循证护理在产后出血中的应用

Application analysis of evidence-based nursing on nursing intervention of postpartum hemorrhage

目的探讨循证护理对产后出血的影响。方法选择院2012年1月～2012年12月140例经剖宫产分娩的产妇,将其随机分为对照组和观察组,每组70例。对照组给予常规产科护理和健康教育,观察组在对照组的基础上给予循证护理,比较两组产后出血量、产后出血率及护理满意度。结果经过循证护理,观察组2 h内出血量与2～24 h出血量与对照组比较,差异均有统计学意义(P<0.05)。观察组出血率为2.9%,对照组出血率为12.9%,两组比较差异有统计学意义(P<0.05)。观察组满意度显著高于对照组,差异有统计学意义(P<0.05)。结论循证护理能降低剖宫产产妇产后出血的发生率,促进产后康复,提高产科护理质量及满意度。

Objective To discuss the influence of evidence-based nursing on postpartum hemorrhage. Methods 140 caesarean section maternal in our hospital from January 2012 to December 2012 were selected and divided into obser- vation group and control group, each group had 70 cases. Control group was given routine obstetric nursing and health education, and observation group was given evidence-based nursing based on the control group. Postpartum blood loss, postpartum hemorrhage rate and rate of nursing satisfaction of two groups were observed and compared. Results After evidence-based nursing, there were significant difference on the postpartum blood loss in 2 hours and 2 to 24 hours of the postpartum blood loss between observation group and control group （P 〈 0.05）. The postpartum hemorrhage rate of observation group was 2.9%, that of control group was 12.9%, there was significant difference （P 〈 0.05）. Rate of nurs- ing satisfaction of observation group was higher than that of control group, there was significant difference （P 〈 0.05）. Conclusion Evidence-based nursing can reduce the postpartum hemorrhage rate after cesarean section, promote the postpartum recovery and improve the quality and satisfaction of nursing.