整体护理在产后大出血子宫动脉栓塞术患者中的临床应用效果

Effect of overall care for postpartum major hemorrhage patients with uterine artery embolization

目的探讨整体护理(OC)对子宫动脉栓塞术(UAE)治疗产后大出血(PPMH)患者的应用价值。方法将100例PPMH伴失血性休克患者随机分为OC组和传统护理(TN)组各50例。两组均经保守治疗无效后接受UAE治疗。对OC组实施OC干预,而对TN组实施TN干预。比较两组患者状态焦虑量表(SAI)评分、一次性栓塞成功率、阴道出血量、并发症发生率、患者及其家属满意度、健康教育率、住院天数及术后月经状况。结果入院第1天,两组SAI评分均较高,二者间差异无统计学意义(P>0.05);UAE治疗前1天及出院当天两组SAI评分差异均有统计学意义(P均<0.05)。OC组一次性栓塞成功率高于TN组,阴道出血量及并发症发生率低于TN组(P均<0.05);且OC组患者满意度、健康教育率均高于TN组,住院时间短于TN组(P均<0.05)。两组患者术后月经情况均逐渐恢复正常。结论对接受UAE治疗的PPMH患者采用OC护理方案有利于提高治疗效果。

Objective To explore the value of overall care（OC）in patients with postpartum major hemorrhage（PPMH）for treatment of uterine artery embolization（UAE）.Methods According to different nursing methods,a total of 100 PPMH patients with uncontrolled hemorrhagic shock were randomly divided into OC and traditional nursing（TN）groups with 50 cases in each group.Two groups were treated with UAE because of invalid conservative treatment.The difference of state anxiety inventory（SAI）score,one-time success rate of interventional embolization,vaginal haemorrhage amount,complication rates,satisfaction,rate of health education,the length of hospital stay and menstrual status of postoperative period between the two groups were compared.Results On first day in hospital,SAI scores of the two groups were high,and there was no statistically significant difference between them（P0.05）.One day before UAE treatment and on the day of discharge,there were statistical significance differences of SAI scores between the two groups（both P0.05）.One-time success rate of interventional embolization in OC group was higher than that in TN group.Vaginal blood loss and complication rate in OC group were lower than those in TN group（both P0.05）.And patients＇ satisfaction and the rate of health education in OC group were higher than those in TN group,while the length of hospital stay was shorter than that of TN group（P0.05）.Menstruation situation returned gradually to normal after the surgery in both groups.Conclusion Implementing OC plan is conducive to improve the effect of treatment for UAE treatment of patients with PPMH.