优质护理对妊高症产妇产后出血的影响效果观察(1)
【摘要】目的:分析优质护理对妊高症产妇产后出血的影响效果。方法:将2016年3月-2017年4月80例妊高症产妇作为研究对象并根据随机数字表分组,分别40例。对照组实施普通护理,观察组实施优质护理。比较两组产后出血率;护理工作的满意评价、产后2小时、24小时出血总量;干预前后产妇情绪状态。结果:观察组产后出血率低于对照组,P<0.05;观察组护理工作的满意评价、产后2小时、24小时出血总量优于对照组,P<0.05;干预前两组情绪状态相近,P>0.05;干预后观察组情绪状态优于对照组,P<0.05。结论:优质护理对妊高症产妇产后出血的影响效果大,可减少产后出血的发生,减少产后出血量,改善产妇不良情绪,提高其护理满意度。
【关键词】优质护理;妊高症产妇;产后出血;影响效果
[Abstract] Objective:To analyze the effect of quality nursing on postpartum hemorrhage in pregnant women with pregnancy induced hypertension. Methods: 80 cases of pregnant women with pregnancy induced hypertension from March 2018 to April 2017 were selected as the subjects and grouped according to the random number table. The control group to implement general care, observation group to implement quality care. Comparison of two groups of postpartum hemorrhage rate; satisfaction evaluation of nursing work, postpartum 2 hours, 24 hours total bleeding; intervention before and after maternal emotional state. Results: The postpartum hemorrhage rate of the observation group was lower than that of the control group, P <0.05; the satisfaction of the observation group was better than that of the control group at 2 hours and 24 hours after operation. P <0.05, P> 0.05. After intervention, the emotional state of the observation group was better than that of the control group, P <0.05. Conclusion: The effect of quality nursing on postpartum hemorrhage in pregnant women with pregnancy induced hypertension can reduce the occurrence of postpartum hemorrhage, reduce the amount of postpartum hemorrhage, improve the maternal maladality and improve the nursing satisfaction.
[Key words] quality care; pregnancy-induced hypertension; postpartum hemorrhage; affect the effect
【中圖分类号】R473 【文献标识码】B 【文章编号】2095-6851(2017)07-0-01
妊高症是妊娠期常见疾病,多发生在妊娠20周后,以蛋白尿、高血压等为主要症状,可威胁母婴安全。产后出血是产后最为严重的并发症之一,危害性大,是围生期产妇死亡主要原因,需采取优质护理[1]。本研究探讨了优质护理对妊高症产妇产后出血的影响效果,报告如下。
1.资料与方法
1.1 一般资料
将2016年3月-2017年4月80例妊高症产妇作为研究对象并根据随机数字表分组,分别40例。观察组初产妇23例,经产妇17例;顺产26例,剖宫产14例,年龄21-36岁,平均(27.25±2.76)岁。对照组初产妇22例,经产妇18例;顺产25例,剖宫产15例,年龄21-37岁,平均(27.92±2.14)岁。两组一般资料差异无统计学意义。
1.2 方法
对照组实施普通护理,观察组实施优质护理。(1)产前优质护理。产前了解产妇基本情况、妊高症情况等,评估其产后出血风险,做好预防措施。用通俗易懂的语言讲解妊高症相关知识和产后出血原因,使其做好心理准备。(2)产时优质护理。产时为产妇建立静脉通道,备好缩宫素,做好急救准备。娩出胎盘后给予子宫按摩,在宫缩恢复后再进行其他护理。(3)产后优质护理。产后2小时是出血高发期,加强出血监测,给予药物预防。饮食上给予高维生素、高蛋白质食物,少食多餐。产后协助产妇选择半卧位,及早行新生儿吮吸,促进子宫收缩。监测产妇有无头痛、恶心等症状出现,若发生出血需先明确出血原因并进行对症处理。若仍无改善需积极补充血容量,抗休克和输血[2-3]。
1.3 观察指标, http://www.100md.com(罗燕梅)
【关键词】优质护理;妊高症产妇;产后出血;影响效果
[Abstract] Objective:To analyze the effect of quality nursing on postpartum hemorrhage in pregnant women with pregnancy induced hypertension. Methods: 80 cases of pregnant women with pregnancy induced hypertension from March 2018 to April 2017 were selected as the subjects and grouped according to the random number table. The control group to implement general care, observation group to implement quality care. Comparison of two groups of postpartum hemorrhage rate; satisfaction evaluation of nursing work, postpartum 2 hours, 24 hours total bleeding; intervention before and after maternal emotional state. Results: The postpartum hemorrhage rate of the observation group was lower than that of the control group, P <0.05; the satisfaction of the observation group was better than that of the control group at 2 hours and 24 hours after operation. P <0.05, P> 0.05. After intervention, the emotional state of the observation group was better than that of the control group, P <0.05. Conclusion: The effect of quality nursing on postpartum hemorrhage in pregnant women with pregnancy induced hypertension can reduce the occurrence of postpartum hemorrhage, reduce the amount of postpartum hemorrhage, improve the maternal maladality and improve the nursing satisfaction.
[Key words] quality care; pregnancy-induced hypertension; postpartum hemorrhage; affect the effect
【中圖分类号】R473 【文献标识码】B 【文章编号】2095-6851(2017)07-0-01
妊高症是妊娠期常见疾病,多发生在妊娠20周后,以蛋白尿、高血压等为主要症状,可威胁母婴安全。产后出血是产后最为严重的并发症之一,危害性大,是围生期产妇死亡主要原因,需采取优质护理[1]。本研究探讨了优质护理对妊高症产妇产后出血的影响效果,报告如下。
1.资料与方法
1.1 一般资料
将2016年3月-2017年4月80例妊高症产妇作为研究对象并根据随机数字表分组,分别40例。观察组初产妇23例,经产妇17例;顺产26例,剖宫产14例,年龄21-36岁,平均(27.25±2.76)岁。对照组初产妇22例,经产妇18例;顺产25例,剖宫产15例,年龄21-37岁,平均(27.92±2.14)岁。两组一般资料差异无统计学意义。
1.2 方法
对照组实施普通护理,观察组实施优质护理。(1)产前优质护理。产前了解产妇基本情况、妊高症情况等,评估其产后出血风险,做好预防措施。用通俗易懂的语言讲解妊高症相关知识和产后出血原因,使其做好心理准备。(2)产时优质护理。产时为产妇建立静脉通道,备好缩宫素,做好急救准备。娩出胎盘后给予子宫按摩,在宫缩恢复后再进行其他护理。(3)产后优质护理。产后2小时是出血高发期,加强出血监测,给予药物预防。饮食上给予高维生素、高蛋白质食物,少食多餐。产后协助产妇选择半卧位,及早行新生儿吮吸,促进子宫收缩。监测产妇有无头痛、恶心等症状出现,若发生出血需先明确出血原因并进行对症处理。若仍无改善需积极补充血容量,抗休克和输血[2-3]。
1.3 观察指标, http://www.100md.com(罗燕梅)
参见:首页 > 医疗版 > 疾病专题 > 妇产科 > 分娩期并发症 > 产后出血