lower than those of the routine group (P< 0.05). Within 1 week after delivery, lochia excretion in the study group was (80.21±15.43) mL, which was significantly lower than that in the routine group (P<0.05), and the distance between the fundus and the umbilicus in the study group was (2.27±0.35) cm, which was significantly higher than that in the routinel group (P<0.05). Conclusion: Individualized nursing based on risk assessment for cesarean section can effectively improve the prognosis of patients, reduce the incidence of postoperative venous thrombosis and pain degree, and help to accelerate recovery of woman after cesarean section, which is worthy of promotion.
WANG Hong
. Effect of individualized care based on risk assessment on cesarean section[J]. Journal of Baotou Medical College, 2023
, 39(11)
: 75
-79
.
DOI: 10.16833/j.cnki.jbmc.2023.11.015
[1] 孔珊珊, 邓露, 申海艳, 等. 剖宫产患者术中低体温风险预测模型的构建及应用效果研究[J]. 中华护理杂志, 2021, 56(2): 165-171.
[2] 蒋晓颖, 赵雪卉, 张娟. 低相对分子质量肝素预防高龄患者剖宫产后下肢深静脉血栓形成的效果[J]. 血栓与止血学, 2020, 26(3): 469-470.
[3] 王勤, 闻小贵, 刘冬红. 不同护理模式预防剖宫产后患者并发深静脉血栓形成中的作用[J]. 血栓与止血学, 2019, 25(1): 163-164.
[4] 孙文杰, 李毓, 李明, 等. 上海市危重孕患者会诊抢救中心对剖宫产率与手术指征的影响[J]. 现代妇产科进展, 2022, 31(6): 429-434.
[5] 申瑜. Autar量表联合针对性护理干预对重度子痫前期患者剖宫产术后下肢深静脉血栓风险的影响[J]. 临床研究, 2021(10): 132-134.
[6] 严广斌. 视觉模拟评分法[J]. 中华关节外科杂志: 电子版, 2014, 8(2): 144.
[7] 杨春杰, 武泽. 剖宫产术后远期并发症及其对辅助生殖妊娠结局影响的研究进展[J]. 中华生殖与避孕杂志, 2022, 42(5): 513-517.
[8] 韩慧慧, 张云清, 侯荣. 剖宫产围产期护理干预对患者下肢深静脉血栓的预防体会及护理干预[J]. 贵州医药, 2022, 46(7): 1169-1170.
[9] 崔丽娜. Dvt风险因素评估表联合预防性护理模式对凶险性前置胎盘孕妇剖宫产术后下肢DVT风险的影响[J]. 实用临床医学, 2021, 22(5): 90-92.
[10] 王祥雯, 袁逸菁, 范颖. 中西医结合护理对剖宫产患者预后及腹胀情况的影响[J]. 山西医药杂志, 2021, 50(22): 3213-3215.
[11] 张成芳, 徐超琳, 陈霞. 产前情景式健康宣教在初患者第二产程医患配合中的应用价值[J]. 中国妇幼保健, 2022, 37(14): 2679-2682.
[12] 唐妮妮. 多元化健康教育模式在剖宫产患者术后康复中的应用[J]. 中国妇幼保健, 2020, 35(22): 4179-4181.
[13] 赵新莉, 范利. 剖宫产围产期护理干预对患者下肢深静脉血栓的预防效果[J]. 实用临床医药杂志, 2019, 23(22): 76-78.
[14] 郭雯, 阮斌铃, 谢雅娜. Autar量表联合Caprini量表对骨盆骨折病人下肢深静脉血栓形成风险评估的诊断和预测价值[J]. 循证护理, 2022, 8(11): 1550-1553.
[15] 刘飞, 司龙妹, 张佩英, 等. 成人手术患者使用弹力袜预防下肢深静脉血栓的证据总结[J]. 中华现代护理杂志, 2020, 26(31): 4352-4358.