子宫收缩乏力性产后出血患者的护理策略探究

Investigation of nursing strategy for patients with postpartum hemorrhage caused by uterine inertia

目的探究分析子宫收缩乏力性产后出血的护理方法。方法 68例产后出血患者为研究组,均为子宫收缩乏力引起,住院期间给予包括心理护理在内的综合性护理干预。同期入院患者60例为对照组,均接受常规护理干预。分别于护理前后比较两组患者失血相关指标,采用抑郁自评量表(SDS)和焦虑自评量表(SAS)评估患者心理状态,并比较两组心理状态。结果研究组患者出血量为(595.7±72.4)ml、红细胞计数为(2.3±0.9)×10^(12)/L,血红蛋白水平为(84.3±8.2)g/L。而对照组上述指标则分别为(985.8±102.7)ml、(3.3±0.7)×10^(12)/L及(84.3±8.2)g/L。研究组患者出血量等相关指标均显著优于对照组(P<0.05);研究组患者护理后心理状态评分均优于对照组,差异有统计学意义(P<0.05)。结论综合性护理干预有助于减少子宫收缩乏力性产后出血患者的出血量,改善其心理状态,促进产后恢复。

ObjectiveTo investigate nursing measures for postpartum hemorrhage caused by uterine inertia.MethodsThere were 68 patients with postpartum hemorrhage as research group, and they were all caused by uterine inertia. Comprehensive nursing intervention, including psychological nursing, was given during their hospitalization. There were another 60 patients at the same time period as control group, who received conventional nursing intervention. Comparison was made on hemorrhage related indexes before and after nursing between the two groups. Self-rating depression scale (SDS) and self-rating anxiety scale (SAS) were applied to evaluated psychological states of patients for comparison.ResultsThe research group had bleeding volume as (595.7±72.4) ml, red blood cell count as (2.3±0.9)×1012/L, and hemoglobin level as (84.3±8.2) g/L, which were respectively (985.8±102.7) ml, (3.3±0.7)×1012/L and (84.3±8.2) g/L in the control group. The research group had obviously better related indexes, such as bleeding volume, than the control group, and their difference had statistical significance (P<0.05). The research group also had better psychological states score after nursing than the control group, and their difference had statistical significance (P<0.05).ConclusionComprehensive nursing intervention is helpful for reducing bleeding volume in patients with postpartum hemorrhage caused by uterine inertia, improving their psychological states and accelerating postpartum recovery.