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中文摘要：
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。
英文摘要：
Objective To explore the effect of PDCA nursing mode on quality of life in patients with pernicious placenta previa. Meth- ods Twenty-eight patients with pernicious placenta previa were selected from obstetrical wards in the hospital from June 2013 to August 2014, then they received PDCA nursing mode, the amount of postpartum hemorrhage and outcome were evaluated. Results Postpartum hemorrhage occurred in 17 patients, the median amount was 2 005.0 ml. Six patients underwent subtotal hysterectomy or subtotal myometrium excision, one patient suffered from urinary system injury, all the patients recovered and left the hospital. All the 28 neonates were alive and left the hospital after treatment in Neonatal Intensive Care Unit. Conclusion PDCA nursing mode can reduce the amount of postpartum hemorrhage and the incidence rate of infection as well as improve the quality of life in patients with pernicious placenta previa.
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