多学科协作护理模式在产后大出血介入治疗中的应用

Application of multi-disciplinary cooperative nursing mode in treatment of postpartum massive hemorrhage patients with intervention therapy

目的探讨多学科协作护理模式在产后大出血介入治疗中的应用价值。方法选取2014年1月至2021年11月海军安庆医院收治的36例产后大出血介入治疗患者作为研究对象,随机将其分为对照组和观察组,各18例。对照组患者采用常规护理,观察组患者采用多学科协作护理模式。比较2组患者介入治疗止血成功率、手术时间及住院时间,统计2组患者并发症发生率及护理满意度情况。结果观察组患者止血成功率为94.4%(17/18),对照组为88.9%(16/18),2组比较差异无统计学意义(P>0.05);观察组患者手术时间及住院时间均短于对照组,2组比较差异有统计学意义(P<0.05);观察组患者并发症发生率为5.6%(1/18),对照组为33.3%(6/18),2组比较差异有统计学意义(P<0.05);观察组患者护理满意度为100%(18/18),对照组为72.2%(13/18),2组比较差异有统计学意义(P<0.05)。结论应用多学科协作护理模式能够缩短产后大出血患者手术时间和住院时间,降低术后并发症发生率并提高护理满意度,值得临床推广应用。

Objective To explore the application of multi-disciplinary cooperative nursing mode in treatment of postpartum massive hemorrhage patients with intervention therapy.Methods 36 patients with postpartum hemorrhage treated by intervention therapy in the hospital from January 2014 to November 2021 were selected as study subjects.According to the method of random number table,the patients were divided into the control group and the observation group,each consisting of 18 patients.The patients in the control group were given routine nursing,while the patients in the observation group received multi-disciplinary cooperative nursing mode on the basis of the control group.The success rate of hemostatis,surgical time and hospitalization time were compared between the 2 groups,and the rates of complications and nursing satisfaction in the 2 groups were statistically analyzed.Results The rate of hemostatis was 94.4%(17/18)in the observation group,while that of the control group was 88.9%(16/18).There was no statistical significance,when comparisons were made between the 2 groups(P>0.05).The surgical time and hospitalization time of the observation group were shorter than those of the control group,also with statistical significance(P>0.05).The incidence of complication in the observation was 5.6%(1/18),while that of the control group was 33.3%(6/18),with statistical significance(P<0.05).The nursing satisfaction in the observation group was 100%(18/18),while that of the control group was 72.2%(13/18),with statistical significance(P>0.05).There was statistical significance when comparisons were made between the 2 groups(P>0.05).Conclusion The application of the multi-disciplinary cooperative nursing mode could effectively shorten the surgical time and hospitalization time of the patients with postpartum hemorrhage,reduce the rate of postoperative complications and improve the nursing satisfaction.For this reason,it is worth further clinical application.