临床护理路径在子宫动脉栓塞治疗产后大出血护理中的应用效果及对产妇出血量的影响

目的探究临床护理路径在子宫动脉栓塞治疗产后大出血护理中的应用效果及对产妇出血量的影响。方法选取我院2018年1月至2018年12月收治的产后大出血产妇71例,所有产后大出血产妇均行子宫动脉栓塞治疗。根据护理方式不同将产妇分为传统组(34例)和观察组(37例)。传统组给予传统护理模式,观察组给予临床护理路径模式。对比两组护理效果。结果观察组产妇治疗总有效率为89.19%,明显高于传统组产妇的64.71%(P<0.05)。手术后2、24 h,两组产妇出血量均显著减少,且观察组术后2、24 h出血量均少于传统组(P<0.05)。观察组产妇术后并发症总发生率低于传统组(P<0.05)。观察组产妇对护理态度、护理操作、护理内容及护理效果的满意度评分均高于传统组(P<0.05)。结论临床护理路径在子宫动脉栓塞治疗产后大出血护理中的应用效果显著,其可有效改善手术治疗效果,减少产妇出血量及术后并发症发生情况,提高产妇的护理满意度。

Application effect of clinical nursing pathway in nursing of postpartum hemorrhage treated by uterine artery embolization and its influence on maternal hemorrhage

Objective To explore the application effect of clinical nursing pathway in nursing of postpartum hemorrhage treated by uterine artery embolization and its influence on maternal hemorrhage. Methods From January 2018 to December2018, 71 puerperaes with postpartum massive hemorrhage admitted in our hospital were selected, and all of them were treated with uterine artery embolization. According to different nursing methods, the parturients were divided into traditional group(34 cases) and observation group(37 cases). The traditional group was given traditional nursing mode, and the observation group was given clinical nursing pathway mode. The nursing effect of the two groups was compared. Results The total effective rate of treatment in the observation group was 89.19%, which was significantly higher than 64.71%in the traditional group(P <0.05). At 2, 24 hours after operation, the amount of bleeding in the two groups significantly reduced, and the amount of bleeding in the observation group at 2 and 24 hours after operation were less than those in the traditional group(P<0.05). The total incidence of postoperative complications in the observation group was lower than that in the traditional group(P <0.05). The satisfaction scores of parturients to nursing attitude, nursing operation, nursing content and nursing effect in the observation group were higher than those in the traditional group(P<0.05). Conclusion The clinical nursing pathway has a significant application effect in the nursing of postpartum hemorrhage treated by uterine artery embolization, which can effectively improve the effect of surgical treatment, reduce the amount of puerperae bleeding and postoperative complications, and improve the maternal nursing satisfaction of puerperae.