不完全流产母亲的护理:个案研究

Lailatul Fadliyah, Danty Indra Puspitaningtyas, Emuliana Sulpat, Umi Ma’rifah
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引用次数: 0

摘要

不完全流产是指妊娠20周以前的出血,其中一些怀孕产物已经从子宫腔通过子宫颈管排出,留在蜕膜或胎盘中。方法:本研究采用个案研究设计。从评估到护理评估的数据收集于2019年2月在Dr Soegiri Lamongan医院的茉莉花室进行。参与者在医院接受为期三天的护理——采用访谈、观察和记录的数据收集技术。数据分析在分析相关事实和理论的基础上,采用叙事性分析。结果:两名参与者的评估是第一次和第二次怀孕,胎龄分别为12周和16周,经历阴道出血和腹痛。检查时有腹部压痛,疼痛等级5,子宫收缩。护理诊断为急性疼痛与子宫收缩和出血(流产)相关的液体容量不足。在减轻疼痛的72小时内进行评估。讨论期望护士提供关于疼痛和不完全流产的健康教育。结论:实施护理72小时后,患者的疼痛和焦虑有所减轻。本研究为护理人员提供不完全流产疼痛相关的健康教育提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
NURSING CARE FOR MOTHERS WITH INCOMPLETE ABORTIONS: CASE STUDY
Introduction: Incomplete abortion is bleeding in pregnancy before 20 weeks, where some of the products of conception have come out of the uterine cavity through the cervical canal left in the decidua or placenta. Methods: This research uses a case study design. Data collection from assessment to nursing evaluation was carried out in the jasmine room of Dr Soegiri Lamongan Hospital in February 2019. Participant care at the hospital for three days—data collection techniques using interviews, observation, and documentation. Data analysis uses narrative analysis based on the analysis of relevant facts and theories. Results: The assessment of the two participants was the first and second pregnancies, with gestational ages of 12 and 16 weeks, experiencing vaginal bleeding and abdominal pain. There is abdominal tenderness, a pain scale of 5, and uterine contractions on examination. The nursing diagnosis was acute pain associated with uterine contractions and fluid volume deficit related to bleeding (abortion). The evaluation was carried out for 72 hours of reduced pain. The discussion is expected that nurses provide health education about pain and incomplete abortion. Conclusions: The pain and anxiety were reduced after implementing nursing for 72 hours. The reference from this study is for nurses to provide health education related to pain in incomplete abortion.
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