熊金梅 桂绍珍

[摘要]目的 研究胎膜早破产妇在治疗期间实施询证护理的临床效果。方法 选取2015年3月～2017年3月我院收治的存在胎膜早破问题的产妇82例，通过随机分组的方法将其分为对照组和观察组，每组41例。对照组实施常规产科护理，观察组实施循证护理干预。比较两组研究对象产后感染事件发生例数、对胎膜早破治疗期间护理服务的满意度、产后出血量、产后住院治疗时间。结果 观察组产妇的产后感染事件发生率14.6%（6例）少于对照组51.2%（21例），差异有统计学意义（P<0.05）；观察组产妇对胎膜早破治疗期间护理服务满意度高于对照组，差异有统计学意义（P<0.05）；观察组产妇产后出血量低于对照组，产后住院治疗时间短于对照组，差异有统计学意义（P<0.05）。结论 胎膜早破产妇在治疗期间实施询证护理，可以最大限度地保证围产期阶段母婴安全，缩短产后住院治疗时间，使产妇对护理服务满意度进一步提高。

[关键词]胎膜早破；询证护理；效果；产后感染

[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2018）4（b）-0182-03

Application of evidence-based nursing in premature rupture of membranes

XIONG Jin-mei GUI Shao-zhen

Intensive Care Unit，Department of Gynecology and Obstetrics，Jiujiang Maternal and Child Health Hospital in Jiangxi Province，Jiujiang 332000，China

[Abstract]Objective To study the clinical effect of the nursing of the parturient with premature rupture of the membranes during the treatment.Methods From March 2015 to March 2017，82 cases of premature rupture of membranes were randomly divided into control group and observation group，41 cases in each group.The control group received routine obstetric care.Evidence-based nursing intervention was carried out in the observation group.The number of cases of postpartum infection，satisfaction of nursing service during the treatment of premature rupture of membranes，postpartum hemorrhage，postpartum hospital treatment time were compared between the two groups.Results The incidence of postpartum infection was14.6%（6 cases） in the observation group，less than 51.2% （21 cases） in the control group，the difference was statistically significant （P<0.05）.The satisfaction degree of nursing service in observation group was higher than that in control group （P<0.05）.The amount of postpartum hemorrhage in the observation group was lower than that in the control group，and the duration of postpartum hospitalization was shorter than that in the control group （P<0.05）.Conclusion The implementation of the inquiry nursing during the treatment period of the premature rupture of membranes can ensure the safety of the mother and baby in the perinatal stage，shorten the time of hospitalization and improve the satisfaction of the pregnant women to the nursing service.

[Key words]Premature rupture of membranes；Consultation nursing；Effect；Postpartum infection

導致胎膜早破事件发生的原因，主要是由于产妇足月或未足月而产生的不同后果。通常情况下未足月胎膜早破对产妇和胎儿所造成的影响程度相对较重，甚至会对其生命安全造成一定的威胁，而且，还会使产后发生感染的可能性加大，使婴儿健康不理想。因此，在临床实际工作中需要及时采取积极有效的措施对病情进行干预，使该类患者发生早产的几率降低，减少产后感染及相关并发症出现的可能，从而使围产期阶段的母婴健康问题能够得到更加充分的保证[1-3]。本文主要研究胎膜早破产妇在治疗期间实施询证护理的临床效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2015年3月～2017年3月我院收治的存在胎膜早破问题的产妇82例，通过随机分组的方法将其分为对照组和观察组，每组41例。对照组孕龄31～41周，平均（38.7±1.2）周；……