产科失血性休克危急重症患者的护理干预

Nursing intervention of critically ill patients with obstetric hemorrhagic shock

目的探讨针对性护理在产科失血性休克急危重症护理对象中的应用效果。方法本研究择取2012年7月～2018年3月于我院就治的失血性休克急危重症护理对象50例纳为研究样本,以随机数字表法等量均分为25例常规救护组与25例针对性救护组,对上述两组急危重症失血性休克护理对象接受不同救护干预后各观察指标的差异度加以比较分析。结果两组急危重症失血性休克产科护理对象干预后在救护有效比例、脏器衰竭发生率及救护满意率之间比较有显著性差异,针对性救护组研究样本干预后救护有效比例与救护满意率均显著高于常规救护组,脏器衰竭发生率显著低于对照组,凝血酶还原时间、血气剩余碱显著优于常规救护组,差异有统计学意义(P <0.05)。结论针对性救护模式在失血性休克急危重症产科护理对象中的应用,具备显著提升救护有效比例与救护满意率、降低脏器衰竭发生率的可靠护理效应。

Objective To explore the application effect of targeted nursing in critically ill patients with obstetric hemorrhagic shock.Methods Fifty critically ill patients with obstetric hemorrhagic shock who were treated in our hospital from July 2012 to March 2018 were selected as research sample.They were equally divided into the routine rescue group and the targeted rescue group by random number table method with 25 cases in each group.Differences in the observation indexes after different rescue interventions of critically ill patients with obstetric hemorrhagic shock in two groups were compared and analyzed.Results After intervention,there were significant differences in effective ratio of rescue,incidence of organ failure and satisfaction rate of rescue in critically ill patients with obstetric hemorrhagic shock in two groups.Effective ratio of rescue and satisfaction rate of rescue after intervention in the targeted rescue group were both significantly higher than those in the routine rescue group while incidence of organ failure was significantly lower than that of routine rescue group.Thrombin reduction time and blood gas residual alkali in the targeted rescue group were significantly better than those of the conventional rescue group.Differences were statistically significant(P<0.05).Conclusion Application of targeted rescue mode in nursing of critically ill patients with obstetric hemorrhagic shock has reliable nursing effects to improve the effective ratio of rescue and satisfaction rate of rescue and reduce incidence of organ failure.