基于个案追踪法的围术期优质护理干预对妊娠期高血压疾病产妇产后出血的影响分析

Analysis of the Effect of a Case Tracking Approach Based Perioperative Quality Care Intervention on Postpartum Hemorrhage in Women with Gestational Hypertensive Disorders

目的分析基于个案追踪法的围术期优质护理干预对妊娠期高血压疾病产妇产后出血的影响。方法回顾分析本院2018年4月-2021年4月收治的60例妊娠期高血压疾病产妇,用随机数字表法将其分对照组和观察组,各30例,观察组接受基于个案追踪法的围术期优质护理干预,对照组接受常规护理,比较两组患者血压指标、妊娠不良结局、产后2h出血量、产后24h出血量等。结果干预前组间舒张压、收缩压比较,数据差异无统计学意义(t=0.0074、0.0037,P=0.9941、0.9970);干预后,观察组舒张压(81.24±4.21)mmHg、收缩压(114.54±8.24)mmHg低于对照组(86.38±3.35)mmHg、收缩压(128.65±7.65)mmHg,数据差异有统计学意义(χ2=7.2000,P=0.0073)。观察组妊娠不良结局10%低于对照组40%,组间数据有统计学意义(P<0.05)。观察组产后2h出血量(124.52±10.21)mL、24h出血量(180.35±15.35)mL均低于对照组产后2h出血量(174.65±10.35)mL、24h出血量(248.68±15.36)mL,组间数据有统计学意义(t=18.8860、17.2348,P=0.0001、0.0001)。结论妊娠期高血压疾病产妇接受基于个案追踪法的围术期优质护理干预,可更好地控制产妇机体血压指标,显著降低产后出血量,改善妊娠结局,对母婴均有利。

Objective To analyze the effect of a perioperative quality care intervention based on case tracking method on postpartum hemorrhage in pregnant women with hypertensive disorders.Methods A total of 60 pregnant women with hypertensive disorders of pregnancy admitted to our hospital from April 2018 to April 2021 were retrospectively divided into control and observation groups,30 each,by random number table method,and the observation group received perioperative quality care based on case tracking methodIntervention,the control group received routine care to compare the blood pressure indicators,adverse pregnancy outcomes,blood loss at 2 h postpartum,and blood loss at 24 h postpartum between the two groups.Results Compared the diastolic and systolic blood pressure between the groups before intervention,there was no significant difference in the data(t=0.0074,0.0037,P=0.9941,0.9970),and after the intervention,the diastolic blood pressure(81.24±4.21)mmHg and systolic blood pressure(114.54±8.24mmHg lower than the control group(86.38±3.35)mmHg,systolic blood pressure(128.65±7.65)mmHg,the data were statistically significant(χ2=7.2000,P=0.0073),adverse pregnancy outcome was 10%lower in the observation group than the control group by 40%,the data between groups were statistically significant(P<0.05),blood loss at 2 h postpartum(124.52±10.21)mL,24 h postpartum(180.35±15.35mL)were all lower than the control group's 2-h postpartum blood loss(174.65±10.35)mL and 24-h blood loss(248.68±15.36)mL,with statistical significance between groups(t=18.8860,17.2348,P=0.0001,0.0001).Conclusion The receipt of a case tracking based perioperative quality care intervention by mothers with gestational hypertensive disorders resulted in better control of maternal organismal blood pressure indicators,significantly reduced postpartum blood loss,improved pregnancy outcomes,and was beneficial for both mother and baby.