预见性护理干预对减少糖尿病产妇产后出血的影响(1)
[摘要] 目的 探讨预见性护理对糖尿病产妇产后出血的影响。方法 选取2015年5月—2017年5月间在该科进行分娩的糖尿病产妇214例，随机分为两组各107例，观察组给予预见性护理，对照组给予常规护理，比较产后出血发生率及出血量。结果 观察组产后出血发生率为3.7%，明显优于对照组11.2%，差异有统计学意义(P<0.05)；观察组产后2、24 h出血量为(71.5±12.3)、(147.9±20.5)mL，明显少于对照组，差异有统计学意义(P<0.05)。 结论 糖尿病产妇实施预见性护理干预，可有效降低产后出血的发生率和出血量，值得应用。
[关键词] 预见性护理；常规护理；产后出血
[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062(2017)08(b)-0087-02
Effect of Predicative Nursing Intervention on Reducing the Postpartum Hemorrhage of Diabetes Delivery Women
GAO Hong-tian
Three Treatment Area， Department of Obstetrics， Changchun Obstetrics and Gynecology Hospital， Changchun， Jilin Province， 130000 China
[Abstract] Objective To study the effect of predicative nursing intervention on reducing the postpartum hemorrhage of diabetes delivery women. Methods 214 cases of diabetes delivery women in our hospital from May 2015 to May 2017 were selected and randomly divided into two groups with 107 cases in each， the observation group and the control group respectively adopted the predicative nursing and routine nursing， and the incidence rate of postpartum hemorrhage and bleeding amount were compared between the two groups. Results The incidence rate of postpartum hemorrhage was obviously better than that in the control group(3.7% vs 11.2%)，The difference was statistically significant (P<0.05)， and the 2 h and 24 h bleeding amounts in the observation group were respectively (71.5±12.3)mL and (147.9±20.5)mL， which were obviously lower than those in the control group，The difference was statistically significant(P<0.05). Conclusion The implementation of predicative nursing intervention in diabetes delivery women can effectively reduce the incidence rate of postpartum hemorrhage and bleeding amount， and it is worth application.
[Key words] Predicative nursing； Routine nursing； Postpartum hemorrhage
近年來，随着糖尿病人群不断增多，糖尿病合并妊娠发生率也呈不断升高趋势，对孕妇和胎儿造成严重影响。产后出血是产科最常见且严重的并发症，也是导致产妇死亡的主要原因。据报道[1]，产后出血发病率占分娩总数的4%～6%；全球每年约500万产妇死亡，产后出血占25%。尤其糖尿病产妇发生产后出血的几率较非糖尿病产妇高2倍[2]。因此，对糖尿病产妇实施有效的护理干预措施，对减少产后出血，改善母婴结局至关重要。该文选取2015年5月—2017年5月间在该科进行分娩的糖尿病产妇214例，分别进行预见性护理干预和常规护理，观察产妇的产后出血情况，现报道如下。
1 资料与方法
1.1 一般资料
选取在该院进行分娩的糖尿病产妇214例，随机将患者分为两组各107例，观察组年龄21～44岁，平均(30.6±1.2)岁，孕周37～42周，平均(41.1±0.3)周，初产妇62例，经产妇45例，剖宫产34例，阴道分娩73例；对照组年龄21～44岁，平均(29.8±1.1)岁，孕周37～42周，平均(40.9±0.5)周，初产妇67例，经产妇40例，剖宫产29例，阴道分娩78例；排除严重妊娠合并症和并发症；产妇均知情同意并经伦理委员会批准，两组产妇一般资料比较差异无统计学意义(P>0.05)。
1.2 护理方法
1.2.1 对照组 给予常规护理。包括监测血糖，将血糖控制在空腹<7.0 mmol/L、餐后2 h<10.0 mmol/L；产前健康教育、心理护理、监测胎心、观察宫缩，产时观察产程、心理疏导，产后观察宫缩、出血量等。, 百拇医药(高宏天)
[关键词] 预见性护理；常规护理；产后出血
[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062(2017)08(b)-0087-02
Effect of Predicative Nursing Intervention on Reducing the Postpartum Hemorrhage of Diabetes Delivery Women
GAO Hong-tian
Three Treatment Area， Department of Obstetrics， Changchun Obstetrics and Gynecology Hospital， Changchun， Jilin Province， 130000 China
[Abstract] Objective To study the effect of predicative nursing intervention on reducing the postpartum hemorrhage of diabetes delivery women. Methods 214 cases of diabetes delivery women in our hospital from May 2015 to May 2017 were selected and randomly divided into two groups with 107 cases in each， the observation group and the control group respectively adopted the predicative nursing and routine nursing， and the incidence rate of postpartum hemorrhage and bleeding amount were compared between the two groups. Results The incidence rate of postpartum hemorrhage was obviously better than that in the control group(3.7% vs 11.2%)，The difference was statistically significant (P<0.05)， and the 2 h and 24 h bleeding amounts in the observation group were respectively (71.5±12.3)mL and (147.9±20.5)mL， which were obviously lower than those in the control group，The difference was statistically significant(P<0.05). Conclusion The implementation of predicative nursing intervention in diabetes delivery women can effectively reduce the incidence rate of postpartum hemorrhage and bleeding amount， and it is worth application.
[Key words] Predicative nursing； Routine nursing； Postpartum hemorrhage
近年來，随着糖尿病人群不断增多，糖尿病合并妊娠发生率也呈不断升高趋势，对孕妇和胎儿造成严重影响。产后出血是产科最常见且严重的并发症，也是导致产妇死亡的主要原因。据报道[1]，产后出血发病率占分娩总数的4%～6%；全球每年约500万产妇死亡，产后出血占25%。尤其糖尿病产妇发生产后出血的几率较非糖尿病产妇高2倍[2]。因此，对糖尿病产妇实施有效的护理干预措施，对减少产后出血，改善母婴结局至关重要。该文选取2015年5月—2017年5月间在该科进行分娩的糖尿病产妇214例，分别进行预见性护理干预和常规护理，观察产妇的产后出血情况，现报道如下。
1 资料与方法
1.1 一般资料
选取在该院进行分娩的糖尿病产妇214例，随机将患者分为两组各107例，观察组年龄21～44岁，平均(30.6±1.2)岁，孕周37～42周，平均(41.1±0.3)周，初产妇62例，经产妇45例，剖宫产34例，阴道分娩73例；对照组年龄21～44岁，平均(29.8±1.1)岁，孕周37～42周，平均(40.9±0.5)周，初产妇67例，经产妇40例，剖宫产29例，阴道分娩78例；排除严重妊娠合并症和并发症；产妇均知情同意并经伦理委员会批准，两组产妇一般资料比较差异无统计学意义(P>0.05)。
1.2 护理方法
1.2.1 对照组 给予常规护理。包括监测血糖，将血糖控制在空腹<7.0 mmol/L、餐后2 h<10.0 mmol/L；产前健康教育、心理护理、监测胎心、观察宫缩，产时观察产程、心理疏导，产后观察宫缩、出血量等。, 百拇医药(高宏天)