人性化护理在产妇分娩中的应用效果

[目的]探讨人性化护理在产妇分娩中的应用效果。[方法]将286例要分娩的产妇分为观察组和对照组,对照组采用常规护理,观察组在常规护理的基础上给予人性化护理。[结果]观察组自然分娩率明显高于对照组（P〈0．05）;观察组总产程时间、出血量明显少于对照组（P〈0．05）;观察组新生儿Apgar评分优于对照组（P〈0．05）。[结论]人性化护理可提高孕产妇自然分娩率、减少分娩时间和出血量,且有利于新生儿健康。     

人性化护理在自然分娩产妇中的应用

[目的]探讨人性化护理对孕妇及新生儿的影响。[方法]将2002年在我院住院分娩的1803例产妇作为观察组，将人性化护理贯穿分娩全程；2001年1368例产妇作为对照组，给予常规护理。观察两组剖宫产率、产后大出血率及新生儿窒息率。[结果]观察组产妇剖宫产率、产后大出血率、新生儿窒息率均低于对照组（P〈0．05）。[结论]人性化护理能促进自然分娩，提高产科质量。     

自然分娩产妇采取优质护理模式的效果分析

目的 研究分析自然分娩产妇采取优质护理模式的效果。方法 选取我校附属医院产科 2022 年 1 月至 2022 年 1 月收治的78 例自然分娩产妇为研究对象。采用随机抽签的方法将患者分为对照组和观察组,每组各 39 例。对照组给予常规护理干预,观察组在对照组基础上给予优质护理干预。分析对比两组的护理满意度、分娩用时、产后出血量、心理状态及新生儿窒息发生率。结果 观察组的护理满意率显著高于对照组（P<0.05）。相较于对照组,观察组的分娩用时显著缩短,产后出血量显著减少（P<0.05）。观察组的焦虑评分和抑郁评分均显著低于对照组（P<0.05）。观察组新生儿窒息发生率为 5.13%,明显低于对照组的 23.08%（P<0.05）。结论 对自然分娩产妇采用优质护理模式进行护理,能够提高产妇的护理满意度、缩短分娩用时、减少产后出血量、缓解产妇的不良情绪及降低新生儿窒息的发生率。     

人性化护理在自然分娩产妇中的应用

[目的]探讨人性化护理对孕妇及新生儿的影响。[方法]将2002年在我院住院分娩的1803例产妇作为观察组,将人性化护理贯穿分娩全程;2001年1368例产妇作为对照组,给予常规护理。观察两组剖宫产率、产后大出血率及新生儿窒息率。[结果]观察组产妇剖宫产率、产后大出血率、新生儿窒息率均低于对照组(P<0.05)。[结论]人性化护理能促进自然分娩,提高产科质量。     

优质护理干预对自然分娩产妇的护理满意度的影响观察

目的:研究优质护理干预对自然分娩产妇的护理满意度的影响。方法:选取2017年1月至2017年3月在本院进行自然分娩的229例产妇,随机分为两组。对照组产妇采取产科常规护理干预,观察组产妇采取优质护理干预。观察两组自然分娩产妇对护理服务的满意程度,分为十分满意、比较满意、基本满意以及不满意。结果:观察组自然分娩产妇对护理服务的满意为97.37%(111/114),明显高于对照组产妇的77.39%(89/115)(P <0.05),差异比较具有统计学意义(P <0.05)。结论:优质护理干预可以显著提高自然分娩产妇的护理满意度。     

会阴斜侧切开缝合术在产妇自然分娩中的应用效果及护理

目的：探讨会阴斜侧切开缝合术在产妇自然分娩中的应用及护理方法。方法选取我院2013年1月1日至12月31日行会阴斜侧切开缝合术的116例产妇为研究对象,按照手术方法的不同分为观察组80例和对照组36例,对照组采用传统会阴侧切缝合术,观察组进行改良会阴侧切缝合术,两组护理方法基本相同,比较两组的应用效果及护理满意度。结果观察组的会阴切口出血量、切口缝合时间、住院时间显著少于对照组,差异有统计学意义（ P＜0.05）。观察组术后24 h伤口的肿胀和疼痛程度显著少于对照组,伤口愈合程度显著好于对照组,差异有统计学意义（ P＜0.05）。观察组的护理满意度高于对照组,差异有统计学意义（ P＜0.05）。结论合理的会阴斜侧切开缝合术应该更符合解剖和生理结构的特征,更能减轻产妇的痛苦,加快术后伤口愈合。     

