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目的探讨基于PDCA护理模式对凶险型前置胎盘患者生存质量的影响。方法选取2013年6月-2014年8月就诊于福建省妇幼保健院产科病房的28例凶险型前置胎盘患者作为研究对象,采用基于PDCA模式的护理干预。评价患者产后出血量与产后结局。结果 17例患者发生产后大出血,失血量中位值为2 005.0 ml,6例患者行次全子宫切除术或子宫肌层部分切除术,1例患者发生泌尿系统损伤,均康复出院。28例新生儿均存活,入新生儿救护中心治疗后顺利出院。结论基于PDCA模式的护理干预可减少凶险型前置胎盘患者术后出血量和感染发生率,提高其生存质量。
Objective To explore the impact of PDCA nursing model on the quality of life of patients with aggressive placenta previa. Methods 28 cases of dangerous placenta previa who visited the maternity ward of Fujian Provincial MCH Hospital from June 2013 to August 2014 were selected as the research object and the nursing intervention based on PDCA mode was adopted. Evaluation of patients with postpartum hemorrhage and postpartum outcomes. Results The postpartum hemorrhage occurred in 17 patients. The median blood loss was 2 005.0 ml. Six patients underwent subtotal hysterectomy or partial myomectomy. One patient suffered from urinary tract injury and recovered. All 28 newborns survived and were discharged into the neonatal care center after treatment. Conclusion Nursing intervention based on PDCA mode can reduce the postoperative bleeding and infection rate and improve the quality of life of patients with aggressive placenta previa.