预见性护理结合健康宣教在初产妇产后出血中应用

Application of Predictive Nursing Combined with Health Education in Puerperal Hemorrhage in Primipara

摘要: 目的：分析预见性护理结合健康宣教在初产妇产后出血中的临床应用效果。方法抽取2017年5月~2018年6月期间在我院接受定期产检及经阴道分娩的初产妇共计120例，以随机数字表法分为干预组、对照组，各60例。对照组给予常规护理，干预组产妇在对照组基础上实施预见性护理结合强化健康宣教干预。干预前后以焦虑自评量表(SAS)、抑郁自评量表(SDS)评估产妇情绪状态，并记录产程时间、产后出血情况及出血量。结果：干预后干预组产妇SAS、SDS评分明显较对照组低(P < 0.05)。与对照组相比，干预组产妇第一产程、第二产程时间明显短(P < 0.05)。干预组产妇产后出血率为10.00%，明显低于对照组的26.67% (P < 0.05)；且干预组产妇产后2 h、24 h出血量为(159.97 ± 1.34) mL、(234.30 ± 19.97) mL，明显较对照组的(161.02 ± 2.17) mL、(267.69 ± 23.47) mL少(P < 0.05)。结论：预见性护理结合健康宣教可有效降低初产妇产后出血率和产后减少出血量，对缩短产程和缓解不良情绪亦有裨益。

Abstract: Objective: To analyze the clinical application of predictive nursing combined with health education in postpartum hemorrhage in primipara. Methods: 120 primiparas with regular check-ups and va-ginal delivery in our hospital from May 2017 to June 2018 were selected; they were divided into in-tervention group and control group by random number table method, 60 cases in each group. The control group was given routine nursing; the intervention group was given predictive nursing com-bined with intensive health education intervention on the basis of the control group. Before and af-ter the intervention, the anxiety self-rating scale (SAS) and the depression self-rating scale (SDS) were used to evaluate the maternal emotional state, and the time of labor, postpartum hemorrhage and blood loss were recorded. Results: After intervention, the SAS and SDS scores of the intervention group were significantly lower than those of the control group (P < 0.05). Compared with the control group, the first labor and second labor time of the intervention group were significantly shorter (P < 0.05). The postpartum hemorrhage rate of the intervention group was 10.00%, significantly lower than that of the control group (26.67%) (P < 0.05); the bleeding volume of the intervention group was (159.97 ± 1.34) mL and (234.30 ± 19.97) mL at 2 h and 24 h after delivery, less than those (161.02 ± 2.17) mL, (267.69 ± 23.47) mL of the control group (P < 0.05). Conclusion: Predictive nursing combined with health education can effectively reduce the postpartum hemorrhage rate of primipara and reduce the amount of bleeding after delivery; it is also beneficial for shortening the labor process and alleviating bad mood.