综合护理干预对产妇分娩方式及产后出血的影响

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摘要目的探讨综合护理干预对产妇分娩方式及产后出血的影响。方法分析我院2014年10月～2015年10月收治的150例产妇的临床资料，依据护理干预不同进行分组，对照组50例和观察组100例。对照组给予常规的责任制护理模式，观察组给予综合护理干预。观察两组产妇护理干预前后地焦虑、抑郁心理评分，分娩方式、产程时间，产后2、24 h出血量。结果两组产妇护理干预前的焦虑、抑郁心理评分差异均无统计学意义（P＞0.05），干预后，两组产妇的焦虑、抑郁心理评分均低于干预前，观察组产妇干预后的焦虑、抑郁心理评分均低于对照组，自然分娩率高于对照组，剖宫产、阴道助产率均低于对照组，第一产程、第二产程、第三产程时间均短于对照组，产后2、24 h出血量均少于对照组，差异有统计学意义（P＜0.05）。结论综合护理干预应用于产妇可提高自然分娩率，改善其不良心理情绪，缩短产程，减少产后出血量，值得临床推广应用。

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	葛桂兰

关键词 ：综合护理干预, 产妇, 焦虑, 抑郁, 分娩方式, 产程, 产后出血

Abstract：ObjectiveTo discuss the influence of comprehensive nursing intervention on deliverymode and postpartum hemorrhage for puerpera.M ethodsClinical data of 150 puerperae treated in our hospital from October 2014 to October 2015 were analyzed and they were divided into control group(50 cases)and observation group(100 cases)according to different nursing intervention.The control group was given routine nursing care mode,and the observation group was given comprehensive nursing intervention.The anxiety and depression psychology score,the delivery mode,the time of delivery and the 2 h and 24 h blood loss of puerperae in two groups were observed before and after the nursing intervention.ResultsThe anxiety and depression psychology score between the two groups before nursing intervention were not statistically significant(P＞0.05),after intervention,anxiety and depression psychology score of the two groups were lower than those before intervention,anxiety and depression psychology score in puerperae of the observation group were lower than those of the control group,the rate of natural childbirth was higher than that of the control group,the rate of cesarean section and vaginal delivery were lower than those of the control group,the first stage of labor,the second stage of labor,the third labor time were shorter than those of the control group,2 h and 24 h postpartum hemorrhage volume was less than those of the control group,the difference was statistically significant (P＜0.05).ConclusionComprehensive nursing intervention applied in puerperae can improve the rate of natural childbirth,improve the adverse mental and emotional state,shorten the labor process and reduce the amount of postpartum hemorrhage.It isworthy of clinical promotion and application.

Key words： Comprehensive nursing intervention Puerpera Anxiety Depression Delivery mode Labor stages Postpartum hemorrhage

引用本文:

葛桂兰. 综合护理干预对产妇分娩方式及产后出血的影响[J]. 中国当代医药, 2017, 24(22): 188-190.
GE Gui-lan. The influence of com prehensive nursing intervention on delivery mode and postpartum hemorrhage for puerpera. 中国当代医药, 2017, 24(22): 188-190.

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