预见性护理和常规护理在宫缩乏力性产后出血患者中的临床应用效果

目的探讨预见性护理和常规护理在宫缩乏力性产后出血患者中的临床应用效果。方法选择2016年3月至2019年3月因宫缩乏力导致产后出血的患者40例,采用随机数字法将其分为对照组和观察组,各20例。对照组接受常规护理,观察组接受预见性护理。比较两组患者产后住院天数、产后24 h出血量,护理前、后焦虑、抑郁情绪、睡眠质量及护理满意度。结果观察组产后住院天数短于对照组,产后24 h出血量少于对照组(P<0.05)。护理后,两组的SAS、SDS和PSQI评分均低于护理前,且观察组低于对照组(P<0.05)。护理后,观察组的健康教育、日常护理、心理护理、饮食护理和护理态度评分均高于对照组(P<0.05)。结论与常规护理相比,预见性护理更能减少宫缩乏力性产后出血患者的产后出血量,改善患者的焦虑、抑郁情绪和睡眠质量,提高患者的护理满意度。

Clinical application effect of predictive nursing and routine nursing in patients with postpartum hemorrhage due to uterine inertia

Objective To investigate the clinical application effect of predictive nursing and routine nursing in patients with postpartum hemorrhage due to uterine inertia.Methods From March 2016 to March 2019,forty patients with postpartum hemorrhage due to uterine inertia were selected and divided into control group and observation group by the random number method,with 20 cases in each group.The control group received routine nursing,and the observation group received predictive nursing.The length of postpartum hospitalization,amount of postpartum blood loss at 24 h,anxiety,depression and sleep quality before and after nursing and nursing satisfaction were compared between the two groups.Results The length of postpartum hospitalization in the observation group was shorter than that in the control group,and the amount of postpartum blood loss at 24 h was less than that in the control group(P<0.05).After nursing,the SAS,SDS and PSQI scores in both groups were lower than those before nursing,and those in the observation group were lower than the control group(P<0.05).After nursing,the scores of health education,daily nursing,psychological nursing,diet nursing and nursing attitude in the observation group were higher than those in the control group(P<0.05).Conclusion Compared with routine nursing,predictive nursing can reduce the amount of postpartum hemorrhage in patients with postpartum hemorrhage due to uterine inertia,improve the patients'anxiety,depression and sleep quality and nursing satisfaction.