预见护理对自然分娩产后出血患者的应用效果  

Effect of Predict Nursing on Patients with Postpartum Hemorrhage after Natural Delivery

作　　者：邓红梅 DENG Hongmei(People's Hospital of Le'an County,Fuzhou 344300,China)

机构地区：[1]江西省抚州市乐安县人民医院,抚州344300

出　　处：《中国医药指南》2024年第15期167-169,共3页Guide of China Medicine

摘　　要：目的 分析对自然分娩的产妇实施预见性护理对产妇产后出血的影响。方法 抽取2021年4月至2023年4月在我院采取自然分娩的产妇90例作为研究对象,以随机信封法对其进行分组,接受常规护理干预的45例产妇为对照组,接受预见性护理干预的45例产妇为观察组。对比两组产后2 h及24 h时出血量、产后出血发生率、各产程用时(第一、二、三产程)、围生期指标(卧床时间、尿潴留发生率、新生儿窒息发生率)、产妇产后生活质量。结果 产后2 h及24 h时,观察组产妇的出血量比对照组产妇少,产后出血发生率比对照组产妇低(P<0.05);观察组与对照组产妇各产程(第一、二、三产程)用时对比差异均无统计学意义(P>0.05);观察组产妇卧床时间比对照组产妇短,对比尿潴留发生率以及新生儿窒息发生率,观察组均比对照组低(P<0.05);干预前,观察组与对照组产妇生活质量中各维度(物质水平、躯体健康、心理功能、社会功能)评分结果对比差异均无统计学意义(P>0.05);产后半个月时,观察组产妇生活质量中各维度评分结果均比对照组产妇高(P<0.05)。结论 对采取自然分娩的产妇实施预见性护理干预,可有效减少产妇产后出血量、改善围生期指标,且不会增加各产程时间,降低中途转剖宫产率。Objective To analyze the effect of predictive nursing on postpartum hemorrhage in natural delivery.Methods 90 parturients who underwent natural childbirth in our hospital from April 2021 to April 2023 were selected as the research subjects.They were randomly divided into two groups using the envelope method.45 parturients who received routine nursing intervention were selected as the control group,and 45 parturients who received predictive nursing intervention were selected as the observation group.Compare the two groups amount of postpartum hemorrhage at 2 h and 24 h,the incidence rate of postpartum hemorrhage,the duration of each stage of labor(the first,second and third stages of labor),perinatal indicators(bedridden time,incidence rate of urinary retention,incidence rate of neonatal asphyxia),and the quality of postpartum life of puerperal women.Results At 2 and 24 hours postpartum,the amount of bleeding in the observation group was lower than that in the control group,and the incidence of postpartum bleeding was lower than that in the control group(P<0.05);There was no significant difference in the duration of each stage of labor(first,second,and third stages)between the observation group and the control group(P>0.05);The maternal bed time in the observation group was shorter than that in the control group,and the incidence of urinary retention and neonatal asphyxia in the observation group were lower than those in the control group(P<0.05).Before intervention,there was no significant difference in the scores of various dimensions of quality of life(material level,physical health,psychological function,social function)between the observation group and the control group(P>0.05);At half a month postpartum,the scores of various dimensions of quality of life in the observation group were higher than those in the control group(P<0.05).Conclusions Predictive nursing intervention for natural delivery can effectively reduce postpartum bleeding,improve perinatal indicators,and do not increase the time of each stage o

关 键 词：自然分娩 产妇 预见性护理 产后出血 

分 类 号：R714.3[医药卫生—妇产科学] R473.71[医药卫生—临床医学]