整合式护理对妊娠合并瘢痕子宫产妇产后出血及妊娠结局的影响  

Effect of Integrated Nursing on Postpartum Hemorrhage and Pregnancy Outcome of Pregnant Women with Scar Uterus

作　　者：张媚 ZHANG Mei(Outpatient Department of Wuyuan County People′s Hospital,Wuyuan 333200,Jiangxi,China)

机构地区：[1]婺源县人民医院门诊科,江西婺源333200

出　　处：《医学信息》2024年第23期182-185,共4页Journal of Medical Information

摘　　要：目的研究整合式护理对妊娠合并瘢痕子宫产妇产后出血及妊娠结局的影响。方法选取2019年1月-2023年1月在我院分娩的62例子妊娠合并瘢痕子宫产妇为研究对象,采用随机数字表法分为对照组(n=31)和观察组(n=31)。对照组采用常规护理干预,观察组应用整合式护理,比较两组产妇产后恢复指标、阴道分娩率、产后出血量、妊娠结局、并发症发生率。结果观察组产后下床活动时间、住院时间、血液β-HCG水平恢复正常时间均短于对照组(P<0.05);观察组阴道分娩率高于对照组(P<0.05);观察组产后2、24 h出血量均小于对照组(P<0.05);观察组早产、产后出血、新生儿窒息发生率均低于对照组(P<0.05);观察组并发症发生率为6.45%,低于对照组的22.58%(P<0.05)。结论整合式护理对妊娠合并瘢痕子宫产妇产后出血及妊娠结局均具有积极的影响,可改善妊娠结局,减少产后出血量,缩短产后恢复时间,降低产后并发症发生率,可是实现较理想的护理效果。Objective To study the effect of integrated nursing on postpartum hemorrhage and pregnancy outcome in pregnant women with scar uterus.Methods During January,2019 and January,2023,62 pregnant women with scar uterus who gave birth in our hospital were were collected,and grouped by random number table method,while 31 pregnant women were enrolled in the control group and 31 patients were enrolled in the observation group.The control group was carry out routine nursing intervention,and the observation group was carry out integrated nursing.The postpartum recovery index,vaginal delivery rate,postpartum hemorrhage,pregnancy outcome and complication rate were compared.Results In comparison with the control group,the observation group was observed to have a shorter postpartum ambulation time,hospitalization time and bloodβ-HCG level returned to normal time(P<0.05).Compared with the pregnant women in the control group after intervention,the vaginal delivery rate in the observation group was significantly higher,and the amount of bleeding at 2 and 24 h after delivery,the incidence of premature delivery,postpartum hemorrhage and neonatal asphyxia in the observation group were significantly lower(P<0.05).The incidence of complications in the observation group was 6.45%,which was lower than 22.58%in the control group(P<0.05).Conclusion Integrated nursing has a positive effect on postpartum hemorrhage and pregnancy outcome of pregnant women with scar uterus,which can improve pregnancy outcome,reduce postpartum hemorrhage,shorten postpartum recovery time,reduce the incidence of postpartum complications,and can achieve ideal nursing effect.

关 键 词：整合式护理 人性化导诊 妊娠合并瘢痕子宫 产后出血 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]