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总结循证护理理论在产后大出血子宫切除中的护理体会。病例:我院一孕妇,29岁孕3产1宫内妊娠34周1天。因无痛性不规则阴道流血20余天,B超示前置胎盘,胎盘子宫切口植入?于3月28日行剖宫产术。术中出现大出血,呛咳,呼吸困难,血压迅速下降。即行子宫全切术。术后送ICU。我们运用循证护理理论以病人为中心制定一系列护理找施,针对其特殊情况分术前、术中、术后康复制定祥细计划,以病人为中心,专人24小时负责[1]。患者住院十天痊愈出院。结论:循证护理论运用于临床护理切实可行,对确保患者生命安全,提高生活质量具有很大的作用。
Summarize the Nursing Experience of Evidence Based Nursing Theory in Postpartum Hemorrhage Hysterectomy. Case: a pregnant woman in our hospital, 29-year-old pregnant and 3 intrauterine pregnancy 34 weeks 1 day. Due to painless irregular vaginal bleeding for more than 20 days, B ultrasound showed placenta previa, uterine incision implants? March 28 line cesarean section. Intraoperative bleeding, choking, difficulty breathing, rapid decline in blood pressure. Line hysterectomy. Postoperative ICU. We use the evidence-based nursing theory to develop a series of nursing-oriented programs centered on the patients. We plan to develop preoperative, intraoperative and postoperative rehabilitation plans in light of their special circumstances. Patient-centered and dedicated 24-hour staff are responsible. Ten days hospitalized patients were discharged. Conclusion: The application of evidence-based nursing theory in clinical nursing is feasible and has a great effect on ensuring patient’s life safety and improving quality of life.