全程护理在产后大出血患者中的应用效果分析

目的 探讨比较全程护理和常规护理对产后大出血患者进行干预的效果。 方法 选取2017年1月—2018年12月在杭州市第三人民医院妇产科住院治疗的产后大出血患者120例,按照随机数字表法将其分为干预组和对照组,每组60例。对照组患者给予常规护理,干预组实施全程护理。比较2组患者止血成功率、心理状态焦虑自评量表评分(SAS)、抑郁自评量表评分(SDS)]、并发症发生率以及护理满意度。 结果 干预后,干预组患者止血成功率为100.00%,明显高于对照组的83.33%,P<0.05;干预前,2组患者SAS、SDS评分比较差异无统计学意义(P>0.05),干预后,干预组患者SAS、SDS评分为(48.14±3.57)分、(46.25±4.01)分,明显低于对照组的(55.21±3.12)分、(56.07±3.79)分;干预后,干预组患者并发症发生率为3.33%,对照组为15.00%,干预组明显低于对照组(P<0.05);干预后,干预组患者护理满意度为91.66,%明显高于对照组的58.33%,P<0.05。 结论 将全程护理应用于产后大出血患者的治疗中,可以明显提升止血成功率及护理满意度,改善患者抑郁焦虑症状,降低并发症发生率。 

Analysis of the effect of Whole process nursing in the patients with postpartum hemorrhage

Objective To explore the effect of Whole process nursing and routine nursing on postpartum hemorrhage patients. Methods From January 2017 to December 2018, 120 patients with postpartum hemorrhage were selected from the Third People's Hospital of Hangzhou. According to the method of random number table, they were divided into intervention group and control group, 60 cases in each group. The patients in the control group were given routine nursing, and the patients in the intervention group were given Whole process nursing. The success rate of hemostasis, psychological state(SAS, SDS), complication rate and nursing satisfaction of the two groups were compared. Results After intervention, the success rate of hemostasis in the intervention group was 100.00%, significantly higher than that in the control group(83.33%, P<0.05). Before intervention, the SAS and SDS scores of the two groups were not significant(P>0.05), and after intervention, the SAS and SDS scores of the intervention group(48.14±3.57, 46.25±4.01) were significantly lower than those of the control group(55.21±3.12, 56.07±3.79). After intervention, the incidence of complications in the intervention group(3.33%) was significantly lower than that in the control group(15.00%, P<0.05). After intervention, the nursing satisfaction of the intervention group was 91.66%, significantly higher than that of the control group(58.33%, P<0.05). Conclusion The application of whole process nursing in the treatment of postpartum hemorrhage can significantly improve the success rate of hemostasis and nursing satisfaction, improve the patients' depression and anxiety symptoms, and reduce the incidence of complications.