针对性护理在预防阴道分娩产妇产后出血中的应用(1)
[摘要] 目的 探讨针对性护理在预防阴道分娩产妇产后出血中的应用效果。 方法 将2016年1月～2017年12月我院接诊的50例阴道分娩产妇纳入本研究。利用随机号码表抽取样本，均分为观察组和对照组各25例。对照组：常规产科护理。观察组：预防性护理。观察产妇不同时间产后出血量、护理满意度、并发症。 结果 观察组第三产程出血量、产后2 h出血量、产后24 h出血量低于对照组(P<0.05)，观察组护理满意度高于对照组(P<0.05)，观察组并发症总发生率低于对照组(P<0.05)。 结论 针对性护理在预防阴道分娩产妇产后出血中的应用效果明显，产妇第三产程出血量、产后2 h出血量、产后24 h出血量较少，护理满意度较高，而且并发症发生率较低，有较高的应用价值。
[关键词] 针对性护理；预防；阴道分娩；产后出血；应用
[中图分类号] R473 [文献标识码] B [文章编号] 1673-9701(2018)16-0159-03
[Abstract] Objective To investigate the application effect of targeted nursing care in the prevention of postpartum hemorrhage in the puerpera undergoing vaginal delivery. Methods 50 puerpera undergoing vaginal delivery who were admitted to our hospital from January 2016 to December 2017 were included in this study. Samples were taken from the random number table and divided into observation group and control group， with 25 cases in each. The control group was given routine obstetric nursing care， and the observation group was given preventive care. The amount of postpartum hemorrhage， nursing satisfaction， and complications at different times were observed. Results The amount of blood loss in the third stage of labor， bleeding volume at 2 h after delivery， and postpartum hemorrhage at 24 h after delivery were lower in the observation group than in the control group(P<0.05). The satisfaction rate of nursing in the observation group was higher than that in the control group(P<0.05). The total incidence rate of complications in the observation group was lower than that in the control group(P<0.05). Conclusion The application effect of targeted nursing care in the prevention of postpartum hemorrhage in the puerpera undergoing vaginal delivery is significant. The amount of blood loss at the third stage of labor， 2 h postpartum hemorrhage， the amount of postpartum hemorrhage at 24 h are less in the puerpera， and the satisfaction with nursing is relatively high. Moreover， the incidence rate of complications is lower. Therefore， it has a high application value.
[Key words] Targeted nursing care； Prevention； Vaginal delivery； Postpartum hemorrhage； Application
陰道分娩产后出血(postpartum hemorrhage)发生率较高，是产科常见疾病之一。阴道分娩产后出血指的是胎儿顺利娩出后，产妇在2 h内出血量超过400 mL，或者是24 h内阴道出血超过500 mL，判定为产后出血[1]。积极的干预能够预防产后出血的发生，促进产妇的产后恢复。引起产后出血的常见因素是子宫收缩乏力、软产道裂伤、胎盘因素及凝血功能障碍[2-3]。产后出血是分娩期严重的并发症之一，对产妇有着生命威胁。开展有效的干预措施，减少产后出血的发生，对于保障产妇生命安全有着重要意义。我院开展了针对性护理对阴道分娩产妇进行产后出血预防，效果较好。现报道如下。
1 资料与方法
1.1 一般资料
将2016年1月～2017年12月我院接诊的50例阴道分娩产妇纳入本研究。纳入标准：足月单胎妊娠；B超检查胎儿头位以及产妇宫颈等均正常；学历为中学以上；签署知情同意书。排除标准：合并妊娠期并发症者；有凝血功能障碍或免疫系统疾病者；有精神疾病或交流障碍者。利用随机号码表抽取样本，均分为观察组和对照组各25例。观察组：年龄24～31岁，平均(28.64±3.66)岁；孕周38～41周，平均(38.98±1.35)周。对照组：年龄24～30岁，平均(28.95±3.78)岁；孕周38～41周，平均(39.02±1.46)周。两组基线资料具有可比性(P>0.05)。, http://www.100md.com(冯怀 张丽丽 刘昕 刘洁婷)
[关键词] 针对性护理；预防；阴道分娩；产后出血；应用
[中图分类号] R473 [文献标识码] B [文章编号] 1673-9701(2018)16-0159-03
[Abstract] Objective To investigate the application effect of targeted nursing care in the prevention of postpartum hemorrhage in the puerpera undergoing vaginal delivery. Methods 50 puerpera undergoing vaginal delivery who were admitted to our hospital from January 2016 to December 2017 were included in this study. Samples were taken from the random number table and divided into observation group and control group， with 25 cases in each. The control group was given routine obstetric nursing care， and the observation group was given preventive care. The amount of postpartum hemorrhage， nursing satisfaction， and complications at different times were observed. Results The amount of blood loss in the third stage of labor， bleeding volume at 2 h after delivery， and postpartum hemorrhage at 24 h after delivery were lower in the observation group than in the control group(P<0.05). The satisfaction rate of nursing in the observation group was higher than that in the control group(P<0.05). The total incidence rate of complications in the observation group was lower than that in the control group(P<0.05). Conclusion The application effect of targeted nursing care in the prevention of postpartum hemorrhage in the puerpera undergoing vaginal delivery is significant. The amount of blood loss at the third stage of labor， 2 h postpartum hemorrhage， the amount of postpartum hemorrhage at 24 h are less in the puerpera， and the satisfaction with nursing is relatively high. Moreover， the incidence rate of complications is lower. Therefore， it has a high application value.
[Key words] Targeted nursing care； Prevention； Vaginal delivery； Postpartum hemorrhage； Application
陰道分娩产后出血(postpartum hemorrhage)发生率较高，是产科常见疾病之一。阴道分娩产后出血指的是胎儿顺利娩出后，产妇在2 h内出血量超过400 mL，或者是24 h内阴道出血超过500 mL，判定为产后出血[1]。积极的干预能够预防产后出血的发生，促进产妇的产后恢复。引起产后出血的常见因素是子宫收缩乏力、软产道裂伤、胎盘因素及凝血功能障碍[2-3]。产后出血是分娩期严重的并发症之一，对产妇有着生命威胁。开展有效的干预措施，减少产后出血的发生，对于保障产妇生命安全有着重要意义。我院开展了针对性护理对阴道分娩产妇进行产后出血预防，效果较好。现报道如下。
1 资料与方法
1.1 一般资料
将2016年1月～2017年12月我院接诊的50例阴道分娩产妇纳入本研究。纳入标准：足月单胎妊娠；B超检查胎儿头位以及产妇宫颈等均正常；学历为中学以上；签署知情同意书。排除标准：合并妊娠期并发症者；有凝血功能障碍或免疫系统疾病者；有精神疾病或交流障碍者。利用随机号码表抽取样本，均分为观察组和对照组各25例。观察组：年龄24～31岁，平均(28.64±3.66)岁；孕周38～41周，平均(38.98±1.35)周。对照组：年龄24～30岁，平均(28.95±3.78)岁；孕周38～41周，平均(39.02±1.46)周。两组基线资料具有可比性(P>0.05)。, http://www.100md.com(冯怀 张丽丽 刘昕 刘洁婷)
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