预见性护理模式对自然分娩产妇产后出血的预防价值分析

Analysis of the Preventive Value of Predictive Nursing Model for Postpartum Hemorrhage in Vaginal Delivery

目的探讨预见性护理模式对自然分娩产妇产后出血的预防价值.方法选取该院2022年10月—2023年9月收治的96例自然分娩产妇为研究对象,采取随机数字表法将其分为对照组与观察组,各28例.对照组根据既往经验开展护理,观察组采用预见性护理模式,比较两组患者的产后不同时间的出血量、产后出血发生率、住院时间、恶露排出时间及护理满意度.结果产后2 h、12 h与24 h,观察组出血量分别为(82.56±5.34)mL、(119.68±12.59)mL、(132.52±19.48)mL,均少于对照组的(124.49±8.91)mL、(198.82±16.37)mL、(241.43±27.14)mL,组间差异有统计学意义(P﹤0.05).观察组产后出血发生率为2.08%,低于对照组的16.67%,住院时间和恶露排出时间分别为(4.28±0.37)d、(3.08±0.16)d,均短于对照组的(6.35±0.62)d、(6.14±0.45)d,组间差异有统计学意义(P﹤0.05).观察组护理满意度中护理态度、护理操作技巧、护理沟通程度、临床舒适感受及总分分别为(23.92±1.04)分、(23.37±1.16)分、(23.45±1.08)分、(24.05±0.78)分、(94.73±3.25)分,均高于对照组的(20.25±2.71)分、(18.94±3.15)分、(19.43±2.16)分、(20.08±2.39)分、(78.75±7.63)分,组间差异有统计学意义(P﹤0.05).结论在自然分娩产妇中开展预见性护理模式可显著减少产后出血量及产后出血发生率,促进产后恢复并提高护理满意度,是一种值得推广的护理方案.

Objective To explore the preventive value of predictive nursing model for postpartum hemorrhage in vaginal delivery.Methods 96 natural parturients admitted to the hospital from October 2022 to September 2023 were selected as the study objects,and were divided into a control group and an observation group by random number table method,with 28 cases in each group.The control group carried out nursing according to previous experience,and the observation group adopted predictive nursing mode.The postpartum bleeding amount,postpartum hemorrhage incidence,hospital stay,lochia discharge time and nursing satisfaction of the two groups were compared.Results At 2 h,12 h and 24 h postpartum,the blood loss in the observation group was(82.56±5.34)mL,(119.68±12.59)mL and(132.52±19.48)mL,respectively,they were less than(124.49±8.91)mL,(198.82±16.37)mL and(241.43±27.14)mL in the control group,and the differences between groups were statistically significant(P﹤0.05).The incidence of postpartum hemorrhage was 2.08%in the observation group,which was lower than 16.67%in the control group,the hospitalization time and lochia discharge time in the observation group were(4.28±0.37)d and(3.08±0.16)d,respectively,which were shorter than(6.35±0.62)d and(6.14±0.45)d in the control group,with statistical significance(P﹤0.05).In the observation group,nursing attitude,nursing operation skills,nursing communication degree,clinical comfort and total score were(23.92±1.04)points,(23.37±1.16)points,(23.45±1.08)points,(24.05±0.78)points and(94.73±3.25)points,respectively,they were higher than(20.25±2.71)points,(18.94±3.15)points,(19.43±2.16)points,(20.08±2.39)points,(78.75±7.63)points in the control group,and there were statistical significance between groups(P﹤0.05).Conclusion Implementing a predictive nursing model in natural childbirth mothers can significantly reduce postpartum hemorrhage volume and incidence,promote postpartum recovery,and improve nursing satisfaction.It is a nursing plan worth promoting.