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目的:探讨一对一护理干预对剖宫产初产妇下床不良事件发生风险及护理满意度的影响。方法:2016年1月开始针对剖宫产初产妇实施一对一护理干预,以实施前后1年分别设为对照组和观察组,每组各39例;比较两组下床不良事件发生率,产妇和家属护理满意度。结果:对照组产妇发生下床后晕厥和跌倒例数分别为4例,1例,下床不良时间发生率为12.82%;观察组产妇发生下床后晕厥和跌倒例数分别为1例,0例,下床不良时间发生率为2.56%;观察组产妇下床不良事件发生率显著低于对照组(P<0.05);对照组产妇对于护理工作非常满意10例,满意23例,一般5例,不满意1例,护理满意度为84.62%;观察组产妇对于护理工作非常满意28例,满意11例,一般0例,不满意0例,护理满意度为100.00%;观察组产妇护理满意度显著高于对照组(P<0.05);同时对照组家属对于护理工作非常满意8例,满意23例,一般6例,不满意2例,护理满意度为79.48%;观察组家属对于护理工作非常满意22例,满意16例,一般1例,不满意0例,护理满意度为97.44%;观察组家属护理满意度显著高于对照组(P<0.05)。结论:一对一护理干预用于剖宫产初产妇可有效避免下床不良事件发生,改善产妇和家属护理服务满意程度。
Objective: To investigate the impact of one-on-one nursing intervention on the risk of adverse events and nursing satisfaction of primiparous women during cesarean section. METHODS: One-on-one nursing interventions for primipara of cesarean section were carried out in January 2016. The control group and observation group were set as control group and observation group one year and one year respectively. Each group had 39 cases. The incidence of adverse reactions, Maternal and Family Nursing Satisfaction. Results: In the control group, the number of maternal syncope and falls after the onset of bed was 4 cases and 1 case, respectively. The incidence of adverse reactions after bed arrest was 12.82%. The number of syncope and falls in the observation group was 1 Cases, the incidence of adverse bed-ridding time was 2.56%; the incidence of adverse reactions in the observation group was significantly lower than that of the control group (P <0.05); the control group was very satisfied with nursing care in 10 cases, 23 cases satisfied, 5 cases in general , Dissatisfaction in 1 case, nursing satisfaction was 84.62%; observation group maternal very satisfied with the nursing work in 28 cases, satisfaction in 11 cases, generally 0 cases, not satisfied with 0 cases, nursing satisfaction was 100.00%; observation group maternal satisfaction (P <0.05). At the same time, the relatives in the control group were very satisfied with the nursing work, 8 cases were satisfied, 23 cases were satisfied, 6 cases were generally unsatisfied, and 2 cases were unsatisfied. The nursing satisfaction was 79.48% Satisfied with 22 cases, satisfied with 16 cases, generally 1 case, not satisfied with 0 cases, nursing satisfaction was 97.44%; nursing satisfaction of the observation group was significantly higher than the control group (P <0.05). Conclusion: One-on-one nursing interventions for cesarean section primipara can effectively avoid the occurrence of bed-ridden adverse events, and improve the satisfaction of nursing service for pregnant women and their families.