产妇产后出血影响因素调查及综合护理对策

目的调查分析产妇产后出血影响因素，探讨护理干预对产妇产后出血、心理状态及睡眠质量的影响。方法280例产妇随机分为干预组和对照组各140例，均采用常规产后护理，干预组加以综合护理干预，对比两组产后出血量、产后出血发生率及睡眠质量。结果流产史、妊娠高血压综合征、妊娠糖尿病、抑郁、睡眠质量、前置胎盘、宫缩乏力及巨大儿均与产后出血有关（P〈0．05），妊娠高血压综合征、妊娠糖尿病、睡眠质量、前置胎盘、宫缩乏力是产后出血的危险因素（P〈0．05）。干预组SDS评分显著低于对照组（P〈0．05），PSQI总分及睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍等维度与对照组比较，差异有统计学意义（P〈0．05）。干预组产后出血量和产后出血发生率与对照组比较，差异有统计学意义（P〈0．05）。结论妊娠高血压综合征、妊娠糖尿病、睡眠质量、前置胎盘、宫缩乏力是产后出血的危险因素，采取综合护理措施改善产后心理状态和睡眠质量，有助于减少产后出血的发生。

Survey of the factors influencing maternal postpartum hemorrhage and comprehensive nursing countermeasures

Objective To investigate the influence of factors and postpartum hemorrhage postpartum hemorrhage nurs- ing intervention, mental status and sleep quality. Methods A total of 280 cases of maternal randomly divided into in- tervention group of 140 cases and control group of 140 cases, are using conventional post-natal care, the intervention group to be comprehensive nursing intervention, compared two groups of postpartum hemorrhage, postpartum hemor- rhage incidence and quality of sleep. Results Abortion, pregnancy-induced hypertension, gestational diabetes, de- pression, sleep quality, placenta previa, uterine inertia and huge children were associated with postpartum hemor- rhage （P〈0.05）, pregnancy-induced hypertension, gestational diabetes, sleep quality, placenta previa, uterine iner- tia were the risk factors for postpartum hemorrhage （P〈0.05）. SDS score intervention group was significantly lower than the control group （P〈0.05）, PSQI score and sleep quality, sleep time, sleep time, sleep efficiency, sleep disorders, hypnotic drugs, and other dimensions of daytime dysfunction compared with control group, the difference were statisti- cally significant （P〈0.05）. Intervention group and postpartum hemorrhage postpartum hemorrhage incidence compared with the control group, the differences were statistically significant （P〈0.05）. Conclusion Pregnancy induced hyper- tension, gestational diabetes, sleep quality, placenta previa, uterine inertia is risk factor for postpartum hemorrhage, and adopt comprehensive measures to improve postpartum mental state nursing and sleep quality, helps to reduce the incidence of postpartum hemorrhage.