积极的护理干预在自然分娩中的应用

随着人们健康意识的增强,每对育龄夫妇都希望自己能生育一个健康聪明的婴儿。因此,孕妇都带着复杂的心情来院分娩,有雠旦心医务人员的态度,有的担心分娩疼痛而害怕自然分娩,但更多的是担心分娩过程并发意外情况,尤其是婴儿的健康和安全,因此,给自然分娩造成了一定的障碍。     

积极的护理干预在自然分娩中的应用

随着人们健康意识的增强,每对育龄夫妇都希望自己能生育一个健康聪明的婴儿.因此,孕妇都带着复杂的心情来院分娩,有的担心医务人员的态度,有的担心分娩疼痛而害怕自然分娩,但更多的是担心分娩过程并发意外情况,尤其是婴儿的健康和安全,因此,给自然分娩造成了一定的障碍.     

浅谈产妇在分娩过程中的心理护理

心理因素与人的健康息息相关，产妇心理状态的好坏可直接影响各产程的顺利进行。根据产妇不同的心理状态及分娩的不同时期，要给予适当的恰到好处的心理护理，使她们在最佳的心理状态下顺利分娩。     

Efficacy of Cinoxacin in Urinary Tract Infections

Cinoxacin, a new synthetic antibacterial agent with in vitro activity against all species of Enterobacteriaceae, was used in the treatment of urinary tract infections in 20 patients. The dose of cinoxacin was 250 mg orally every 6 h for 10 days. The etiological agents were Escherichia coli in fifteen, Klebsiella-Enterobacter in five, Proteus mirabilis in two, and Providencia in one. The minimal inhibitory concentration for these organisms ranged from 2 to 64 mug/ml. Eleven of the 20 patients had renal involvement by defined criteria, whereas the remaining nine were considered to have bladder bacilluria. The initial strain was eradicated during and immediately after treatment in 19 of 20 cases. At 6 weeks, 65% had sterile urine. Bactericidal urine levels of cinoxacin were obtained in all patients. No significant hematological, renal, hepatic, or gastroenterologic toxicity was noted. Cinoxacin appears to be a safe and useful drug in the treatment of urinary tract infections caused by Enterobacteriaceae.     

Childhood Urinary Tract Infections in Family Practice

During one year in a private practice, 102 cases of childhood urinary-tract infection (UTI) were detected. Presenting symptoms and signs are given, and the sex and age of the children are related to bacterial and pus-cell counts in the urine. The urine was cultured in 68 cases, and eight patients were further investigated.     

产后尿潴留的原因分析及护理进展

产后尿潴留是产后常见的一种并发症,其发生率为2．3％,如不及时处理,不仅影响产妇子宫产后收缩,导致产后出血,还可导致膀胱炎、肾盂肾炎等,甚至导致膀胱局部坏死。故了解产后尿潴留的病因和防治方法,对预防和减少产后尿潴留极其重要。笔者对产后尿潴留原因及护理进展综述如下。     

Novel Antiseptic Urinary Catheters for Prevention of Urinary Tract Infections: Correlation of In Vivo and In Vitro Test Results

