针对性护理预防初产妇产后出血的效果

Application effects of targeted nursing in prevention of postpartum hemorrhage in primiparas

目的:观察针对性护理预防初产妇产后出血的效果。方法:选取2020年1月至2021年12月该院收治的94例待产初产妇进行前瞻性研究,按照随机数字表法分为对照组和观察组各47例。对照组实施常规护理,观察组在对照组基础上联合针对性护理,比较两组产程、产后出血情况、分娩方式及情绪状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]。结果:观察组第一产程、第二产程及总产程时间均短于对照组,差异有统计学意义(P<0.05);观察组产后2 h、产后24 h出血量均少于对照组,差异有统计学意义(P<0.05);观察组产后出血发生率为0,低于对照组的8.51%,差异有统计学意义(P<0.05);观察组自然分娩率为95.74%,高于对照组的82.98%,差异有统计学意义(P<0.05);产后24 h,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。结论:针对性护理应用于预防初产妇产后出血,可缩短产程,减少产后出血量,降低产后出血风险,提升自然分娩率,改善负性情绪状态,效果优于单纯常规护理。

Objective:To observe application effects of targeted nursing in prevention of postpartum hemorrhage in primiparas.Methods:A prospective study was conducted on 94 primiparas awaiting delivery admitted to the hospital from January 2020 to December 2021.They were divided into control group and observation group according to the random number table method,47 cases in each group.The control group received routine nursing,while the observation group received targeted nursing on the basis of that of the control group.The stage of labor,the postpartum hemorrhage,the delivery mode,and the emotional state[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]were compared between the two groups.Results:The time of the first stage of labor,the second stage of labor and the total stage of labor in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The amounts of bleeding 2 h and 24 h after delivery in the observation group were less than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postpartum hemorrhage in the observation group was 0,which was lower than 8.51%in the control group,and the difference was statistically significant(P<0.05).The natural delivery rate of the observation group was 95.74%,which was higher than 82.98%of the control group,and the difference was statistically significant(P<0.05).Further,24 h after delivery,the SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions:Targeted nursing can shorten the stage of labor,reduce the amount of postpartum hemorrhage,reduce the risk of postpartum hemorrhage,increase the rate of natural delivery,and improve the negative emotional state.Moreover,it is superior to simple routine nursing.