Clinical effects of integrated health care in patients undergoing cesarean section

Abstract

AIM: To evaluate the clinical effects of integrated health care in patients undergoing cesarean section. METHODS: Two hundred and forty-eight mothers who underwent cesarean section at our hospital from June 2013 to June 2014 were divided into two groups based on the time of admission: a control group (June 2013 to December 2013, n = 124) and an observation group (January 2014 to June 2014, n = 124). The control group was treated using the traditional care model, and the observation group was treated using the integrated health care model. The nursing care quality score, incidence of adhesions, gastrointestinal motility recovery and patient satisfaction were compared between the two groups. RESULTS: The scores of disease cognition, implementation of doctors’ orders, emergency drug use, condition observation, ward management, document management, and overall quality of care were significantly higher in the observation group than in the control group (P < 0.05). The incidence rates of adhesions, bloating, constipation, and intestinal obstruction were significantly lower in the observation group than in the control group (P < 0.05). The times to bloating disappearance, anal exhaust, recovery of bowel sounds, defecation, and first meal, as well as the average length of hospital stay were significantly shorter in the observation group than in the control group (P < 0.05), and patient satisfaction score in the observation group was significantly higher than that in the control group (P < 0.05). CONCLUSION: Integrated health care can effectively improve health care quality, reduce the incidence of postoperative adhesions, and improve the recovery of gastrointestinal function in patients undergoing cesarean section.