产后出血护理应急预案与精细化护理应用价值研究

Research on the Application Value of Emergency Plan and Refi ned Nursing in Postpartum Hemorrhage Nursing

探究护理应急预案与精细化护理在产后出血护理中的应用价值。选择贵州省晴隆县人民医院2021年1月—2023年3月间纳入的产后出血患者114例为研究对象,利用随机数字表法将其分为两组,对照组行常规护理,观察组行应急预案与精细化护理,对比两组产妇产程用时、产后2h/12h/24h/48h出血量、止血成功率、产后不良事件、护理满意度。结果显示,观察组产妇第一产程、第二产程、第三产程、总产程用时均短于对照组,产后2h、12h、24h、48h出血量均低于对照组,观察组产妇总止血成功率(96.49%,55例/57例)高于对照组(84.21%,48例/57例),产后子宫切除、失血性休克、术后感染总发生率(10.53%,6例/57例)低于对照组(26.32%,15例/57例),护理满意度(96.49%,55例/57例)高于对照组(82.46%,47例/57例)(P<0.05)。研究发现,实施护理应急预案与精细化护理,能降低产妇产后出血量,提高止血成功率,降低产后不良事件发生率,并提升护理满意度,可推广。

Explore the application value of nursing emergency plans and refined nursing in postpartum hemorrhage care.114 postpartum hemorrhage patients who were included in Qinglong Country People’s Hospital from January 2021 to March 2023 were selected as the research subjects.They were divided into two groups using a random number table method.The control group received routine nursing care,while the observation group received emergency plans and refi ned nursing care.The duration of obstetric procedures,bleeding volume at 2h/12h/24h/48h postpartum,success rate of hemostasis,adverse postpartum events,and nursing satisfaction were compared between the two groups.The results showed that the first,second,third,and total stages of labor in the observation group were shorter than those in the control group.The bleeding volume at 2,12,24,and 48 hours postpartum was lower than that in the control group.The total success rate of hemostasis in the observation group(96.49%,55 cases/57 cases)was higher than that in the control group(84.21%,48 cases/57 cases),and the total incidence of postpartum hysterectomy,hemorrhagic shock,and postoperative infection(10.53%,6 cases/57 cases)was lower than that in the control group(26.32%,15 cases/57 cases),Nursing satisfaction(96.49%,55 cases/57 cases)was higher than that of the control group(82.46%,47 cases/57 cases),P<0.05.Research has found that implementing nursing emergency plans and refined nursing can reduce postpartum bleeding,improve the success rate of hemostasis,reduce the incidence of postpartum adverse events,and improve nursing satisfaction,which can be promoted.