个性化针对性护理干预对产妇心理状态及产后出血的影响

Effect of individualized targeted nursing intervention on psychology and postpartum blood loss of parturients

目的观察个性化、针对性护理干预对产妇心理状态及产后出血的影响。方法将64例产妇采用随机数字表法分为对照组和观察组,各32例。对照组给予常规护理,观察组在对照组护理方法的基础上给予个性化、针对性护理。干预6周后比较2组产后出血量及干预前后焦虑自评量表(SAS)及抑郁自评量表(SDS)评分。结果干预后2组SAS及SDS评分均明显降低,与同组干预前比较差异有统计学意义(P<0.01),且观察组降低更明显,与对照组干预后比较差异均有统计学意义(P<0.05或P<0.01);观察组产后2,24 h出血量明显少于对照组,2组比较差异均有统计学意义(P<0.05)。结论个性化、针对性护理可减少产后出血量,改善产妇抑郁、焦虑、恐惧等不良心理状态。

Objective To investigate the influences of individualized and targeted nursing intervention on psychology and postpartum blood loss of parturients.Methods 64 parturients were allocated into the control group and the observation group according to the random number table method,with 32 cases in each group.The control group was subjected to routine nursing,while the observation group received individualized and targeted nursing on the basis of the control group.The postpartum blood loss and scores of the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were compared between the two groups after six weeks of intervention.Results After intervention,the SAS and SDS scores of both groups significantly decreased,and the difference was statistically significant compared with that before intervention(P<0.01).Moreover,the decrease was more pronounced in the observation group,and the difference was statistically significant compared with the control group(P<0.05 or P<0.01).The postpartum blood loss within 2 and 24 hours in the observation group was significantly lower than that in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion Individualized and targeted nursing can reduce postpartum blood loss and ameliorate psychology of depression,anxiety,and fear of parturients.