摘要
目的探讨高危产妇产后出血应用改良产后出血预测评分的分级护理联合AIDET沟通的预防效果。方法选取2018年2月至2021年6月在江苏省如皋市人民医院生产的产妇76名为研究对象,采用随机数字表法将其分为对照组和观察组,每组各38例。对照组实施AIDET沟通,观察组在对照组基础上应用改良产后出血预测评分的分级护理,比较两组干预前后血液动力学指标、负性情绪、产后出血量、产程时间及分娩结局。结果干预后,两组收缩压(SBP)、舒张压(DBP)、心率(HR)、经皮动脉血氧饱和度(SpO_(2))等指标均高于本组干预前,且观察组SBP、DBP、HR、SpO_(2)指标高于对照组,差异有统计学意义(P<0.05);两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于本组干预前,且观察组SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。24 h产后出血量少于对照组、第一产程、第二产程及第三产程时间短于对照组,差异均有统计学意义(P<0.05)。结论在预防高危产后出血中应用改良产后出血预测评分的分级护理联合AIDET沟通,可维持病情的稳定,缓解产妇的不良心理情绪,缩短分娩产程时间的同时,改善分娩结局。
Objective To explore the prevention effect of improved postpartum hemorrhage prediction score grading nursing combined with AIDET communication in high-risk puerpera with postpartum hemorrhage.Methods Seventy-six parturients who gave birth in Rugao People’s Hospital of Jiangsu Province from February 2018 to June 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 38 cases in each group.The control group received AIDET communication,and the observation group received graded nursing with improved prediction score of postpartum hemorrhage on the basis of the control group.Hemodynamic indexes,negative emotions,postpartum blood loss,labor duration and delivery outcomes were compared between the two groups before and after intervention.Results After intervention,systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR),percutaneous arterial oxygen saturation(SpO_(2))and other indexes in both groups were higher than before intervention,and SBP,DBP,HR and SpO_(2) indexes in observation group were higher than control group,the differences were statistically significant(P<0.05).The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the two groups were lower than before intervention,and the SAS and SDS scores in were lower than the control group,the differences were statistically significant(P<0.05).In the observation group,the 24 h postpartum blood loss was lower than the control group,and the time of the first labor stage,second labor stage and third labor stage was shorter than the control group,the differences were statistically significant(P<0.05).Conclusion In the prevention of high-risk postpartum hemorrhage,the application of graded nursing with improved prediction score of postpartum hemorrhage combined with AIDET communication can maintain the stability of the condition,relieve the adverse psychological mood of puerpera,shorten the time of labor and improve the outcome of childbirth.
作者
金杏
田演娇
刘文娟
刘嘉茵
JIN Xing;TIAN Yanjiao;LIU Wenjuan;LIU Jiayin(Ward One,Department of Obstetrics,Rugao People’s Hospital,Jiangsu Province,Nantong 226500,China;Department of Reproductive Medicine Center,the First Affiliated Hospital with Nanjing Medical University,Jiangsu Province,Nanjing 210029,China)
出处
《中国医药导报》
CAS
2022年第10期181-184,共4页
China Medical Herald
基金
江苏省自然科学基金项目(BK20191076)。
关键词
改良产后出血预测评分分级护理
AIDET沟通
高危产妇
产后出血
Improved grading nursing of postpartum hemorrhage score
AIDET communication
High-risk wom-en
Postpartum hemorrhage
作者简介
通讯作者:刘嘉茵。
