细节护理在合并精神分裂症的中期妊娠患者引产中的应用及并发症分析

Application analysis of detailed nursing in odinopoeia of mid pregnancy complications in with schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(4)
作者
作者单位

咸阳市中心医院产科 ;

摘要
【摘要】 通过对中期妊娠合并精神分裂症患者实行引产手术的常见并发症以及精神症状加重的相关情况分析,探讨有针对性的护理措施。方法 将2011年2月至2015年9月期间于我院实施引产的中期妊娠合并精神分裂症患者82例作为本研究对象,随机分为实验组41例和对照组41例,对照组患者进行引产手术以及常规住院护理,而实验组患者实施引产同时予以术前、术时、产时以及产后针对性的细节护理措施,最后对两组患者的精神症状以及术后相关并发症进行对比分析。结果 实验组的简明精神病评定量表评分、精神症状加重率以及各类术后并发症发生率都明显低于对照组患者,差异显著,具有统计学意义( P<0.05)。结论 引产手术中注意保护性的措施,同时加强生命体征的监测,是确保手术成功的关键,术前、中、后实施有针对性的细节护理措施,适时止痛,避免疼痛而引发患者精神症状的发作以及护理意外的发生,保证引产手术的成功,使患者渡过围术期,提高家属满意率。
Abstract
【Abstract】 Objective:By analyzing postoperative complications and related psychiatric symptoms aggravating circumstances of abortion of mid-pregnancy with schizophrenia,to explore targeted care measures.Methods:Regard the patients about abortion of mid-pregnancy with schizophrenia as the object of this study from February 2011 to September 2015 in our hospital,randomly divided into experimental group with 41 cases and control group with 41 cases,giving surgical abortion to patients in the control group as well as conventional inpatient care, while the experimental group were been giving targeted details care measures simultaneously before the implementation of surgical abortion, intraoperative, intrapartum, and postpartum,and then compare the psychiatric symptoms and postoperative complications of two groups’ patients .Results:Exacerbation of psychiatric symptoms、BPRS score and complications incidence rate in the experimental group were significantly lower than the patients of control group,and was significant statistically(P <0.05).Conclusion:Surgical abortion protective measures of attention, while strengthening monitoring of vital signs, is the key to ensuring the success of the surgery,targeted details care measures simultaneously before the implementation of surgical abortion, intraoperative, intrapartum, and postpartum, timely relieve pain, to avoid the onset of psychiatric symptoms in patients and care accidents caused by pain, ensure the success of the surgical abortion, help patients spending perioperative and improve family satisfaction rate.
关键词
【关键词】:中期妊娠;精神分裂症;引产;护理;并发症
KeyWord
【Key words】:Mid-pregnancy;Schizophrenia;Abortion;Care;Complications
基金项目
页码 732-734
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段鲜盟*,徐慧慧,张苗,白燕. 细节护理在合并精神分裂症的中期妊娠患者引产中的应用及并发症分析 [J]. 国际精神病学杂志. 2016; 43; (4). 732 - 734.

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