Zhu Yanfei, Zhang Shuxuan, Shan Wenxian, Hu Ming
Dept. of Obstetrics, The First People's Hospital of Xuzhou, Xuzhou, 221002, China.
Dept. of Nursing, The First People's Hospital of Xuzhou, Xuzhou, 221002, China.
Iran J Public Health. 2017 Feb;46(2):186-191.
We studied the possible advantages of feed-forward control nursing model in the treatment of placenta previa.
We enrolled 60 pregnant women who were receiving treatment for expectant placenta previa between January 2010 and January 2016 and randomly divided them into the control group and the observation group with 30 cases in each group. In the control group, we offered specialist nursing which included examination, body positioning, vaginal bleeding record, psychological consultation and medication observation. Feed-forward control nursing was applied in the observation group which included establishing feed-forward control nursing improvement team, conducting quality control of nursing defects and putting forward ideas for improvements and verifying improvement outcomes.
The observation group got significantly higher success rate and lower complication rate compared with control group. Gestational age and fetal weights improved apparently in the observation group. When we compared the amount of postpartum bleeding and pregnancy bleeding in two groups we did not find any statistically significant difference (>0.05). Patients' satisfaction rate toward our nursing services was much higher in the observation group and the rate of nursing errors was significantly lower in this group. All differences were statistically significant (<0.05).
Application of feed-forward control nursing model in the expectant treatment of placenta previa can improve treatment success rate, decrease complications and upgrade nursing quality.
我们研究了前馈控制护理模式在前置胎盘治疗中的潜在优势。
选取2010年1月至2016年1月期间接受期待治疗的前置胎盘孕妇60例，随机分为对照组和观察组，每组30例。对照组给予专科护理，包括检查、体位摆放、阴道出血记录、心理咨询和用药观察。观察组采用前馈控制护理，包括组建前馈控制护理改进小组、对护理缺陷进行质量控制、提出改进意见并验证改进效果。
观察组的成功率显著高于对照组，并发症发生率低于对照组。观察组的孕周和胎儿体重明显改善。比较两组产后出血量和孕期出血量，未发现统计学上的显著差异（>0.05）。观察组患者对护理服务的满意度远高于对照组，该组护理差错率显著低于对照组。所有差异均具有统计学意义（<0.05）。
前馈控制护理模式应用于前置胎盘期待治疗可提高治疗成功率，降低并发症发生率，提升护理质量。
