无痛人工流产术420例护理体会(1)
[摘要] 目的：探讨并分析无痛人工流产术的护理方法，并观察其临床护理效果及应用价值。方法：回顾性分析420例自愿接受无痛人工流产术患者的一般资料，按照自愿选择的原则分为观察组和对照组，各有210例。对照组患者进行常规的术前、术中、术后护理，观察组患者在对照组的基础上针对患者的自身情况，制定了相应的心理护理计划。观察和比较两组患者的并发症的发生情况。结果：两组患者均顺利完成手术，术后观察组发生7例并发症，并发症发生率为3.3%；对照组发生18例并发症，并发症发生率为8.6%，观察组并发症发生情况明显优于对照组，差异具有统计学意义(P<0.05)。结论：临床进行无痛人工流产术根据手术的特点做好术前、术中、术后的护理，并对患者的心理进行特殊的护理能够大大的提高手术的质量，改善患者的病情和预后，有效降低手术并发症，明显提高患者的生存质量和生活质量，值得临床进一步推广应用。
[关键词] 无痛人工流产术；发症；心理护理；评分
[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2012)01(a)-134-02
, 百拇医药
Nursing of painless artificial abortion 420 cases
ZHOU Ling
Out-patient Department (OPD) of Taiping People's Hospital of Dongguan City in Guangdong Province, Dongguan 523900, China
[Abstract] Objective: To explore and analyze the nursing method of painless artificial abortion, and to observe its clinical effect and value. Methods: Four hundred and twenty cases of pregnancy patients who voluntaryly received painless artificial abortion were retrospectively analyzed, and all patients were divided into two groups, the observation group and the control group, each of 210 cases. The control group patients were given normal preoperative, intraoperative, postoperative care. The observation group patients were given appropriate psychological care plan according to their own situation on the basis of the control group. The incidence of complications of the two groups patients were observed and compared. Results: Two groups of patients were all successfully operated, seven cases of the observation group had complications after operation, the complication rate was 3.3%; the control group had 18 cases complications, and thecomplication rate was 8.6%; the observation group were significantly superior to the control group, the difference was statistically significant (P<0.05). Conclusion: According to the characteristics of operation, do preoperative, intraoperative, and postoperative care well, and patients with special psychological care, we find that effective nursing measures and psychological care can greatly improve the quality of surgery and improve the patient's condition and prognosis, reduce surgical complications, significantly improve the quality of lives of patients, it is worthy of further clinical application.
, 百拇医药
[Key words] Painless artificial abortion; Complications; Psychological care; Score
人工流产又称中断怀孕，是指取出胚胎或者导致胎儿死亡的行为。人工流产作为避孕失败的补救措施，在临床上应用广泛，传统负压吸引人工流产术通常不用镇痛剂和麻醉剂，会给患者带来身体和心理的双重痛苦，甚至有些妇女为此恐惧性生活，怕意外怀孕再次经历手术的痛苦。随着计划生育知识的普及和医学技术的发展，无痛人工流产术由于能够使患者全身肌肉放松，无痛苦，且便于操作而被广泛应用于临床[1]。但是，由于接受流产的女性大多对人工流产有恐惧、害怕甚至抵触的心理，因此，必须让其对无痛人工流产的过程有一个充分的了解，这就要求护理工作人员不但要减轻患者的身体痛苦，还要特别注意患者的心理反应，近年来，本院在对无痛人工流产术患者进行常规护理的基础上，制定适合患者的心理护理计划，取得了较好的效果，现总结如下：
1 资料与方法
1.1 一般资料
选择本院2009年2月～2011年4月接收的自愿行无痛人工流产术终止妊娠的孕妇420例，所有孕妇的停经时间为8～14周，均经B超、肝肾功能、血常规、妇科等检查无异常，排除头盆不称，严重的心脏病、高血压、肾病患者，所有患者3个月内未用过甾体激素类药物，1周内未用过抗生素，无严重妊娠并发症、妊娠高血压综合征，无使用前列腺素及缩宫素的禁忌证。按照对照、自愿的原则分为观察组和对照组，观察组210例，年龄19～32岁，平均24.3岁，平均孕周(11.2±2.4)周；对照组210例，年龄20～31岁，平均24.8岁，平均孕周(10.9±1.5)周。两组患者年龄、孕周等一般资料比较差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(周玲)
[关键词] 无痛人工流产术；发症；心理护理；评分
[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721(2012)01(a)-134-02
, 百拇医药
Nursing of painless artificial abortion 420 cases
ZHOU Ling
Out-patient Department (OPD) of Taiping People's Hospital of Dongguan City in Guangdong Province, Dongguan 523900, China
[Abstract] Objective: To explore and analyze the nursing method of painless artificial abortion, and to observe its clinical effect and value. Methods: Four hundred and twenty cases of pregnancy patients who voluntaryly received painless artificial abortion were retrospectively analyzed, and all patients were divided into two groups, the observation group and the control group, each of 210 cases. The control group patients were given normal preoperative, intraoperative, postoperative care. The observation group patients were given appropriate psychological care plan according to their own situation on the basis of the control group. The incidence of complications of the two groups patients were observed and compared. Results: Two groups of patients were all successfully operated, seven cases of the observation group had complications after operation, the complication rate was 3.3%; the control group had 18 cases complications, and thecomplication rate was 8.6%; the observation group were significantly superior to the control group, the difference was statistically significant (P<0.05). Conclusion: According to the characteristics of operation, do preoperative, intraoperative, and postoperative care well, and patients with special psychological care, we find that effective nursing measures and psychological care can greatly improve the quality of surgery and improve the patient's condition and prognosis, reduce surgical complications, significantly improve the quality of lives of patients, it is worthy of further clinical application.
, 百拇医药
[Key words] Painless artificial abortion; Complications; Psychological care; Score
人工流产又称中断怀孕，是指取出胚胎或者导致胎儿死亡的行为。人工流产作为避孕失败的补救措施，在临床上应用广泛，传统负压吸引人工流产术通常不用镇痛剂和麻醉剂，会给患者带来身体和心理的双重痛苦，甚至有些妇女为此恐惧性生活，怕意外怀孕再次经历手术的痛苦。随着计划生育知识的普及和医学技术的发展，无痛人工流产术由于能够使患者全身肌肉放松，无痛苦，且便于操作而被广泛应用于临床[1]。但是，由于接受流产的女性大多对人工流产有恐惧、害怕甚至抵触的心理，因此，必须让其对无痛人工流产的过程有一个充分的了解，这就要求护理工作人员不但要减轻患者的身体痛苦，还要特别注意患者的心理反应，近年来，本院在对无痛人工流产术患者进行常规护理的基础上，制定适合患者的心理护理计划，取得了较好的效果，现总结如下：
1 资料与方法
1.1 一般资料
选择本院2009年2月～2011年4月接收的自愿行无痛人工流产术终止妊娠的孕妇420例，所有孕妇的停经时间为8～14周，均经B超、肝肾功能、血常规、妇科等检查无异常，排除头盆不称，严重的心脏病、高血压、肾病患者，所有患者3个月内未用过甾体激素类药物，1周内未用过抗生素，无严重妊娠并发症、妊娠高血压综合征，无使用前列腺素及缩宫素的禁忌证。按照对照、自愿的原则分为观察组和对照组，观察组210例，年龄19～32岁，平均24.3岁，平均孕周(11.2±2.4)周；对照组210例，年龄20～31岁，平均24.8岁，平均孕周(10.9±1.5)周。两组患者年龄、孕周等一般资料比较差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(周玲)