Effect analysis of iodophor intrauterine swab in prevention of incision infection after emergency cesarean section in high risk pregnant women
ZHANG Fen1 HUANG Xiao-rong2 CHEN Li3 YUAN Ting3 HU Yi-fang4
1.Department of Disinfection and Vector Control,Fuzhou Center for Disease Control and Prevention,Jiangxi Province,Fuzhou 344000,China;
2.Guangchang Maternal and Child Health and Family Planning Service Center,Jiangxi Province,Guangchang 344900,China;
3.Department of Obstetrics and Gynecology,Fuzhou First People′s Hospital,Jiangxi Province,Fuzhou 344000,China;
4.Department of Obstetrics and Gynecology,Fuzhou Maternal and Child Health Hospital,Jiangxi Province,Fuzhou 334000,ChinaAbstract]Objective To investigate the effect of iodophor intrauterine swab in preventing incision infection after emergency cesarean section in high-
Abstract：Objective To investigate the effect of iodophor intrauterine swab in preventing incision infection after emergency cesarean section in high-risk pregnant women.Methods The clinical data of 70 cases of high-risk pregnant women undergoing emergency cesarean section in Fuzhou First People′s Hospital,Jiangxi Province from January 2019 to July 2020 were retrospectively analyzed,and they were divided into the reference group(35 cases)and the study group(35 cases)according to different nursing methods.The reference group received routine nursing care,and the study group implemented personalized nursing intervention and iodophor uterine cavity wiping on the basis of routine nursing.The self-rating anxiety scale(SAS),self-rating depression scale(SDS),systolic blood pressure,diastolic blood pressure,heart rate,white blood cell count and postoperative pain score of the two groups before and after intervention were compared.Results There were no significant differences in SAS,SDS,postoperative pain scores,systolic blood pressure,diastolic blood pressure,heart rate and white blood cell count between the two groups before nursing(P＞0.05).The SAS,SDS and postoperative pain scores of the two groups were lower than those before nursing,and the levels of systolic blood pressure,diastolic blood pressure and heart rate were lower than those before nursing,while the white blood cell count was higher than that before nursing,the differences were statistically significant(P＜0.05).The SAS,SDS and postoperative pain scores of the study group were lower than those of the reference group,the systolic blood pressure and diastolic blood pressure were lower than those of the reference group,and the white blood cell count was higher than that of the reference group,the differences were statistically significant(P＜0.05).The incidence of incision infection and uterine cavity retrograde infection in the study group were 8.57% and 2.86%,respectively,which were lower than 28.57% and 17.14% of the reference group,the differences were statistically significant(P＜0.05).The total nursing satisfaction of the study group was 97.14%,higher than 82.86% of the reference group,the difference was statistically significant(P＜0.05).Conclusion The application of iodophor intrauterine swab in the nursing intervention of emergency cesarean section in high-risk pregnant women has exact effect.It can effectively reduce the incidence of postoperative incision infection and uterine cavity retrograde infection,improve the negative emotions of patients,reduce their blood pressure,heart rate and pain,lay a good foundation for maternal body recovery,with higher nursing satisfaction,which is worthy of promotion and application.
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