Clinical effect of predictive nursing on reducing postpartum hemorrhage during vaginal delivery
预见性护理对减少阴道分娩产后出血的临床效果

摘要

目的 探讨预见性护理对阴道分娩产后出血的影响。方法 选取2023年1月-2023年6月期间我院接收的38例阴道分娩产妇作为对照组研究对象，予以常规护理；选取2023年7月-2024年1月期间我院接收的38例阴道分娩产妇作为观察组研究对象，予以预见性护理；对比分析两组产妇产后出血情况、母婴并发症情况、产妇心理状态及生活质量。结果 ①观察组产后2h出血量（76.41±9.67）ml、24h（138.68±33.82）ml，均明显少于对照组，P＜0.001；②观察组发生新生儿窒息0例、产后出血0例、产褥期感染1例，母婴并发症总发生率（2.63%）明显低于对照组（18.42%），P=0.024；③干预后，观察组焦虑评分（26.58±2.69）分、抑郁评分（25.34±2.75）分，均明显低于对照组，P＜0.001；④干预后，观察组生理功能评分（47.78±5.30）分、心理功能评分（46.69±6.58）分、社会功能评分（45.45±6.32）分、主观判断评分（48.13±7.17）分，各项评分均明显高于对照组，P≤0.009；上述组间差异均有统计学意义。结论 预见性护理的临床应用效果非常理想，可以显著改善阴道分娩产后出血情况，减少母婴并发症风险，从而改善产妇心理状态及生活质量。

Abstract

Objective To explore the effect of predictive care on vaginal delivery and postpartum hemorrhage.
Methods Select 38 cases of vaginal delivery in our hospital from January 2023 to June 2023 as study subjects of the control group and provide routine care; select 38 cases of vaginal delivery in our hospital from July 2023 to January 2024 as study subjects of the observation group and analyze maternal hemorrhage and maternal complications, maternal psychological status and quality of life in the two groups.
Results ① observation group postpartum 2h hemorrhage (76.41 ± 9.67) ml, 24h (138.68 ± 33.82) ml, Are significantly less than those in the control group, P<0.001; ② 0 cases of neonatal asphyxia, postpartum hemorrhage and 1 case of puerperal infection, The overall incidence of maternal and infant complications (2.63%) was significantly lower than that of the control group (18.42%), P=0.024; ③ After the intervention, Anxiety score of the observation group (26.58 ± 2.69), depression score (25.34 ± 2.75), Are significantly lower than those in the control group, P<0.001; ④ After the intervention, Observation group: physiological function score (47.78 ± 5.30), mental function score (46.69 ± 6.58), social function score (45.45 ± 6.32), subjective judgment score (48.13 ± 7.17), All the scores were significantly higher than those of the control group, P≤0.009; The differences between the above groups were all statistically significant.
Conclusion   The clinical application effect of foresight nursing is very ideal, which can significantly improve the postpartum bleeding of vaginal delivery, reduce the risk of maternal and infant complications, and thus improve the maternal psychological state and quality of life.