风险评估表结合追踪方法学对剖宫产产后出血的影响
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摘要
目的探讨风险评估表结合追踪方法学对剖宫产产妇产后出血情况的影响。方法选取86例剖宫产患者作为研究对象,按照随机数表法将其均分为2组,对照组采用常规护理,观察组在护理时采用风险评估表结合追踪方法学,比较2组患者护理前后的焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分、产后2 h与产后24 h平均出血量、不良反应发生率。结果护理前,2组患者SAS、SDS评分差异无统计学意义(P>0.05);护理后,2组患者SAS、SDS评分均显著低于护理前,且观察组评分显著低于对照组(P<0.05)。观察组患者术后2、24 h平均出血量显著低于对照组(P<0.05)。观察组不良反应发生率为32.56%,显著低于对照组的83.72%(P<0.05)。结论风险评估表结合追踪方法学在剖宫产的护理过程中作用显著,能有效减少产妇产后出血量,缓解产妇负面情绪,降低大出血事件的发生率。
Objective To explore the impact of risk assessment table combined with tracking methodology on postpartum hemorrhage in cesarean section women.Methods A total of 86 caesarean section women who were treated in our hospital were enrolled in this study.All patients were divided into two groups according to the random number table,with 43 patients in each group.Patients in the control group were given routine care,and those in the observation group used risk assessment table combined with follow-up methodologies during nursing.The scores of Self-assessment Anxiety Scale(SAS) and Self-assessment Depression Scale(SDS) were compared between the two groups before and after nursing.The average blood loss at 2,24 h after delivery,and incidence of adverse reaction were compared between the two groups.Results The SAS and SDS scores in two groups showed no significant difference before nursing(P>0.05),and the observation group was lower than the control group(P<0.05).The average blood loss at 2,24 h in the observation group was lower than that in the control group(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group(32.56% vs.83.72%,P<0.05).Conclusion The risk assessment table combined with the tracking methodology plays a significant role in nursing of cesarean section.It can effectively reduce the amount of postpartum hemorrhage in cesarean section women,relieve maternal negative emotions,and reduce the incidence of bleeding.
Objective To explore the impact of risk assessment table combined with tracking methodology on postpartum hemorrhage in cesarean section women.Methods A total of 86 caesarean section women who were treated in our hospital were enrolled in this study.All patients were divided into two groups according to the random number table,with 43 patients in each group.Patients in the control group were given routine care,and those in the observation group used risk assessment table combined with follow-up methodologies during nursing.The scores of Self-assessment Anxiety Scale(SAS) and Self-assessment Depression Scale(SDS) were compared between the two groups before and after nursing.The average blood loss at 2,24 h after delivery,and incidence of adverse reaction were compared between the two groups.Results The SAS and SDS scores in two groups showed no significant difference before nursing(P>0.05),and the observation group was lower than the control group(P<0.05).The average blood loss at 2,24 h in the observation group was lower than that in the control group(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group(32.56% vs.83.72%,P<0.05).Conclusion The risk assessment table combined with the tracking methodology plays a significant role in nursing of cesarean section.It can effectively reduce the amount of postpartum hemorrhage in cesarean section women,relieve maternal negative emotions,and reduce the incidence of bleeding.
引文
[1]香淑媚,刘小琼.预见性护理干预对产后出血的影响分析[J].河南医学研究,2015,24(11):154-155.
[2]应豪,段涛.剖宫产和产后出血[J].实用妇产科杂志,2011,27(3):165-167.
[3]钟秀明.综合护理干预对产妇心理状态及产后出血的影响价值分析[J].中国医药科学,2018,8(6):103-105,121.
[4]耿丽萍,宋丹,刘肖眉.中国护理安全管理的现状、影响因素及对策[J].解放军护理杂志,2012,29(20):15-18.
[5]朱建丽.从患者安全十大目标看医疗过程中的病人安全[J].中国卫生事业管理,2009,26(5):309-310.
[6]高翠红,孟桂云.风险评估表和安全标识在护理工作中的应用及分析[J].临床合理用药杂志,2012,5(32):91-92.
[7]吴茜,施雁,朱晓萍,等.全国110家医院住院患者护理风险评估表使用现状调查[J].中国护理管理,2016,16(11):1539-1543.
[8]李弘,黄金姣,黄霜霞.风险评估表结合追踪方法学对门诊患者护理安全管理效果的影响[J].贵州医药,2018,42(3):379-380.
[9]郑婷.预见性给予欣母沛对产后出血的影响[J].中国妇幼保健,2017,32(7):1387-1388.
[10]鱼珊珊.心理护理对产妇心理状态及产后出血的影响研究[J].家庭医药,2017(3):206-207.
[11]陈杰丽.优质护理服务在妊娠高血压综合征产妇产后出血护理中的应用效果观察[J].中国实用医药,2015,10(8):238-239.
[12]余振霞.优质护理在剖宫产产后出血护理中的应用分析[J].中国伤残医学,2015,23(21):152-153.
[13]聂瑞萍. 35例剖宫产产后出血抢救护理体会[J].中国继续医学教育,2016,8(13):260-261.
[14]冯万兰.剖宫产产后出血的危险因素分析及护理干预对策[J].白求恩医学杂志,2015,13(6):687-688.
[15]袁选凤.剖宫产产后出血原因分析及护理要点探讨[J].现代诊断与治疗,2015,26(3):713-714.
[2]应豪,段涛.剖宫产和产后出血[J].实用妇产科杂志,2011,27(3):165-167.
[3]钟秀明.综合护理干预对产妇心理状态及产后出血的影响价值分析[J].中国医药科学,2018,8(6):103-105,121.
[4]耿丽萍,宋丹,刘肖眉.中国护理安全管理的现状、影响因素及对策[J].解放军护理杂志,2012,29(20):15-18.
[5]朱建丽.从患者安全十大目标看医疗过程中的病人安全[J].中国卫生事业管理,2009,26(5):309-310.
[6]高翠红,孟桂云.风险评估表和安全标识在护理工作中的应用及分析[J].临床合理用药杂志,2012,5(32):91-92.
[7]吴茜,施雁,朱晓萍,等.全国110家医院住院患者护理风险评估表使用现状调查[J].中国护理管理,2016,16(11):1539-1543.
[8]李弘,黄金姣,黄霜霞.风险评估表结合追踪方法学对门诊患者护理安全管理效果的影响[J].贵州医药,2018,42(3):379-380.
[9]郑婷.预见性给予欣母沛对产后出血的影响[J].中国妇幼保健,2017,32(7):1387-1388.
[10]鱼珊珊.心理护理对产妇心理状态及产后出血的影响研究[J].家庭医药,2017(3):206-207.
[11]陈杰丽.优质护理服务在妊娠高血压综合征产妇产后出血护理中的应用效果观察[J].中国实用医药,2015,10(8):238-239.
[12]余振霞.优质护理在剖宫产产后出血护理中的应用分析[J].中国伤残医学,2015,23(21):152-153.
[13]聂瑞萍. 35例剖宫产产后出血抢救护理体会[J].中国继续医学教育,2016,8(13):260-261.
[14]冯万兰.剖宫产产后出血的危险因素分析及护理干预对策[J].白求恩医学杂志,2015,13(6):687-688.
[15]袁选凤.剖宫产产后出血原因分析及护理要点探讨[J].现代诊断与治疗,2015,26(3):713-714.