摘要
目的 观察护理干预对阴道分娩巨大儿引起产后出血的预防作用。方法 选取2018年1月至2019年4月期间在我院成功接受阴道分娩的60例产妇作为研究对象,产妇均分娩巨大儿,根据产妇接受临床护理方式的差异,将其分为观察组与对照组,其中对照组产妇30例,接受常规产科护理服务,观察组产妇30例,在对照组的基础上接受护理预防干预措施,通过对比两组产妇的产后出血发生率、产后2 h、24 h出血量、护理满意度、负面情绪、术后疼痛、母乳喂养成功率、并发症发生率等指标之间的差异,继而探究护理干预对阴道分娩巨大儿引起产后出血的预防作用。结果 观察组产妇产后出血率低于对照组,产后2 h、24 h出血量低于对照组,护理满意度高于对照组,负面情绪对比对照组改善明显、术后疼痛显著降低、母乳喂养成功率对比更高、并发症发生率对比更低,P <0.05,有统计学意义。结论 护理干预针对阴道分娩巨大儿引起的产后出血的预防具有十分显著的预防作用,同时可有效降低产妇产后出血量,显著改善产妇的负面情绪,避免产后焦虑抑郁情况的出现,同时患者的疼痛有效缓解,并发症发生率降低,母乳喂养成功得到显著提高。提升其护理满意度,值得推广。
Objective To observe the preventive effect of nursing intervention on postpartum hemorrhage caused by vaginal delivery of macrosomia.Methods Selected 60 women who had successfully received vaginal delivery in our hospital from January 2018 to April 2019. All women are in huge birth, depending on the differences in the way the pregnant women receive clinical care, classified into observation and control groups. Among them,30 women in the control group, receiving routine obstetric care services, 30 women in the observation group, receiving nursing preventive interventions on a control group basis. By comparing the differences between the incidence of postpartum bleeding, 2 h, 24 h bleeding, nursing satisfaction, negative emotions, postoperative pain, breastfeeding success rate, and the rate of complications in the two groups of women. Then explore the preventive effect of nursing intervention on postpartum bleeding caused by massive vaginal delivery. Results The postpartum bleeding rate of the observation group was lower than the control group;2 h, 24 h bleeding of the observation group were lower than the control group, and the nursing satisfaction of the observation group was higher than the control group. Compared with the control group, the negative emotions significantly improved, significantly reduced postoperative pain, higher breastfeeding success rate, and lower complication rate in the observation group, P<0.05 was of statistical significance. Conclusion Nursing intervention for vaginal delivery huge children caused by the prevention of postpartum bleeding has a very significant prevention effect, at the same time can effectively reduce maternal postpartum bleeding, significantly improve the maternal negative mood, avoid the emergence of postpartum anxiety and depression, at the same time the patient’s pain effectively alleviate, reduce the incidence of complications,breastfeeding success is significantly improved. Improving its nursing satisfaction is worth promotion.
作者
刘丽丽
LIU Lili(Dalian Jinzhou District Second People's Hospital,Dalian 116105,China)
出处
《中国医药指南》
2023年第6期177-179,共3页
Guide of China Medicine
关键词
护理干预
常规护理
阴道分娩
巨大儿
产后出血
预防作用
Nursing intervention
Routine nursing
Vaginal delivery
Macrosomia
Postpartum hemorrhage
Preventive effect
