优质护理服务对妊娠高血压综合征产妇产后出血护理过程的影响  

Clinical study on the effect of quality nursing service on nursing process of postpartum hemorrhage in pregnant women with pregnancy-induced hypertension

作　　者：黄海燕[1] HUANG Haiyan(Department of Obstetrics and Gynecology,the Second People’s Hospital of Shantou City,Guangdong,Shantou 515011,China)

机构地区：[1]广东省汕头市第二人民医院妇产科,广东汕头515011

出　　处：《中国医药科学》2020年第4期148-151,共4页China Medicine And Pharmacy

摘　　要：目的探讨优质护理服务对妊娠高血压综合征产妇产后出血的护理过程的影响。方法选取2017年9月~2018年12月我院收治的96例妊娠高血压综合征产妇,依据随机数字表法将其分为对照组(n=48)与试验组(n=48),对照组实施常规护理,试验组实施优质护理服务,观察两组产妇的分娩方式、产后出血发生情况、分娩前后的收缩压与舒张压水平变化情况、焦虑(SAS)评分、抑郁(SDS)评分、护理满意度情况、新生儿体质量与Apgar评分情况。结果分娩前,两组产妇的血压水平、SAS评分与SDS评分,差异无统计学意义(P> 0.05);分娩后,试验组的收缩压、舒张压水平、SAS评分与SDS评分显著降低,接近正常水平,并且试验组的阴道分娩率明显较高,剖宫产率与产后出血发生率明显较低,护理满意度明显较高,新生儿体质量与Apgar评分明显较高,与对照组比较差异具有统计学意义(P <0.05)。结论优质护理服务对妊娠高血压综合征产妇产后出血的护理过程具有积极影响,不仅能够降低患者的血压水平与产后出血发生率,同时能够提升患者的阴道分娩率、护理满意度、新生儿体质量与Apgar评分。Objective To explore the effect of quality nursing services on nursing process of postpartum hemorrhage in pregnant women with pregnancy-induced hypertension. Methods 96 women with pregnancy-induced hypertension admitted to our hospital from September 2017 to December 2018 were selected and divided into the control group(n=48) and the experimental group(n=48) according to the random number table method. The group was given conventional nursing, and the experimental group was given quality nursing services. The mode of delivery, postpartum hemorrhage, changes in systolic and diastolic blood pressure levels before and after delivery, Self-Rating Anxiety Scale(SAS) score, Self-Rating Depression Scale(SDS) score, nursing satisfaction, neonatal body weight and Apgar score were observed. Results Before delivery, there was no significant difference in blood pressure levels, SAS score and SDS score between the two groups of mothers(P > 0.05). After delivery, the systolic blood pressure, diastolic blood pressure, SAS score and SDS score were significantly lower in the experimental group, close to normal levels. The vaginal delivery rate was significantly higher, the rate of cesarean delivery and postpartum hemorrhage was significantly lower in the experimental group. The nursing satisfaction, as well as the neonatal body weight and Apgar score were significantly higher in the experimental group. The differences were all statistically significant compared with the control group(P < 0.05). Conclusion Quality nursing services have a positive impact on nursing process of postpartum hemorrhage in patients with pregnancy-induced hypertension, which can not only reduce blood pressure level and incidence of postpartum hemorrhage, but also improve the vaginal delivery rate, nursing satisfaction, neonatal body weight and Apgar score.

关 键 词：优质护理服务 妊娠高血压症 产后出血 新生儿Apgar评分 

分 类 号：R473.71[医药卫生—护理学]