改良产后出血预测评分联合预见性护理对产妇产后出血及满意度的影响  

Effect of Modified Postpartum Hemorrhage Prediction Score Combined with Predictive Nursing on Postpartum Hemorrhage and Satisfaction of Parturients

作　　者：周青花 ZHOU Qinghua(Jishui County Hospital of Traditional Chinese Medicine,Jishui 331600,Jiangxi,China)

机构地区：[1]吉水县中医医院,江西吉水331600

出　　处：《医学信息》2025年第3期157-160,共4页Journal of Medical Information

摘　　要：目的研究改良产后出血预测评分联合预见性护理对产妇产后出血及满意度的影响。方法选取2021年1月-2023年3月吉水县中医医院接收的60例产妇为研究对象,经随机数字表法分为对照组(30例)与观察组(30例)。对照组予以常规护理,观察组则在对照组基础上实施改良产后出血预测评分联合预见性护理,比较两组产后出血量、血流动力学水平[收缩压(SBP)、舒张压(DBP)、心率(HR)]、分娩结局(转剖宫产、会阴侧切、产后出血)、产妇满意度。结果观察组产后2、12、24 h出血量均少于对照组(P<0.05);两组产时SBP、DBP、HR均高于产前,但观察组产时SBP、DBP、HR低于对照组(P<0.05);观察组转剖宫产率、会阴侧切率、产后出血发生率均小于对照组(P<0.05);观察组产妇满意度高于对照组(P<0.05)。结论改良产后出血预测评分联合预见性护理可缓解产妇血流动力学波动,减少产后出血量,改善分娩结局,提高产妇满意度。Objective To study the effect of modified postpartum hemorrhage prediction score combined with predictive nursing on maternal postpartum hemorrhage and satisfaction of parturients.Methods From January 2021 to March 2023,60 parturients received by Jishui County Hospital of Traditional Chinese Medicine were selected as the research objects and divided into control group(30 parturients)and observation group(30 parturients)by random number table method.The control group was given routine nursing,while the observation group was given modified postpartum hemorrhage prediction score combined with predictive nursing on the basis of the control group.The amount of postpartum hemorrhage,hemodynamic level[systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR)],delivery outcome(cesarean section,episiotomy,postpartum hemorrhage)and maternal satisfaction were compared between the two groups.Results The amount of bleeding at 2,12 and 24 hours after delivery in the observation group was less than that in the control group(P<0.05).The intrapartum SBP,DBP and HR of the two groups were higher than those before delivery,but the intrapartum SBP,DBP and HR of the observation group were lower than those of the control group(P<0.05).The rates of cesarean section,episiotomy and postpartum hemorrhage in the observation group were lower than those in the control group(P<0.05).The maternal satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion Modified postpartum hemorrhage prediction score combined with predictive nursing can alleviate maternal hemodynamic fluctuations,reduce postpartum hemorrhage,improve delivery outcomes,and improve maternal satisfaction.

关 键 词：预见性护理 改良产后出血预测评分 产后出血 血流动力学水平 分娩结局 

分 类 号：R473[医药卫生—护理学]