细节护理在妊高征产妇产后出血护理中的应用分析

Application Analysis of Detailed Nursing in Nursing of Postpartum Hemorrhage of Pregnant Women with Pregnancy Induced Hypertension

目的 研究将细节护理应用在妊高征产妇当中对产后出血的预防作用。方法 将2019年2月至2020年2月到我院进行分娩的82例妊高征产妇按照随机方法分为观察组和对照组,每组41例,分别对两组产妇配合细节护理和常规护理,比较不同护理的效果。结果 (1)观察组(4例,占9.76%)经过细节护理后的产后出血发生率明显比对照组(14例,占34.15%)常规护理更低,差异有统计学意义(P<0.05)。(2)观察组产后2 h和产后24 h的产后出血量明显比对照组更少,差异有统计学意义(P<0.05)。(3)护理前,观察组的HAMA评分、HDMA评分差异无统计学意义(P>0.05),护理后,观察组的HAMA评分、HDMA评分改善效果比对照组更显著,差异有统计学意义(P<0.05)。(4)护理前,观察组的PSQI评分差异无统计学意义(P>0.05),护理后,观察组的PSQI评分改善效果比对照组更显著,差异有统计学意义(P<0.05)。(5)经过细节护理的观察组(40例,占97.56%)的护理满意度比经常规护理的对照组(35例,占85.37%)更高,差异有统计学意义(P<0.05)。结论 对妊高征产妇采用细节护理进行干预可有效降低产后出血的发生率,减少产后不同时间段的出血量,改善产妇的焦虑和抑郁心理,使睡眠条件得以转变,产妇对护理更加满意。

Objective To study the prevention of postpartum hemorrhage by applying detailed nursing to pregnant women with pregnancy-induced hypertension. Methods Eighty-two pregnant women with pregnancy-induced hypertension who delivered to our hospital from February 2019 to February 2020 were divided into an observation group and a control group according to a random method, with an average of 41 cases in each group. Nursing, compare the effects of different nursing. Results(1) The incidence of postpartum hemorrhage in the observation group(4 cases,accounting for 9.76%) after detailed nursing was significantly lower than that in the control group(14 cases, accounting for 34.15%), and the difference was consistent with the statistical standard(P<0.05).(2) The amount of postpartum hemorrhage in the observation group at 2 h and 24 h after delivery was significantly less than that in the control group, and the difference was in line with the statistical standard(P<0.05).(3) Before nursing, the HAMA score and HDMA score of the observation group were different. There was no significant difference(P>0.05). After nursing, the improvement effect of HAMA score and HDMA score in the observation group was more significant than that in the control group, and the difference was in line with the statistical standard(P<0.05).(4) Before nursing, the PSQI of the observation group there was no significant difference in scores(P>0.05). After nursing, the improvement effect of PSQI score in the observation group was more significant than that in the control group, and the difference was in line with the statistical standard(P<0.05).(5) The nursing satisfaction of the observation group(40 cases, 97.56%) after detailed nursing was higher than that of the control group(35 cases, accounting for 85.37%) who received routine care, and the difference was consistent with the statistical standard(P<0.05). Conclusion The detailed nursing intervention for puerperae with pregnancy-induced hypertension can effectively reduce the incidence of postpartum hemorrhage, reduce the amount of postpartum hemorrhage in different time periods, improve maternal anxiety and depression, change sleep conditions, and enable maternity is more satisfied with nursing care.