摘要
目的探析妊娠期高血压疾病产妇应用个性化护理对产后出血的影响。方法选取2018年2月—2020年2月在该院行剖宫产的102例妊娠期高血压疾病产妇为观察对象,按照随机分组法分成对照组与研究组。对照组50例产妇应用常规护理,研究组52例产妇应用个性化护理,比较两组产妇产后出血量、护理前后血压水平、焦虑程度及睡眠质量变化,并统计护理满意度。结果研究组产妇产后2 h出血量为(187.26±42.51)mL,比对照组的(286.73±46.73)mL低,差异有统计学意义(t=11.253,P<0.05);护理后两组收缩压、舒张压水平及汉密尔顿焦虑自评量表(HAMA)、匹兹堡睡眠质量指数(PSQI)评分均比该组护理前降低,且研究组比对照组低,差异有统计学意义(t=9.945、9.577、8.270、7.736,P<0.05);研究组产妇护理满意度为96.15%,比对照组的82.00%高,差异有统计学意义(χ^(2)=5.307,P<0.05)。结论妊娠期高血压疾病产妇应用个性化护理的效果较理想,有助于降低产后出血量及血压水平,减轻不良情绪,改善睡眠质量,构建和谐患护关系。
Objective To explore the effect of personalized nursing on postpartum hemorrhage for parturients with hypertension in pregnancy.Methods A total of 102 pregnant women with hypertension in pregnancy who underwent cesarean section in the hospital from February 2018 to February 2020 were selected as observation objects,and were divided into control group and test group according to random grouping method.The 50 parturients in the control group were treated with routine nursing care,and the 52 parturients in the test group were treated with personalized nursing.The postpartum hemorrhage,blood pressure level before and after nursing,changes in anxiety and sleep quality were compared between the two groups,and the nursing satisfaction was counted.Results The postpartum blood loss in the test group was(187.26±42.51)mL,which was lower than(286.73±46.73)mL in the control group,the difference was statistically significant(t=11.253,P<0.05);the systolic and diastolic blood pressure levels and Hamilton anxiety in the two groups after nursing,the scores of the self-rating scale(HAMA)and pittsburgh sleep quality Index(PSQI)were lower than those of this group before nursing,and the test group was lower than the control group,the difference was statistically significant(t=9.945,9.577,8.270,7.736,P<0.05).The nursing satisfaction rate was 96.15%,which was higher than 82.00%in the control group,the difference was statistically significant(χ^(2)=5.307,P<0.05).Conclusion The effect of personalized nursing for pregnant women with hypertension in pregnancy is better.It helps to reduce postpartum hemorrhage and blood pressure,relieve bad mood,improve sleep quality,and build a harmonious patient-care relationship.
作者
李萍
闫敏
王海燕
周璐璐
LI Ping;YAN Min;WANG Haiyan;ZHOU Lulu(Department of Obstetrics,Suqian People's Hospital,Nanjing Gulou Hospital Group,Suqian,Jiangsu Province,223800 China)
出处
《系统医学》
2021年第12期151-153,157,共4页
Systems Medicine
关键词
妊娠期高血压疾病
个性化护理
产后出血量
血压
睡眠质量
Hypertension in pregnancy
Personalized care
Postpartum hemorrhage
Blood pressure
Sleep quality