优质护理模式在妊娠高血压综合征产妇产后出血护理中的影响

The Effect of High Quality Nursing Mode on Postpartum Hemorrhage Nursing of Pregnant Women with Hypertensive Syndrome

目的:评估优质护理模式在妊娠高血压综合征产妇产后出血护理中的影响。方法:选取本院2016年11月-2017年11月的102例妊娠高血压综合征患者,采用随机数字表法分为观察组和对照组,每组各51例。对照组采用常规护理模式,严格监测患者的生命体征、血压,为患者提供舒适、安静的病房环境。观察组采用优质护理模式,即优质健康教育护理、优质心理护理、优质分娩护理、优质感染护理、优质饮食护理、优质出院指导,从六个方面对患者的产前、产中、产后进行全方位护理,对比两组间护理满意度、临床相关指标、血压情况的差异。结果:观察组患者的护理满意度为96.08%明显高于对照组78.43%,比较差异有统计学意义(P<0.05)。观察组产时出血量、产后2 h出血量分别为(174.2±15.7)、(304.2±33.5)mL明显较对照组(210.5±16.4)、(386.4±45.8)mL少,两组比较差异有统计学意义(P<0.05),表明经过优质护理能控制患者出血。护理后,观察组的舒张压、收缩压分别为(85.1±8.7)、(126.8±11.4)mmHg明显低于对照组的(91.6±12.7)、(140.6±12.7)mmHg,两组比较差异有统计学意义(t=3.015 3、5.774 7,P<0.05),表明经过优质护理能控制患者血压。结论:优质护理模式在妊娠高血压综合征患者中应用,可提高患者的护理满意度,减少产时出血量、产后2 h出血量,同时能有效控制患者的收缩压和舒张压,具有重要的临床应用价值、推广价值。

Objective:To evaluate the effect of high quality nursing mode on postpartum hemorrhage nursing of pregnant women with hypertension syndrome.Method:102 patients with pregnancy-induced hypertension syndrome from November 2016 to November 2017 in our hospital were divided into observation group and control group by random number table method,51 cases in each group.The control group was given the conventional nursing mode,strictly monitors the patients’vital signs and blood pressure,the patients were provided with a comfortable and quiet ward environment.The observation group was given high-quality education nursing,including quality psychological care,high quality birth care,high quality infection care,high quality diet care,and high quality discharge guidance,from six aspects of the patients before,during or after comprehensive nursing,the nursing satisfaction,clinically relevant index,and blood pressure differences of two groups were compared.Result:Compared the nursing satisfaction of the two groups,the nursing satisfaction of the observation group was 96.08%significantly higher than that of the control group 78.43%,the difference was statistically significant(P<0.05).The intrapartum and postpartum 2 h blood loss in observation group were respectively(174.2±15.7)and(304.2±33.5)mL obviously less than the control group of(210.5±16.4)and(386.4±45.8)mL,the differences were statistically significant(P<0.05),it found that high quality care to control bleeding patients.After nursing,the diastolic and systolic blood pressure of observation group were respectively(85.1±8.7)and(126.8±11.4)mm Hg significantly lower than the control group of(91.6±12.7)and(140.6±12.7)mm Hg,the differences were statistically significant(t=3.015 3,5.774 7;P<0.05),it found that patients with quality care can control blood pressure.Conclusion:High quality nursing mode applied in patients with pregnancy-induced hypertension syndrome,can improve the patients’nursing satisfaction,reduce the bleeding,postpartum 2 h blood loss,and can effectively control in patients with systolic blood pressure and diastolic blood pressure,it has the important clinical application value and popularization value.