综合护理干预在子宫收缩乏力导致产后出血急救护理中的应用效果分析

Effect Analysis of the Application of Comprehensive Nursing Intervention in Emergency Nursing of Postpartum Hemorrhage Caused by Uterine Atony

目的探究综合护理对降低子宫收缩乏力性产后出血的效果。方法将2022年7月至2023年7月遵义市绥阳县人民医院接诊的80例子宫收缩乏力产妇纳入研究,按照护理模式的不同,分为对照组与观察组,对照组采取常规护理,观察组采取综合护理,每组各40例。比较两组产妇产后出血量、出血时间、止血效果、焦虑和抑郁情绪、并发症发生情况。结果观察组产后2h、24h出血量及出血时间均显著低于对照组(P<0.001);观察组止血有效率为87.50%,相较于对照组的65.00%有显著提高,差异有统计学意义(P<0.05);护理后,观察组焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)评分改善程度均优于对照组,差异有统计学意义(P<0.05);观察组产妇并发症发生率为2.50%,显著低于对照组的22.50%,差异有统计学意义(P<0.05)。结论综合护理可减少子宫收缩乏力导致产后出血的出血量,止血效果显著,有利于改善产妇焦虑、抑郁等不良情绪,还能减少产后并发症的发生率。

Objective To investigate the effect of comprehensive nursing care on reducing uterine atony-inducedpostpartum hemorrhage.Methods 80 patients with uterine atony admitted to the Suiyang County People's Hospital in Zunyi City from July 2022 to July 2023 were included in this study.According to the different nursing modes,they were divided into the control group(routine care,40 cases)and the observation group(comprehensive care,40 cases).The bleeding time and volume of the two groups were compared,along with hemostatic efficacy,anxiety and depression levels,and incidence of complications.Results The observation group had significantly lower postpartum bleeding volume at 2 hours and 24 hours,and shorter hemostasis time compared to the control group(P<0.001).The hemostatic efficacy rate in the observation group was 87.50%,which was significantly higher than the efficacy rate(65.00%)observed in the control group(P<0.05).Following the nursing intervention,the improvement in SAS and SDS scores in the observation group was higher than that in the control group(P<0.05).The incidence of complications in the observation group was 2.50%,significantly lower than that(22.50%)in the control group,with statistical significance(P<0.05).Conclusion Comprehensive nursing care can significantly reduce the bleeding volume due to uterine atony-induced postpartum hemorrhage,improve hemostatic efficacy,alleviate maternal anxiety and depression,and reduce the incidence of postpartum complications.