应急预案干预联合综合护理在产妇产后大出血中的应用

Application of emergency plan intervention and comprehensive nursing in women with postpartum hemorrhage

目的探究应急预案干预联合综合护理在产妇产后大出血中的应用效果。方法选取本院2019年3月至2020年3月收治的80例产妇产后大出血患者作为研究对象,依照电脑系统随机分为两组,各40例。对照组年龄(27.69±6.34)岁,观察组年龄(28.01±5.90)岁。对照组给予综合护理,观察组在前者基础上增加应急预案干预。比较两组患者的24 h出血量、出血次数、止血耗时以及救治成功率和相关费用。结果经过不同护理措施后,观察组产妇产后24 h出血量[(739.23±249.34)ml比(1129.64±296.37)ml]、出血次数[(1.21±0.31)次比(2.31±1.13)次]、止血耗时[(12.54±3.16)h比(18.31±2.58)h]均少于对照组,差异均有统计学意义(均P<0.05)。观察组未出现产妇死亡,对照组产妇死亡5例(12.5%);观察组产妇住院费用为(3.23±0.59)万元,对照组产妇住院费用为(1.62±0.23)万元,两组比较差异有统计学意义(t=16.865,P<0.001)。结论针对临床产妇出现产后大出血的患者给予应急预案干预联合综合护理措施,可以降低产妇的病死率,利于预后,值得推广。

Objective To explore the application effect of emergency plan intervention combined with comprehensive nursing in women with postpartum hemorrhage.Methods Eighty women with postpartum hemorrhage treated at our hospital from March,2019 to March,2020 were selected as the study objects.According to the computer system,they were randomly divided into a control group,(27.69±6.34)years old,and an observation group,(28.01±5.90)years old,with 40 cases in each group.The control group was given comprehensive care;in addition,the observation group took emergency plan intervention.The bleeding volumes within 24 h,bleeding times,the times stopping bleeding,treatment success rates,and related costs were compared between these two groups.Results After different nursing measure,the bleeding volume within 24 h,bleeding times,and the time stopping bleeding in the observation group were lower than those in the control group[(739.23±249.34)ml vs.(1129.64±296.37)ml,(1.21±0.31)times vs.(2.31±1.13)times,and(12.54±3.16)h vs.(18.31±2.58)h;all P<0.05].No women died in the observation group,and 5(12.5%)in the control group.The hospitalization cost was(32.3±5.90)thousand yuan in the observation group,and was(16.2±2.3)thousand yuan in the control group(t=16.865,P<0.001).Conclusion For women with postpartum hemorrhage,emergency plan intervention combined with comprehensive nursing measures can reduce their mortality and improve their prognosis,so it is worth being generalized.