Development of cesarean section nursingprocess for pregnant women with coronavirus disease 2019

doi:10.3761/j.issn.0254-1769.2020.04.006

Abstract

Abstract:

The nursing care processof cesarean section for pregnant women with coronavirus disease（COVID-19） was developed based on the experience of emergency cesarean delivery on a case of COVID-19 woman with 35 weeks of gestation in our hospital,relevant global literature review,and the diagnosis and treatment guideline of COVID-19 issued by Chinese National Health Commission. This nursing process consists of 3 major parts（preoperative,postoperative and postoperative）,covering environment/materials,surgical staff,pregnant women and newborns,etc. The ultimate aim is to protect the safety of expecting mothers,medical staff.

Key words: Coronavirus Disease 2019, Cesarean Delivery, Nursing Procedure, Obstetrical Nursing

摘要：

基于我院1例新型冠状病毒肺炎妊娠35周孕妇行紧急剖宫产的经验,参考国内外相关文献、国家卫生健康委员会发布的文件及国家卫生法律法规,制订新型冠状病毒肺炎孕妇剖宫产术护理流程,包括术前、术中、术后3个部分,涉及环境/物资、手术人员、孕妇及新生儿等多个方面,旨在保障产妇、新生儿及医护人员的人身安全。

关键词: 新型冠状病毒肺炎, 剖宫产术, 护理流程, 产科护理

WANG Ying, WU Qi, ZHOU Yuqiong, MA Yifang, SUN Xinxing. Development of cesarean section nursingprocess for pregnant women with coronavirus disease 2019[J]. Chinese Journal of Nursing, 2020, 55(4): 511-514.

王莺, 吴琦, 周渝琼, 马贻芳, 孙新星. 新型冠状病毒肺炎孕妇剖宫产术护理流程的制订[J]. 中华护理杂志, 2020, 55(4): 511-514.

References 13

[1]	Word Health Organization. Clinical management of severe acute respiratory infection when novel coronavirus(nCoV) infection issuspected:interim guidance[EB/OL].( 2020- 01- 12)[2020-02-06]. http://www.bjjat.net.cn/page131?article_id=242 .
[2]	Wang DW, Hu B, Hu C , et al. Clinical characteristics of 138 hos-pitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan,China[J]. JAMA, 2020.
[3]	Li Q, Guan XH, Wu P , et al. Early transmission dynamics inWuhan,China,of novel coronavirus-infected pneumonia[J]. N Engl J Med, 2020.
[4]	Holshue ML, DeBolt C, Lindquist S,et al. First case of 2019 novel coronavirus in the United States[J]. N Engl J Med, 2020,382(10):929-936.
[5]	Huang CL, Wang YM, Li XW , et al. Clinical features of patients infectedwith 2019 novel coronavirus in Wuhan,China[J]. Lancet, 2020,395(10223):497-506.
[6]	国家卫生健康委办公厅. 医疗机构内新型冠状病毒感染预防与控制技术指南(第1版)[EB/OL].( 2020- 01- 22)[2020-02-06]. http://www.gov.cn/zhengce/zhengceku/2020-01/23/content-5471857.htm .
[7]	国家卫生健康委办公厅. 关于印发新型冠状病毒感染的肺炎诊疗方案(试行第5版)的通知[EB/OL]. ( 2020- 02- 05)[2020-02-12]. http://www.nhc.gov.cn/yzygj/s7653-p/202002/3b09b894ac9b4204a79db5b8912d4440.shtml .
[8]	国家卫生健康委办公厅. 新型冠状病毒传播途径与预防指南[EB/OL].( 2020- 01- 27)[2020-02-08]. http://www.nhc.gov.cn/jkj/s3578/202001/9e73060017d744aeafff8834fc0389f4.shtml .
[9]	NICE. NICE guideline:intrapartum care for women with existing medical conditions or obstetric complications and their babies[EB/OL]. ( 2010- 03- 06)[2020-01-30]. http://www.nice.org.auk/gui-dance/ng121 .
[10]	国家卫生健康委办公厅. 新型冠状病毒感染的肺炎防控中常见医用防护用品使用范围指引(试行)[EB/OL].( 2020- 01- 27)[2020-02-08]. http://www.nhc.gov.cn/yzygj/s7659/202001/e71c5-de925a64eafbe1ce790debab5c6.shtml .
[11]	王华芬, 冯洁惠, 邵乐文 , 等. 新型冠状病毒肺炎集中救护中护理部的应急管理策略[J]. 中华护理杂志, 2020,55(3):347-350.
[12]	卫生部. 医院隔离技术规范WS/T311-2009[EB/OL].( 2009-04-01)[2016-04-06]. https://wenku.baidu.com/view/928ed40203768e9951e79b89680203d8ce2f6aa5.html.
[13]	国家卫生健康委员会. 医务人员手卫生规范WS/T 313-2019[EB/OL]. ( 2019- 11- 26)[2020-01-26]. http://blog.sina.com.cn/s/blog_19a587d5d0102ykid.html .

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