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分析优质护理在妊高症产妇产后出血护理中的应用

作者:张 敏

所属单位:郑州市妇幼保健院体检科 (河南 郑州 450000)

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摘要

目的 探讨优质护理在妊高症产妇产后出血护理中的应用效果。方法 选择2015年8月-2017年8月我院收治的妊高征 伴产后出血患者96例,以随机数字表将其分为对照组(采取常规护理措施)与研究组(在对照组的基础上给予优质护 理干预),每组各48例。对比两组患者产后24小时出血量、血压水平、新生儿1分钟Apgar评分,以及护理满意率。 结果 研究组产后24小时出血量与血压(收缩压、舒张压)指标均低于对照组(P<0.05);研究组新生儿1分钟Apgar评 分高于对照组(P<0.05)。研究组护理总满意率为100.00%,高于对照组87.50%(P<0.05)。结论 优质护理在妊高症产 妇产后出血护理中具有显著的应用效果,值得临床推广。

Objective To investigate the application effect of high quality nursing on postpartum hemorrhage in patients with pregnancy hypertension syndrome. Methods 96 cases with pregnancy hypertension syndrome and postpartum hemorrhage in our hospital from August 2015 to August 2017 were randomly divided into the control group (received routine nursing intervention) and the observation group (received high quality nursing on the basis of the control group), 48 cases in each group. Compare the postpartum 24hours bleeding amount, blood pressure, newborn 1 min Apgar score and nursing satisfaction rate of the two groups. Results Postpartum 24hours bleeding amount, blood pressure (SBP, DBP) indexes of the observation group were all lower than those in the control group (P<0.05). Newborn 1 min Apgar score of the observation group was higher than that of the control group (P<0.05). The nursing satisfaction rate of the observation group (100.00%) was higher than that of the control group (87.50%) (P<0.05). Conclusion High quality nursing has significant application effect on postpartum hemorrhage in patients with pregnancy hypertension syndrome, it is worthy of clinical application.

【关键词】优质护理;妊高症;产后出血

【中图分类号】R714.46+1

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2019.02.042

前言

妊娠期高血压疾病简称为妊高征,属于妊娠期特 有的疾病,其诱导的血管性疾病是产妇死亡的重要原 因之一。产后出血则属于妊娠期严重的并发症,即胎 儿娩出后,产妇24小时内失血量>500ml,其发生率 约占总分娩人数的2%~3%[1]。当妊高征与产后出血同 时出现时,不仅显著增加了产妇的分娩风险,同时也 给其身心带来了巨大的痛苦。部分研究发现,传统护 理着重强调遵医嘱用药与治疗,缺少对患者身心的人 性化与细节化照护,这在一定程度上影响了护理效 果[2]。为了进一步完善妊高症产妇产后出血护理工作 的质量,2015年8月~2017年8月我院对48例妊高征伴 产后出血患者应用了优质护理干预,临床取得了满意的效果,现报告如下。