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目的探讨预见性护理对降低阴道分娩产后出血的效果。方法选择2015年6月—2016年6月本院收治的360名进行阴道分娩的产妇,采用随机数字表法随机分为对照组和观察组各180名,对照组产妇采用常规护理方法,观察组采用预见性护理方法。观察两组产妇的第三产程时间,产后2 h和12 h出血量,焦虑与抑郁状况,护理满意度,护理质量。计量资料两组间比较采用独立样本t检验,组内比较采用配对t检验;计数资料采用χ~2检验,P<0.05为差异有统计学意义。结果观察组产妇的第三产程时间为(7.68±2.34)min,对照组为(9.56±3.12)min,比较差异有统计学意义(P<0.05)。观察组产后出血率为16.11%(29/180),对照组为49.44%(89/180),比较差异有统计学意义(P<0.05)。两组产妇产后2 h、12 h出血量[(176.58±23.69)、(335.81±63.78)ml,(287.74±35.83)、(456.26±97.63)ml]比较,差异均有统计学意义(均P<0.05)。护理后两组产妇SAS、SDS评分[(32.64±3.22)、(33.08±3.10)分,(46.52±3.98)、(45.25±3.67)分]比较,差异均有统计学意义(均P<0.05);护理后两组产妇SAS、SDS评分均明显低于护理前,差异均有统计学意义(均P<0.05)。两组产妇护理后对护理工作的满意度、护理质量[(82.58±14.52)、(8.21±2.05)分,(96.15±17.68)、(9.33±2.66)分]比较,差异均有统计学意义(均P<0.05)。结论预见性护理可以显著改善产妇阴道分娩产后出血情况,有助于产妇早期恢复,改善产妇焦虑和抑郁状态,降低产后抑郁的发生,值得推广。
Objective To investigate the effect of predictive nursing on reducing postpartum hemorrhage in vaginal delivery. Methods A total of 360 women undergoing vaginal delivery admitted to our hospital from June 2015 to June 2016 were randomly divided into control group and observation group using random number table method. The control group were given routine nursing method and observation group Use predictive care. The duration of the third stage of labor, the amount of bleeding at 2 h and 12 h postpartum, anxiety and depression status, nursing satisfaction and quality of nursing were observed. Measurement data were compared between two groups using independent samples t test, the group was compared using paired t test; count data usingχ ~ 2 test, P <0.05 for the difference was statistically significant. Results The third part of labor time was (7.68 ± 2.34) min in the observation group and (9.56 ± 3.12) min in the control group, with statistical significance (P <0.05). Postpartum hemorrhage rate was 16.11% (29/180) in the observation group and 49.44% (89/180) in the control group, with statistical significance (P <0.05). The bleeding volume of the two groups of maternal postpartum 2 h and 12 h [(176.58 ± 23.69), (335.81 ± 63.78) ml, (287.74 ± 35.83), (456.26 ± 97.63) ml] were significantly different (all P < 0.05). After nursing, the SAS and SDS scores of the two groups were statistically significant (all P <0.05) compared with the control group [(32.64 ± 3.22), (33.08 ± 3.10), (46.52 ± 3.98), (45.25 ± 3.67) The scores of SAS and SDS in the two groups after nursing were significantly lower than those before nursing (both P <0.05). Satisfaction and nursing quality of nursing work in two groups after maternity nursing were statistically significant ((82.58 ± 14.52), (8.21 ± 2.05), (96.15 ± 17.68), (9.33 ± 2.66) All P <0.05). Conclusion Predictive nursing can significantly improve maternal vaginal delivery postpartum hemorrhage, contribute to maternal early recovery, improve maternal anxiety and depression, reduce the incidence of postpartum depression, it is worth promoting.