基于循证案例分析的优质护理对宫缩乏力性产后出血的护理效果  

Nursing effect of high-quality nursing based on evidence-based case analysis on postpartum hemorrhage caused by uterine atony

作　　者：刘小玮[1] 王蕊[1] 何珍 LIU Xiao-wei;WANG Rui;HE Zhen(Department of Obstetrics,Xuanwu Hospital,Capital Medical University,Beijing 100054,China)

机构地区：[1]首都医科大学宣武医院产科,北京100054

出　　处：《川北医学院学报》2024年第4期569-572,共4页Journal of North Sichuan Medical College

基　　金：首都医科大学宣武医院院级项目(HLZD2022010)。

摘　　要：目的:探讨基于循证案例分析的优质护理对宫缩乏力性产后出血患者的护理效果。方法:选取104例宫缩乏力性产后出血患者,按照护理方式不同将患者分为对照组和观察组,两组各52例。对照组给予常规护理;观察组在常规护理基础上使用基于循证案例分析的优质护理,对比两组患者的出血情况、临床疗效、凝血及纤溶功能指标水平、并发症发生情况、生活质量。结果:观察组患者产后0.5、2、12及24 h出血量均少于对照组,止血耗时短于对照组(P<0.05);干预后,观察组患者活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、D-二聚体(D-D)水平均低于对照组,纤维蛋白原(FIB)水平高于对照组(P<0.05);观察组并发症总发生率低于对照组(P<0.05);观察组患者SF-36量表各维度评分均高于对照组(P<0.05)。结论:基于循证案例分析的优质护理可有效降低宫缩乏力性产后出血患者的出血量,缩短止血时间,改善凝血及纤溶功能,减少并发症发生率,提高生活质量。Objective:To explore the nursing effectiveness of high-quality nursing based on evidence-based case analysis for patients with postpartum hemorrhage caused by uterine atony.Methods:104 patients with postpartum hemorrhage due to uterine inertia were selected and divided into control group and observation group according to different nurse methods,with 52 cases in each group.The control group received routine care,the observation group received high-quality care based on evidence-based case analysis on the basis of routine care.The bleeding status,clinical efficacy,coagulation and fibrinolysis function indicators,complications,and quality of life of the two groups of patients were compared.Results:The observation group showed a decrease in bleeding volume at 0.5,2,12,and 24 h postpartum compared to the control group.The hemostasis time was shorter than that of the control group(P<0.05).The levels of activated partial thromboplastin time(APTT),prothrombin time(PT)and D-dimer(D-D)in observation group were lower than those in control group after intervention,and the levels of fibrinogen(FIB)were higher than those in control group after intervention(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).The scores of SF-36 scale in observation group were higher than those in control group(P<0.05).Conclusion:High quality nursing based on evidence-based case analysis can effectively reduce the bleeding volume of postpartum hemorrhage patients with uterine atony,shorten the hemostasis time,improve coagulation and fibrinolysis functions,reduce the incidence of complications,and improve quality of life.

关 键 词：宫缩乏力 产后出血 循证案例分析 优质护理 凝血功能 生活质量 

分 类 号：R714.461[医药卫生—妇产科学]