责任制护理在子宫动脉栓塞治疗产后大出血中的应用及对产妇出血量的影响

The Application of Responsibility Nursing in Uterine Artery Embolization for Postpartum Massive Hemorrhage and Its Influence on the Amount of Maternal Hemorrhage

目的:探讨责任制护理在子宫动脉栓塞治疗产后大出血护理中的应用及对产妇出血量的影响。方法:从2017年1月-2018年12月在笔者所在医院进行生产且出现产后大出血的产妇中选取100例作为本次研究对象,将其按照单双数进行分组,将单数列入对照组,双数列入研究组,每组50例。两组均进行子宫动脉栓塞治疗,对照组给予常规护理,研究组给予责任制护理。比较两组术后出血量、住院时间、护理满意度、并发症发生情况及负性情绪评分。结果:研究组产妇术后2、24 h出血量均少于对照组,住院时间短于对照组,差异均有统计学意义(P<0.05)。研究组护理满意度评分均高于对照组,差异有统计学意义(P<0.05)。研究组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。护理前两组SAS、SDS评分比较差异无统计学意义(P>0.05);护理后研究组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。结论:将责任制护理应用到子宫动脉栓塞治疗产后大出血的护理中,可有效控制出血量,提升护理满意度,降低并发症发生率,可考虑普及。

Objective: To explore the application of responsibility nursing in the nursing of uterine artery embolization for postpartum massive hemorrhage and its influence on the amount of maternal hemorrhage. Method: From January 2017 to December 2018, 100 parturients with postpartum massive hemorrhage who were admitted in our hospital for delivery were selected as the subjects of this study. They were divided into two groups according to single and double numbers. The single number was included in the control group and the double number in the study group, with 50 cases in each group. Both groups were treated with uterine artery embolization. The control group was given routine nursing, and the study group was given responsibility nursing. The amount of bleeding, hospitalization time, nursing satisfaction, complications and negative emotion scores of the two groups were compared. Result: The amount of bleeding in 2 and 24 h after operation in the study group was less than that in the control group, and the hospitalization time was shorter than that in the control group, the differences were statistically significant(P<0.05). The nursing satisfaction scores in the study group were higher than those in the control group, the differences were statistically significant(P<0.05). The incidence of postoperative complications in the study group was lower than that in the control group, the difference was statistically significant(P<0.05). There were no significant differences in SAS and SDS scores between the two groups before nursing(P>0.05). After nursing, SAS and SDS scores in the study group were lower than those in the control group, and the differences were statistically significant(P<0.05). Conclusion: The application of responsibility nursing in the nursing of uterine artery embolization for postpartum massive hemorrhage can effectively control the amount of bleeding, improve the nursing satisfaction, reduce the incidence of complications, and can be considered universal.