Urinary catheters are widely used for hospitalized patients and are often associated with high rates of urinary tract infection. We evaluated in vitro the antiadherence activity of a novel antiseptic Gendine-coated urinary catheter against several multidrug-resistant bacteria. Gendine-coated urinary catheters were compared to silver hydrogel-coated Foley catheters and uncoated catheters. Bacterial biofilm formation was assessed by quantitative culture and scanning electron microscopy. These data were further correlated to an in vivo rabbit model. We challenged 31 rabbits daily for 4 days by inoculating the urethral meatus with 1.0 × 10⁹ CFU streptomycin-resistant Escherichia coli per day. In vitro, Gendine-coated urinary catheters reduced the CFU of all organisms tested for biofilm adherence compared with uncoated and silver hydrogel-coated catheters (P < 0.004). Scanning electron microscopy analysis showed that a thick biofilm overlaid the control catheter and the silver hydrogel-coated catheters but not the Gendine-coated urinary catheter. Similar results were found with the rabbit model. Bacteriuria was present in 60% of rabbits with uncoated catheters and 71% of those with silver hydrogel-coated catheters (P < 0.01) but not in those with Gendine-coated urinary catheters. No rabbits with Gendine-coated urinary catheters had invasive bladder infections. Histopathologic assessment revealed no differences in toxicity or staining. Gendine-coated urinary catheters were more efficacious in preventing catheter-associated colonization and urinary tract infections than were silver hydrogel-coated Foley catheters and uncoated catheters.In the United States, nosocomial catheter-related urinary tract infections (UTIs) account for almost 1 million cases (24) and approximately 31% of nosocomial infections seen in the intensive care unit each year (16). Approximately 10% to 30% of patients with indwelling bladder catheters develop bacteruria or UTI (24). This contributes not only to increased morbidity and mortality but also to longer hospital stays and increased medical costs (13). Microbiologic cultures of catheter-related UTIs in the intensive care unit reveal several common pathogens. Of these, Escherichia coli and Pseudomonas aeruginosa account for over 39%.Several different methods have been used to prevent nosocomial UTIs. Of these, the most common and longest-used method is the sterile closed drainage system, which has substantially reduced the prevalence of catheter-associated UTIs (11). More recently, other preventive methods involving the use of antimicrobial devices, including urinary catheters impregnated with silver, nitrofurazone, and a combination of minocycline and rifampin (rifampicin), have led to a reduced incidence of bacteruria; however, they were not significant at preventing catheter-related UTIs compared to results with uncoated controls (4, 12, 22).The use of antibiotic (minocycline and rifampin)-impregnated catheters has led to a reduced incidence of gram-positive bacteruria (4). However, given the fact that bacterial resistance to antibiotics has been increasing, this has resulted in a demand for an alternative means of an antiseptic coating that has not been associated with increased resistance. At the M. D. Anderson Cancer Center, we developed a technique of impregnating urinary catheters with Gendine, a novel antiseptic dye consisting of Gentian violet and chlorhexidine, to prevent catheter-related UTIs. In this study, we evaluated Gendine-coated silicone urinary catheters (GND-UCs) for their in vitro antimicrobial efficacy at inhibiting microbial biofilm formation on catheter surfaces and at reducing the incidence of UTIs in an in vivo rabbit model in comparison with results for silver hydrogel-coated catheters and uncoated Foley catheters.     

生物反馈训练联合针灸在产后压力性尿失禁患者中的应用价值

目的探讨生物反馈训练联合针灸在产后压力性尿失禁患者中的应用价值。方法选取我院2015年1月~2016年1月妇产科住院部足月阴道产1年内尿失禁产妇150例,采用随机数字表将患者分为3组各50例,A组患者产后接受生物反馈训练,B组患者产后接受针灸治疗,C组患者产后接受生物反馈训练联合针灸治疗。结果 C组患者治疗有效率明显高于A、B组,比较差异具有统计学意义(P0.05);治疗前,三组患者24h尿垫试验与盆底肌肉肌电值的比较差异无统计学意义(P0.05),治疗后,全部患者24h尿垫试验明显低于治疗前,盆底肌肉肌电值明显高于治疗前,治疗前后比较差异具有统计学意义(P0.05),其中C组24h尿垫试验明显低于A、B组,盆底肌肉肌电值明显高于A、B组,比较差异具有统计学意义(P0.05),C组ICI-Q-SF各维度评分均明显低于A、B组,比较差异具有统计学意义(P0.05)。结论生物反馈训练联合针灸在产后压力性尿失禁患者中具有重要的应用价值,有助于改善尿失禁症状、盆底肌功能与生活质量,值得临床推广应用。