基于改良早期预警评分的护理在剖宫产产妇中的应用

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Abstract Objective To observe the effect of nursing based on modified early warning scores (MEWS) on postpartum hemorrhage in patients with cesarean section. Methods Clinical data of 124 patients with cesarean section who completed delivery and follow-up in Nanjing Hospital, Nanjing Medical University from January 2018 to December 2019 were retrospectively analyzed and collected. According to the time of case collection, 61 patients admitted to hospital from January 2018 to December 2018 were selected as the control group for routine nursing intervention. Sixty-three patients admitted to the hospital from January to December 2019 were selected as the observation group, and MEWS based nursing intervention was implemented. Both groups were treated until the end of discharge, and the rate of postpartum bleeding, postoperative related indicators and the incidence of complications were recorded and compared between the two groups; Negative emotions in the two groups were assessed before intervention and one day before discharge (self-rating depression scale [SDS] and self-rating anxiety scale [SAS] were used to evaluate the negative emotions). Results The rate of postpartum hemorrhage in the observation group was lower than that in the control group, and the time of lactation initiation, anal ventilation duration and hospital stay in the observation group were shorter than those in the control group, the differences were statistically significant (P ＜ 0.05); one day before discharge, SDS and SAS scores in both groups were lower than before intervention, and observation group was lower than control group, the differences were statistically significant (P ＜ 0.05); there was no significant difference in the incidence of complications between the two groups (P ＞ 0.05). Conclusion Nursing intervention based on MEWS for patients with cesarean section can reduce the rate of postpartum bleeding, shorten the beginning time of lactation, anal ventilation time and length of hospital stay, and is more conducive to improving patients’ negative emotions such as anxiety and depression, with high application value.

Key words： Cesarean section Based on modified early warning scores Postpartum hemorrhage Postoperative recovery Complications Negative emotions

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	YAO Chunfang WAN Li

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YAO Chunfang WAN Li. Application of nursing based on improved early warning scores in cesarean section women[J]. 中国医药导报, 2021, 18(5): 185-188,196.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I5/185

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