针对性护理干预对宫缩乏力性产后出血产妇产后康复的影响分析  

Analysis of the Effect of Targeted Nursing Intervention on Postpartum Rehabilitation of Parturients with Postpartum Hemorrhage Due to Uterine Contraction

作　　者：滕云 TENG Yun(Liaoning Fushun Maternal and Child Health Care Hospital,Fushun 113006,China)

机构地区：[1]辽宁省抚顺市妇幼保健院,辽宁抚顺113006

出　　处：《中国医药指南》2022年第28期104-106,110,共4页Guide of China Medicine

摘　　要：目的对宫缩乏力性产后出血产妇实施针对性护理对其产后康复所发挥的影响。方法对2020年1月至2022年1月来我院治疗的160例病例(宫缩乏力性产后出血)以抽签法分为观察组(80例)和对照组(80例)。分别实施针对性护理和常规护理,对不同护理之后两组产妇的康复情况进行比较。结果①与对照组相比,观察组的止血时间更短,产后24 h内出血量更少,差异存在统计学意义(P<0.05)。②两组宫缩乏力性产后出血产妇在接受护理干预之前均存在一定的焦虑、抑郁心理,SAS及SDS评分均高于正常范围,但组间相比差异无统计学意义(P>0.05),实施护理干预之后,两组产妇焦虑抑郁心理均得到缓解,SAS及SDS评分均出现明显下降,而在下降幅度方面,组间比较观察组明显比对照组更优(P<0.05)。两组宫缩乏力性产后出血产妇在护理干预之前各项生活质量评分均比较低下,组间比较差异不显著(P>0.05),护理干预之后两组宫缩乏力性产后出血产妇生活质量评分都得到了提高(P<0.05),组间比较,观察组产妇各项生活质量评分上升幅度更大(P<0.05);对两组宫缩乏力性产后出血产妇的护理满意度比较,观察组显著比对照组更高(P<0.05)。结论宫缩乏力性产后出血表现严重,对产妇实施针对性护理可以达到缩短止血时间和减少产后24 h内出血量的目的,还能够改善产妇的焦虑和抑郁情绪,能够得到本次产妇的全面肯定,且生活质量也得到明显提高,是理想的护理策略。Objective To discuss the effect of targeted nursing on postpartum recovery of parturients with uterine atony postpartum hemorrhage.Methods 160 cases(uterine asthenia postpartum hemorrhage) treated in our hospital from January 2020 to January 2022 were divided into observation group(80 cases) and control group(80 cases) by drawing lots. To carry out targeted nursing and routine nursing respectively, and compare the rehabilitation of the two groups of puerpera after different nursing. Results(1) Compared with the control group, the hemostatic time of the observation group was shorter, and the bleeding volume within 24 hours after delivery was less. The difference was statistically significant(P<0.05).(2) Two groups of contractions fatigue sex maternal postpartum hemorrhage before accepting the nursing intervention were there is anxiety, depression, mental state, SAS and SDS scores were higher than the normal range, but no statistical significance difference compared between groups(P>0.05), after the implementation of nursing intervention, two groups of maternal psychological anxiety depression are mitigated, SAS and SDS score are significantly decreased, In terms of decreasing amplitude, the observation group was significantly better than the control group(P<0.05). Before the nursing intervention, the quality of life scores of parturients with uterine atony postpartum hemorrhage in the two groups were lower, and there was no significant difference between the two groups(P>0.05). After the nursing intervention, the quality of life scores of parturients with uterine atony postpartum hemorrhage in the two groups were improved(P<0.05). The scores of quality of life in observation group increased significantly(P<0.05). Compared with the control group, the observation group was significantly higher than the control group in the nursing satisfaction of puerpera with uterine fatigue postpartum hemorrhage(P<0.05). Conclusion The postpartum hemorrhage caused by uterine asthenia is serious. The implementation of targeted nurs

关 键 词：针对性护理 宫缩乏力性产后出血 产后康复 产后24 h内出血量 止血时间 

分 类 号：R473.71[医药卫生—护理学] R714.461[医药卫生—临床医学]