预见性护理在预防妊娠期高血压产妇产后出血中的应用效果

Application Effect of Predictive Nursing in Prevention of Postpartum Hemorrhage in Pregnant Women with Pregnancy-induced Hypertension

目的分析妊娠期高血压(简称“妊高征”)患者护理需求,评价预见性护理干预在预防产妇产后出血等方面的积极意义。方法选择我院产科2019年8月至2020年3月诊治的妊高征产妇(n=200),以随机数字表法分组(对照组、预见组)。对照组(n=100)产妇行产科常规护理,预见组(n=100)产妇配合预见性护理干预,比较两组妊高征产妇产后出血量、产程时间、血压水平以及护理满意度。结果组间第一产程、第二产程以及第三产程比较,预见组用时均短于对照组(均P<0.05);组间产后2 h出血量比较,预见组出血量少于对照组(P<0.05);组间干预后舒张压以及收缩压水平比较,预见组均明显优于对照组(均P<0.05);组间产妇护理满意度问卷调查结果比较,预见组总满意度(98.00%)明显高于对照组的88.00%(P<0.05)。结论妊高征产妇产后出血风险较高,预见性护理干预可以在稳定产妇血压、缩短产程的基础上预防和减少产妇产后出血风险,护理效果显著。

Objective To analyze the nursing needs of patients with pregnancy-induced hypertension and evaluate the positive significance of predictive nursing intervention in preventing postpartum hemorrhage.Methods The pregnant women with pregnancy-induced hypertension(n=200)who were diagnosed and treated in the obstetrics department of our hospital from August 2019 to March 2020 were grouped by random number table(control group,foreseeable group).The control group(n=100)received obstetric routine nursing,and the foreseeable group(n=100)cooperated with predictive nursing intervention to compare the postpartum hemorrhage,labor time,blood pressure level and nursing satisfaction of the two groups of pregnancy-induced hypertension.Results Comparing the first,second,and third stages of labor between the groups,the foreseeing group took shorter time than the control group(P<0.05);comparing the bleeding volume between the two groups after delivery,the foreseeing group was less bleeding than the control group(P<0.05);comparison of diastolic blood pressure and systolic blood pressure levels after intervention between the groups,the foreseeable group was significantly better than the control group(P<0.05);comparison of the results of the maternal nursing satisfaction questionnaire survey between the groups,the total satisfaction of the foreseeable group was 98.00%obvious it was higher than 88.00%of the control group(P<0.05).Conclusion The risk of postpartum hemorrhage in pregnant women with pregnancy-induced hypertension is higher.Predictive nursing intervention can prevent and reduce the risk of postpartum hemorrhage on the basis of stabilizing blood pressure and shortening the course of labor.The nursing effect is significant.