促进产后子宫收缩的临床护理探讨

Discussion on Clinical Nursing for Promoting Postpartum Uterine Contraction

目的探讨促进产后子宫收缩的临床护理探讨。方法方便选取该院200例成功分娩并伴有子宫收缩乏力的产妇作为该次研究对象,入院时间均在2019年1—5月,按照围产期护理方式的不同将其分为对照组与观察组,各100例,对照组使用常规护理,观察组则使用整体护理干预方式,对比两组产妇宫底高度、产后出血量、疼痛程度以及护理满意度等指标。结果护理前两组宫底高度及恶露量相比差异无统计学意义(P>0.05),护理后观察组宫底高度(12.50±1.15)cm低于对照组(15.65±1.14)cm,恶露量(12.50±5.15)mL较对照组更少(19.65±3.14)mL,差异有统计学意义(t=10.645、9.682,P<0.05);观察组在产后2 h、6 h、24 h、48 h时阴道出血量分别为(75.05±20.28)mL、(51.65±10.14)mL、(42.80±10.83)mL、(22.05±10.95)mL均低于对照组(194.95±81.05)mL、(122.50±32.15)mL、(83.00±21.21)mL、(63.40±11.18)mL,差异有统计学意义(t=10.970、165.010、335.300、674.840,P<0.05),观察组在产后6 h、24 h、48 h时VAS评分分别为(1.61±1.14)分、(1.54±0.75)分、(1.98±0.15)分均低于对照组(2.48±1.15)分、(3.26±1.26)分、(3.38±1.06)分,差异有统计学意义(t=6.798、15.335、8.264,P<0.05),观察组护理总满意度98.00%明显高于对照组90.00%,差异有统计学意义(χ^2=11.486,P<0.05)。结论为促进产后子宫收缩,建议临床采取整体护理干预的方式,可降低产后出血量、减轻产后疼痛、促进产后恢复、提高产妇满意度、值得推广实施。

Objective To explore the clinical nursing of promoting postpartum uterine contraction.Methods 200 cases of successful delivery and uterine contraction in the hospital were Conveniently selected as the study subjects.The admission time was from January to May 2019.They were divided into two groups according to the different methods of perinatal care.There were 100 cases in the control group and the observation group.The control group used routine nursing.The observation group used the overall nursing intervention method to compare the maternal fundus height,postpartum hemorrhage,pain degree and nursing satisfaction.Results There was no statistically significant difference in the height of the fundus between the two groups before the nursing(P>0.05).The height of the fundus in the observation group was(12.50±1.15)cm lower than that in the control group(15.65±1.14)cm,and the amount of lochia(12.50±5.15)mL,less than that of(19.65±3.14)mL of the control group,the difference was statistically significant(t=10.645,9.682,P<0.05).The vaginal bleeding volume in the observation group was(75.05±20.28)mL,(51.65±10.14)mL,(42.80±10.83)mL,(22.05±10.95)mL at 2 h,6 h,24 h and 48 h after delivery were lower than the control group(194.95±81.05)mL,(122.50±32.15)mL,(83.00±21.21)mL,(63.40±11.18)mL,the difference was statistically significant(t=10.970,165.010,335.300,674.840,P<0.05).The VAS scores of the observation group were(1.61±1.14)points and(1.54±0.75)points,(1.98±0.15)points at 6 h,24 h and 48 h after delivery,were lower than the control group(2.48±1.15)points,(3.26±1.26)points,(3.38±1.06)points,the difference was statistically significant(t=6.798,15.335,8.264,P<0.05),observation of the total satisfaction rate of group nursing was 98.00%,which was significantly higher than that of the control group 90.00%.The difference was statistically significant(χ^2=11.486,P<0.05).Conclusion In order to promote postpartum uterine contraction,it is recommended to adopt a comprehensive nursing intervention method to reduce postpartum hemorrhage,reduce postpartum pain,promote postpartum recovery,and improve maternal satisfaction.It is worthy of promotion and implementation.