李洁盈 刘月改 李小赏

    [摘要] 目的 探討优质服务在初产妇前置胎盘剖宫产术后出血中的干预效果。 方法 选取2014年1月～2016年1月在河北省衡水市第二人民医院分娩的86例前置胎盘初产妇作为研究对象，按照随机数字表法将其分为实验组和对照组，实验组43例患者，分娩过程中给予优质服务；对照组43例患者，分娩过程中给予常规护理措施；观察比较两组产妇的产后出血率、24 h出血量、产妇对护理工作的满意度以及两组产妇护理前后的焦虑和抑郁评估情况等。 结果 实验组有1例产妇出现产后出血，发生率为2.3%；对照组有4例产妇出现产后出血，发生率为9.3%；两组产妇产后出血率比较差异有统计学意义(P 0.05)；护理后的焦虑和抑郁评分比较，差异有统计学意义(P < 0.05)；护理前后焦虑和抑郁评分两组产妇组内比较，差异有统计学意义(P < 0.05)。 结论 优质服务在初产妇前置胎盘剖宫产术后出血中的应用效果显著，可有效降低产后出血率，减少出血量，提高产妇满意度，缓解其产后心理状态，具有一定的临床应用价值。

    [关键词] 优质服务；初产妇；前置胎盘；剖宫产

    [中图分类号] R473.71 [文献标识码] A [文章编号] 1673-7210(2016)12(a)-0170-04

    Effect of high quality service in the hemorrhage after cesarean section with placenta of the first woman

    LI Jieying LIU Yuegai LI Xiaoshang

    Department of Obstetrics and Gynecology， the Second People's Hospital of Hengshui City， Hebei Province， Hengshui 053000， China

    [Abstract] Objective To explore the effect of high quality service in the hemorrhage after cesarean section with placenta of the first woman. Methods 86 cases of maternal placenta in the Second People's Hospital of Hengshui City in Hebei Province from January 2014 to January 2016 were selected as the research objects. They were divided into experimental group and control group according to the random number table method. In the experimental group ......