优质护理在妊高症产妇产后出血护理中的价值评价

Value Evaluation of Quality Nursing in Postpartum Hemorrhage Nursing for Pregnant Women with Pregnancy-induced Hypertension

目的研究妊高症产妇实施优质护理对其产后出血的影响。方法研究时段选取在2016年10月—2018年10月,方便选取该院妇产科收治的60例妊高症患者作为基础实验资料,以依据患者自身意愿实施不同护理方案将其平均分为两组,对照组30例给予妇产科常规护理措施,研究组30例则运用优质护理干预方式,将护理前后血压水平、出血量、新生儿指标、生活质量等作为护理效果的评价标准。结果干预前两组患者的收缩压及舒张压指标差异无统计学意义(收缩压t=1.3704,P>0.05);干预后研究组患者收缩压(124.5±4.5)mmHg指标及舒张压指标(82.8±8.5)mmHg低于对照组(收缩压t=13.6184、舒张压t=3.5749),组间差异有统计学意义(P<0.05)。研究组患者产后2h出血量(98.12±10.23)mL、产后24h出血量(140.29±10.36)mL低于对照组,(产后2h出血量:t=16.9030、产后24h出血量t=24.9722,P<0.05);研究组患者新生儿Apgar(9.81±0.04)分高于对照组,差异有统计学意义(t=19.2768,P<0.05)。研究组患者的各项生活质量指标明显高于对照组身体功能(90.7±5.1)分、物质生活(90.5±5.7)分、心理功能(84.8±5.2)分、社会功能(83.3±4.9)分身体功能:t=7.0179、物质生活:t=7.0271、心理功能:t=3.6562、社会功能:t=4.1141),组间差异有统计学意义(P<0.05)。结论针对妊高症的患者在生产的全过程中实施优质护理有助于稳定血压水平和减少产后出血量,同时新生儿各项指标较好,为临床护理工作提供了新的思路。

Objective To study the effect of high quality nursing on postpartum hemorrhage in pregnant women with pregnancy-induced hypertension.Methods From October 2016 to October 2018,60 patients with pregnancy-induced hypertension admitted to the obstetrics and gynecology department during the above-mentioned period were convenient selected as basic experimental data to divide the average according to the patient's own wishes.In the two groups,30 patients in the control group were given routine nursing measures in obstetrics and gynecology.In the study group,30 patients were treated with high-quality nursing interventions.The blood pressure level,blood loss,neonatal index and quality of life before and after treatment were used as the evaluation criteria for nursing effect.Results There were no statistically significant differences in systolic blood pressure and diastolic blood pressure between the two groups before the intervention(systolic blood pressure t=1.370 4,P>0.05).After the intervention,the systolic blood pressure(124.5±4.5)mmHg index and diastolic blood pressure index(82.8±8.5)mmHg was lower than the control group(systolic blood pressure t=13.618 4,diastolic blood pressure t=3.574 9),and the difference between groups was statistically significant(P<0.05).In the study group,the postpartum 2 h hemorrhage volume(98.12±10.23)mL and the postpartum 24 h hemorrhage volume(140.29±10.36)mL were lower than the control group,2 h postpartum hemorrhage volume:t=16.903 0,postpartum 24 h hemorrhage volume(t=24.972 2,P<0.05);The neonatal Apgar(9.81±0.04)score in the study group was higher than that in the control group,and the difference between the groups was statistically significant(t=19.276 8,P<0.05).The quality of life indicators of the study group patients were significantly higher than the control group body function(90.7±5.1)points,material life(90.5±5.7)points,psychological function(84.8±5.2)points,social function(83.3±4.9)points(physical function,t=7.017 9,material life t=7.027 1,psychological function t=3.656 2,social function t=4.114 1,the differences between groups was statistically significant(P<0.05).Conclusion The implementation of quality nursing in the whole process of production for patients with pregnancy-induced hypertension can help stabilize blood pressure level and reduce postpartum hemorrhage.At the same time,the neonatal indicators are better,which provides a new idea for clinical nursing work.