产房风险管理对产妇心理状况及产后出血的影响

目的探讨产房风险管理对于产妇心理状况及产后出血的影响。方法选取2012年1~12月实施产房风险管理后在我院分娩的1010例孕产妇作为实验组,2011年1~12月在我院采用传统管理并分娩的1000例孕产妇作为对照组,比较两组产妇分娩前后焦虑自评量表(Self-Rating Anxiety Scale,SAS)和抑郁自评量表(Self-Rating Depression Scale,SDS)评分等心理状况评价指标以及产后出血情况。结果两组产妇分娩后的SAS及SDS评分均比分娩前有所下降,分娩后实验组产妇SAS及SDS评分均低于对照组,且差异有统计学意义(P<0.05);实验组产后出血率为0.6%,对照组为2.6%,两组比较差异有统计学意义(P<0.05);实验组产后出血量为(862.4±78.9)mL,对照组为(1139.6±98.4)mL,两组比较差异有统计学意义(P<0.05);实验组护理满意率为96.4%,对照组为89.8%,两组比较差异有统计学意义(P<0.05)。结论产房风险管理能够有效地减轻产妇的心理负担及产后出血率和出血量,提高产妇及家属对分娩的信心。

Effect of risk management of delivery room on psychological status and postpartum hemorrhage of parturient

Objective To discuss the effect of risk management of delivery room on psychological status and postpartum hemorrhage of parturient. Methods A total of 1 010 delivery matemals from January to December 2012 in our hospital were selected as the experimental group, who were treated with the risk management of delivery room, and 1000 deliv- ery maternals from January to December 2011 in our hospital were selected as the control group, who were treated with the traditional management. The mental status evaluation indexes, such as the self-rating anxiety scale （SAS） and self- rating depression scale （SDS） score, and postpartum hemorrhage of parturient in the two groups before and after the de- livery were compared. Results The SAS and SDS score of parturient in the two groups after the delivery decreased compared with before the delivery, and the SAS and SDS score of parturient in the experimental group after the deliv- ery were lower than those in the control group, and the differences were statistically significant （P〈O.05）; The rate of postpartum hemorrhage in the experimental group was 0.6%, while that in the control group was 2.6%, there was sig- nificant difference between the two groups （P〈0.05）; The volume of postpartum hemorrhage in the experimental group were （862.4＋78.9） mL, while that in the control group were（l139.6＋98.4） mL, there was significant difference between the two groups （P〈0.05）; The nursing satisfaction rate in the experimental group was 96.4%, while that in the control group was 89.8%, there was significant difference between two groups（P〈0.05）. Conclusion The risk management of de- livery room can effectively reduce the psychological burden, rate and volume of postpartum hemorrhage in parturient, and improve the delivery of faith in parturient and their families.