健康教育在产后出血中的护理应用分析

Analysis on the application of health education in postpartum hemorrhage

目的分析健康教育在产后出血中的护理应用效果。方法将我院收治的346例产妇,按照入院先后顺序随机分为观察组和对照组,各173例。对照组给予常规护理,观察组在常规护理基础上进行健康教育,比较两组患者的心理状况、产后出血情况及患者满意度。结果护理前,两组SDS和SAS评分比较,差异无统计学意义(P>0.05)。护理后,观察组SDS评分和SAS评分均显著低于治疗前(P<0.05);对照组SAS评分显著低于治疗前(P<0.05),而SDS评分与护理前比较,差异无统计学意义(P>0.05)。护理后,观察组SDS评分和SAS评分显著低于对照组(P<0.05)。观察组产后2 h出血量及24 h出血量显著低于对照组(P<0.05)。两组出血率比较,差异无统计学意义(P>0.05)。观察组满意率为93.06%,显著高于对照组的75.72%(P<0.05)。结论健康教育在产后出血中的护理效果显著,可以明显改善患者心理状况,降低出血情况,提高患者满意度。

Objective To analyze the application effect of health education in nursing care of postpartum hemorrhage. Methods Three hundred and forty six cases of maternal in our hospital were randomly divided into observation group and control group according to the order of admission, with 173 cases in each group. The control group was given routine nursing care, while the observation group was given health education based on the routine nursing. The psychological status, postpartum hemorrhage and patients＇ satisfaction of the two groups were compared. Results Before nursing, the sores of SAS and SDS of two groups had no significant difference （P〉0.05）. After nursing, the scores of SAS and SDS of the observation group were significantly lower than those before treatment （P〈0.05）. In control group, the SAS score after nursing was significantly lower than that before nursing （P〈0.05）, and there was no significant difference in SDS score （P〉0.05）. After nursing, the SDS and SAS scores in the observation group were significantly lower than those in the control group （P〈0.05）. In observation group, the amount of postpartum hemorrhage of 2 h and 24- h were significantly lower than those of the control group （P〈0.05）. There was no significant difference in the rate of bleeding between two groups （/：＇〉0.05）. The satisfaction rate of observation group was 93.06%, which was significantly higher than 75.72% of the control group （P〈0.05）. Conclusion The nursing effect of health education in postoartum hemorrhage is can significantly improve the psychological status of patients, reduce the incidence of bleeding and improve patients satisfaction.