基于产后出血高危因素评估表的前瞻性护理在妊娠期高血压产妇中的应用效果  

Application flfct of prospective nursing based on the assessment scale of high-risk factors for postpartum hemorrhage in pregnant women with pregnancy-induced hy pertension

作　　者：余雪梅 李志芳[1] 江锡环[1] YU Xuemei;LI Zhifang;JIANG Xihuan(Deprtment of Gynecology and Obstetries,Anging Munieipal Hopital,Anqing 246000,Anhui,China)

机构地区：[1]安庆市立医院妇产科,安徽安庆246000

出　　处：《中国性科学》2023年第8期65-68,共4页Chinese Journal of Human Sexuality

基　　金：人口健康与优生安徽省重点实验室开放课题(JKYS201823)。

摘　　要：目的 观察基于产后出血高危因素评估表的前瞻性护理在妊娠期高血压(PIH)产妇中的应用效果。方法 回顾性分析2020年1月至2022年12月于安庆市立医院分娩的92例PIH产妇的临床资料,根据护理方式不同分为研究组(n=48)与对照组(n=44),对照组给予常规护理,研究组则在对照组基础上予以基于产后出血高危因素评估表的前瞻性护理。比较两组产妇产后2 h及24 h的出血量、干预前后的焦虑自评量表(SDS)及抑郁自评量表(SAS)评分、血液动力学指标水平,并比较两组分娩结局。结果 研究组产妇产后2 h及24 h的出血量均低于对照组(P<0.05)。干预后两组产妇的SAS及SDS评分、收缩压(SBP)、舒张压(DBP)、心率(HR)较干预前低,且研究组低于对照组(P<0.05)。研究组产妇自然分娩比例及Apgar评分高于对照组(P<0.05)。结论 基于产后出血高危因素评估表的前瞻性护理可有效减少PIH产妇的产后出血量与出血率,同时能缓解产妇的负面情绪,并有助于改善血液动力学水平与分娩结局。Objective To observe the application effect of prospective nursing based on the assessment scale of high-risk factors for postpartum hemorrhage in pregnancy women with pregnancy-induced hypertension(PIH).Methods The clinical data of 92 women with PIH who gave birth in Anqing Municipal Hospital from January 2020 to December 2022 were analyzed retrospectively.According to different nursing methods,the subjects were assigned to the study group(n=48,prospective nursing based on the assessment scale of high-risk factors for postpartum hemorrhage)and the control group(n=44,routine nursing).The two groups were compared in terms of 2 h and 24 h postpartum bleeding volume,the self-rating anxiety scale(SAS)scores,the self-rating depression scale(SDS)scores,hemodynamic indicators,and delivery outcome.Results The 2 h and 24 h postpartum bleeding volume of study group was lower than that of the control group(P<0.05).After intervention,the SAS scores,SDS scores,systolic blood pressure(SBP),diastolic blood pressure(DBP)and heart rate(HR)of the two groups decreased,and these indicators of the study group were lower than those of the control group(P<0.05).The proportion of natural delivery and Apgar score in the study group were higher than those in the control group(P<0.05).Conclusions Prospective nursing based on the assessment scale of high-risk factors for postpartum hemorrhage can effectively reduce the amount and rate of postpartum hemorrhage in pregnant women with PIH,alleviate their negative emotions,and help to improve hemodynamics and delivery outcome.

关 键 词：产后出血 高危因素评估表 前瞻性护理 妊娠期高血压 

分 类 号：R711[医药卫生—妇产科学]