心理护理在ICU剖宫产产后出血患者中的效果

Effect of psychological nursing in patients with postpartum hemorrhage after cesarean section in ICU

目的分析给予ICU剖宫产产后出血患者心理护理的效果。方法选取56例ICU剖宫产产后出血患者,按照患者入院时间奇偶性分为观察组与对照组,每组28例。对照组应用常规护理,观察组在常规护理基础上加用心理护理。比较两组患者的出血情况、心理状态、护理满意度及血液检测情况。结果观察组术后24 h出血量少于对照组,持续出血时间短于对照组,差异有统计学意义(P<0.05)。护理前,两组焦虑、抑郁评分比较,差异无统计学意义(P>0.05);护理后,两组焦虑、抑郁评分均低于护理前,且观察组明显低于对照组,差异具有统计学意义(P<0.05)。观察组护理满意度96.43%高于对照组的78.57%,差异有统计学意义(P<0.05)。产前,两组红细胞计数、血红蛋白及红细胞比容指标比较,差异无统计学意义(P>0.05);产后24 h,两组红细胞计数、血红蛋白及红细胞比容指标均低于产前,但观察组明显高于对照组,差异具有统计学意义(P<0.05)。结论对剖宫产产后出血患者采用心理护理,不仅有利于改善患者出血情况,还能缓解其负面情绪,提高护理满意度,稳定患者红细胞水平,具有临床应用价值。

Objective To analyze the effect of psychological nursing for patients with hemorrhage after caesarean section in ICU.Methods 56 patients with hemorrhage after cesarean section in ICU were selected,with 28 cases in each group.Patients were divided into observation group and control group according to the parity of admission time.The control group was treated with routine nursing,and the observation group was treated with psychological nursing on the basis of routine nursing.The bleeding,psychological state,nursing satisfaction and blood test of the two groups were compared.Results 24 h postoperative blood loss in the observation group was less than that in the control group,and the duration of bleeding was shorter than that in the control group,the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in anxiety and depression scores between the two groups(P>0.05).After nursing,anxiety and depression scores in both groups were lower than before nursing,and observation group was significantly lower than control group,the difference was statistically significant(P<0.05).Nursing satisfaction in the observation group was 96.43% higher than 78.57% in the control group,and the difference was statistically significant(P<0.05).Before delivery,there was no significant difference in red blood cell count,hemoglobin and red blood cell volume between the two groups(P>0.05).24 h after delivery,the red blood cell count,hemoglobin and red blood cell volume indexes of the two groups were lower than those of the prenatal group,but the observation group was significantly higher than the control group,the difference was statistically significant(P<0.05).Conclusion The use of psychological nursing for patients with postpartum hemorrhage after cesarean section is not only conducive to improving the bleeding situation of patients,but also can alleviate their negative emotions,improve nursing satisfaction,stable red blood cell level of patients,with clinical application value.