临床路径医疗管理模式在妊高征产妇产后出血护理中的应用效果及对产妇不良情绪的影响

Application effect of clinical pathway medical management mode in postpartum hemorrhage nursing of pregnancy-induced hypertension puerperae and its influence on adverse emotions of puerperae

目的探讨临床路径医疗管理模式在妊高征产妇产后出血护理中的应用效果及对产妇不良情绪的影响。方法回顾性分析2018年4月至2019年4月我院收治的78例妊高征产后出血产妇的临床资料,根据不同的护理干预方法将产妇分为对照组与试验组,各39例。对照组予以常规护理,试验组在对照组基础上给予临床路径医疗管理模式护理。比较两组产妇的不良情绪、血压、产后出血量及不良分娩结局。结果干预后,两组产妇的SAS、SDS评分均降低,且试验组低于对照组(P<0.05)。干预后,两组产妇的DBP、SBP水平均降低,且试验组低于对照组(P<0.05)。产后24 h,两组产妇的产后出血量均减少,且试验组少于对照组(P<0.05)。试验组产妇的不良妊娠结局总发生率低于对照组(P<0.05)。结论临床路径医疗管理模式可有效改善妊高征产后出血产妇的不良情绪,降低血压,减少产后出血量,进而降低不良分娩结局发生率。

Objective To explore the application effect of clinical pathway medical management mode in postpartum hemorrhage nursing of pregnancy-induced hypertension puerperae and its influence on adverse emotions of puerperae.Methods The clinical data of 78 cases of puerperae with postpartum hemorrhage of pregnancy-induced hypertension admitted in our hospital from April 2018 to April 2019 were analyzed retrospectively. According to different nursing intervention methods, the puerperae were divided into control group and experimental group, with 39 cases in each group.The control group was given routine nursing, and the experimental group was given clinical pathway medical management mode nursing on the basis of the control group. The adverse emotions, blood pressure, postpartum hemorrhage and adverse delivery outcome were compared between the two groups. Results After intervention, the scores of SAS and SDS in the two groups decreased, and those in the experimental group were lower than the control group(P<0.05). After intervention, the levels of DBP and SBP in the two groups decreased, and those in the experimental group were lower than the control group(P<0.05). At 24 hours after delivery, the amount of postpartum hemorrhage in the two groups decreased, and that in the experimental group were less than the control group(P <0.05). The total incidence of adverse delivery outcome in the experimental group was lower than that in the control group(P <0.05). Conclusion The clinical pathway medical management mode can effectively improve the adverse emotions of puerperae with postpartum hemorrhage of pregnancy-induced hypertension, reduce blood pressure and the amount of postpartum hemorrhage, and then decrease the incidence of adverse delivery outcomes.