早期护理干预对产后出血患者止血效果及并发症的影响分析

Analysis of the Influence of Early Nursing Intervention on Hemostatic Effect and Complications in Patients with Postpartum Hemorrhage

目的论早期护理干预方法对产后出血患者的止血效果和并发症的影响。方法对2019年1月至2020年10月来我院接分娩的160例产后出血产妇通过随机抽签方法分为两组,即观察组和对照组,每组80例。分别对两组产妇实施早期护理(观察组)和常规护理(对照组),比较不同护理的效果。结果①观察组产后2 h、产后24 h出血量明显比对照组少,VAS疼痛评分明显低于对照组(P<0.05)。②观察组产妇第一、第二、第三产程的产程时间比对照组明显更短(P<0.05)。③观察组患者并发症发生概率(3例,占3.75%)和对照组患者(13例,占16.25%)相比更低(P<0.05)。④护理前,两组患者的SAS评分超过50分、SDS评分超过53分,且无显著的统计学差异(P>0.05);护理后,两组患者的SAS评分、SDS评分均得到了改善,但观察组的改善效果比对照组更好(P<0.05)。⑤观察组(78例,占97.50%)相比对照组(74例,占92.50%)具有更高标准的满意度(P<0.05)。结论通过早期护理应用在产后出血产妇当中能够有效的提升产妇的止血效果,同时降低并发症对产妇产生的影响,减轻分娩产生的疼痛和产后的出血量,改善产妇的焦虑和抑郁心情,提高整体满意度,是值得推荐的护理。

Objective To discuss the effect of early nursing intervention on the hemostatic effect and complications of patients with postpartum hemorrhage.Methods A total of 160 women with postpartum hemorrhage who came to our hospital for delivery from January 2019 to October 2020 were randomly divided into an observation group(80 cases)and a control group(80 cases).The early nursing(observation group)and routine nursing(control group)were respectively given to the two groups of puerperae,and the effects of different nursing were compared.Results(1)The bleeding volume in the observation group at 2 h and 24 h after delivery was significantly less than that in the control group,and the VAS pain score was significantly lower than that in the control group(P<0.05).(2)The labour time of the first,second and third stages of labour in the observation group was significantly shorter than that in the control group(P<0.05).(3)The probability of complications in the observation group(3 patients,accounting for 3.75%)was lower than that of the control group(13 patients,accounting for 16.25%)(P<0.05).(4)Before nursing,the two groups had a SAS score of more than 50 and an SDS score of more than 53 without significant statistical difference(P>0.05),after nursing,the SAS and SDS scores of the two groups of patients were improved,but the improvement effect of the observation group was better than that of the control group(P<0.05).(5)Observation group(78 cases,accounting for 97.50%)had a higher standard of satisfaction than the control group(74 cases,accounting for 92.50%)(P<0.05).Conclusion The application of early nursing in postpartum hemorrhage maternal can effectively improve the hemostasis effect of the maternal,at the same time reduce the impact of complications on the maternal,reduce the pain and postpartum hemorrhage caused by childbirth,improve the anxiety and depression of the maternal,and improve the overall satisfaction is recommended care.