预见性护理干预应用于顺产产妇对预防其产后尿潴留的效果分析

Analysis of the Effect of Predictive Nursing Intervention Applied to Parturient Women on Preventing Postpartum Urinary Retention

目的探析顺产产妇应用预见性护理干预对预防产后尿潴留的作用。方法方便选取2018年2月-2019年9月在该院顺产的93例产妇按照随机分配原则分为两组,对照组46例,实验组47例。对照组产妇应用常规护理,实验组产妇应用预见性护理干预,对比两组护理前后心理状态评分、分娩时间、产后24 h出血量及产后尿潴留发生率。结果实验组护理后抑郁、焦虑评分分别为(36.25±4.65)分、(37.68±4.81)分,对照组数据分别为(45.37±5.02)分、(46.17±5.01)分,组间差异有统计学意义(t=8.650、8.910,P<0.05)。实验组分娩时间、产后24 h出血量分别为(6.61±1.35)h、(113.24±10.26)mL,对照组数据分别为(8.03±1.36)h、(144.28±11.38)mL,组间差异有统计学意义(t=8.12、10.370,P<0.05)。实验组产后尿潴留发生率为2.13%,对照组发生率为15.22%,组间差异有统计学意义(χ^2=5.070,P<0.05)。结论顺产产妇应用预见性护理干预后,可显著改善产妇心理状态,缩短分娩时间,减少产后出血量,降低产后尿潴留发生率。

Objective To explore the role of predictive nursing intervention in preventing postpartum urine retention in natural childbirth.Methods From February 2018 to September 2019,93 parturient women who gave birth naturally in the hospital were convenient selection divided into two groups according to the principle of random distribution,46 cases in the control group and 47 cases in the experimental group.The control group applied routine nursing,and the experimental group applied predictive nursing intervention.The two groups were compared before and after nursing in psychological state score,delivery time,postpartum blood loss at 24 h and incidence of postpartum urine retention.Results The scores of depression and anxiety in the experimental group after nursing were(36.25±4.65)points and(37.68±4.81)points,respectively,while those in the control group were(45.37±5.02)points and(46.17±5.01)points,respectively,with statistical differences between the groups(t=8.650,8.910,P<0.05).The delivery time and blood loss at 24 h postpartum were(6.61±1.35)h and(113.24±10.26)mL in the experimental group,and(8.03±1.36)h and(144.28±11.38)mL in the control group,respectively,with statistical differences between the groups(t=8.120,10.370,P<0.05).The incidence of postpartum urinary retention was2.13%in the experimental group and 15.22%in the control group,with statistically significant differences(χ^2=5.070,P<0.05).Conclusion The application of predictive nursing intervention can significantly improve the maternal psychological state,shorten the delivery time,reduce the amount of postpartum bleeding,reduce the incidence of postpartum urine retention,with high clinical promotion value.