产妇系统管理对预防产后出血的疗效评价

Evaluation on therapeutic effect of systematic nursing intervention on prevention of postpartum hemorrhage

目的探讨分析产妇系统管理对预防顺产产后出血的疗效。方法选择宁波市妇女儿童医院2012年1月至2013年10月收治的行阴道分娩的120例初产妇，在患者知情同意的情况下，将其按照随机数字分组法分为系统管理组和对照组各60例，对照组产妇采用常规护理，系统管理组在常规护理的基础上采用系统管理干预。结果系统管理产妇产后2h、24h出血量均低于对照组，两组比较差异具有统计学意义（t值分别为4．35和3．24，均P〈0．05）。系统管理组产妇产后出血1例，出血率为1．67％，对照组产妇产后出血7例，出血率为11．67％，系统管理组低于对照组，两组比较差异具有统计学意义（X^2=2．25，P〈0．05）。系统管理组患者满意度为98．33％，高于对照组的75．00％，两组比较（X^2=14．13，P〈0．05），差异具有统计学意义。结论系统管理干预用于预防顺产产后出血疗效显著，值得临床推广应用。

Objective To investigate the therapeutic effect of systematic nursing intervention on the prevention of postpartum hemorrhage at normal labor. Methods From January 2012 to October 2013 120 cases of vaginal delivery primipara were admitted in Ningbo Women and Children＇ s Hospital. With patients＇ inform consent, they were divided into treatment group and control group according to random number with 60 cases in both groups. The control group used conventional maternity care, while the treatment group was given systematic nursing intervention based on routine care. Results The bleeding volume of the treatment group 2h and 24h after labor was significantly lower than that of the control group respectively, and the differences were statistically significant （ t value was 4.35 and 3.24, respectively, both P 〈 0.05）. The bleeding rate after labor was 1.67% （1 case） in the treatment group, while it was 11.67% （7 cases） in the control group. The difference was significant （X^2 = 2.25, P 〈 0.05 ）. The satisfaction degree was 98.33% in the treatment group, which was higher than that （ 75.00% ） in the control group. There was statistical difference （X^2 = 14. 13, P 〈 0.05 ）. Conclusion The systematic nursing intervention for the prevention of postpartum hemorrhage is effective and worthy of clinical application.