预见性护理在降低阴道分娩产后出血护理中的临床价值  

Clinical Value of Predictive Nursing in Reducing Postpartum Hemorrhage of Vaginal Delivery

作　　者：叶芳 YE Fang(Department of Obstetrics and Gynecology,Fujian Yongtai County Hospital,Fuzhou 350700,China)

机构地区：[1]福建省永泰县医院妇产科,福建福州350700

出　　处：《中国医药指南》2022年第33期125-127,共3页Guide of China Medicine

摘　　要：目的 产后出血是分娩过程中常见的并发症,为此分析预见性护理的具体应用价值。方法 本项研究于2021年6月正式启动,截止时间是2022年6月。选用此时间段到笔者医院进行阴道分娩产妇88例为研究对象。根据随机数据表法分为两组,对照组(n=44,常规护理)和研究组(n=44,预见性护理)。对比观察两组产妇生产情况、分娩效能感、产后出血发生率数据比较差异。结果 对比观察不同护理模式应用下两组生产情况进行比较包括产程分娩时间、宫缩乏力发生率、催产素使用率以及产后持续出血时间进行比较发现,研究组产妇生产状况良好;对比两组产妇护理干预前后分娩自我效能感量表评分发现,研究组产妇经干预后自我效能感量表评分较高;记录两组产妇产后出血不良事件发生率发现,研究组发生率低(P <0.05)。结论 产妇阴道分娩过程中需要加强对产后出血的防治,及时在分娩过程中应用预见性护理干预能够获得良好的分娩结局,同时也能保障分娩安全,临床值得推广。Objective Postpartum hemorrhage is a common complication in the delivery process,so analyze the specific application value of predictive nursing.Methods The study was officially launched in June 2021 and the deadline was June 2022.88 cases of parturients who had vaginal delivery in the author's hospital during this period were selected as the research objects.According to the method of random data table,they were divided into two groups,the control group(n=44,routine nursing)and the study group(n=44,predictive nursing).Compare and observe the difference between the two groups of maternal production,delivery efficacy,postpartum hemorrhage incidence data.Results Comparative observation of the two groups'production under different nursing modes,including the delivery time during labor,the incidence of uterine atony,the use rate of oxytocin,and the duration of postpartum hemorrhage.It was found that the study group's parturients'production was in good condition;Comparing the scores of the delivery self-efficacy scale before and after the nursing intervention in the two groups,it was found that the score of the delivery self-efficacy scale in the study group was higher after the intervention;The incidence of adverse events of postpartum hemorrhage in the two groups was recorded.It was found that the incidence of the study group was low(P<0.05).Conclusion It is necessary to strengthen the prevention and treatment of postpartum hemorrhage in the process of vaginal delivery.The timely application of predictive nursing intervention in the process of delivery can achieve good delivery outcomes,and also can ensure the safety of delivery.It is worth promoting in clinical practice.

关 键 词：产后出血 预见性护理 阴道分娩 临床价值 

分 类 号：R473.71[医药卫生—护理学]