产后出血患者采用宫腔填塞纱块压迫治疗的临床护理措施

Clinical nursing care of postpartum hemorrhage patients with uterine cavity packing compression therapy

目的研究对于产后出血患者提供宫腔填塞纱块压迫治疗的临床护理要点。方法将本院于2012年1月~2016年12月间收治60例产后出血患者,按照入院先后顺序将患者划分为一般组30例与观察组30例,为一般组患者提供常规护理流程,为观察组患者提供早期护理干预措施,总结两组患者对临床护理服务质量评分、对比两组患者术后并发症表现、评估患者宫腔纱块留置、有效止血用时。结果一般组患者宫腔内纱块留置及有效止血用时均高于观察组,P<0.05。一般组患者并发症发生率为26.67%,观察组为10.00%,观察组患者并发症发生率低于一般组,P<0.05。一般组患者对于临床提供的心理安抚、用药指导、服务态度、急救处理等指标评分均低于观察组,P<0.05。结论为产后出血患者提供宫腔填塞纱块治疗期间,加强护理干预措施,大部分患者有效止血用时较短,且并发症出现较少,患者对护理质量评价较高。

Objective To study the clinical nursing key points of postpartum hemorrhage patients with uterine cavity pac, king compression therapy. Methods 60 cases of postpartum hemorrhage patienls cured in our hospital from January 2012 to December 2016 were selected and divided into normal group（n=30） and observation group（n=30） according to the order of admission. Patients of normal nursing were provided with conventional nursing procedure, and patients in observalion group were provided with early nursing intervention. The scores of clinical nursing service quality were summarized, the postoperative complications were compared, and the time of uterine cavity packing retention and effective hemostasis for patients in two groups were evaluated. Results The time of uterine cavity packing retention and effective hemostasis in the general group were significantly higher than those in observation group with P 〈 0.05. The incidence of complications in the general, group was 26.67%, and the incidence of complications was 10.00% in the observation group. The incidence of complications in the observation group was lower than that of the general group with P 〈 0.05. The indicators of patients in general group were lower than the observation group in terms of psychological comfort, medication guidance, service attitude, emergency treatment etc. with P 〈 0.05. Conclusion During the period of uterine cavity packing therapy for postpartam hemorrhage patients with strengthening nursing intervention, most of patients have shorter time for effective hemostasis with less complieations, and patients have higher evaluation on nursing quality.