卡前列素氨丁三醇治疗产后出血中综合护理干预的效果研究_吴秀珍.pdf

1262022 Vol.9 No.11Electronic Journal of Practical Gynecological Endocrinology临床护理卡前列素氨丁三醇治疗产后出血中综合护理干预的效果研究吴秀珍，梁秀玲（江门市新会区第二人民医院 妇产科，广东 江门 529100）【摘要】目的 研究卡前列素氨丁三醇治疗产后出血中综合护理干预的效果。方法 选取本院收治的100例产后出血产妇，根据随机数字表法分为常规组及综合组，每组50例。两组均接受卡前列素氨丁三醇治疗，在此基础上，常规组采用常规护理，综合组采用综合护理。比较两组产妇的护理有效率、生活质量、睡眠质量、满意度及不良事件发生情况。结果 综合组的护理有效率为98.00%，高于常规组的86.00%，差异有统计学意义（P0.05）。护理前，两组的各项生活质量综合评定问卷（GQOLI-74）评分及匹兹堡睡眠质量指数量表（PSQI）总分比较，差异无统计学意义（P0.05）；护理后，两组的各项GQOLI-74评分及PSQI总分均升高，且综合组各项评分均高于常规组，差异有统计学意义（P0.05）。综合组的满意度为98.00%，高于常规组的80.00%，差异有统计学意义（P0.05）。综合组的不良事件发生率为2.00%，低于常规组的14.00%，差异有统计学意义（P0.05）。结论 在使用卡前列素氨丁三醇治疗产后出血的过程中，给予产妇综合护理能够进一步改善出血症状，有助于改善产妇的精神状态，提高其睡眠及生活质量，并降低不良事件的发生率，建议在临床护理工作中推广使用。【关键词】卡前列素氨丁三醇；产后出血；综合护理Effect of comprehensive nursing intervention in the treatment of postpartum hemorrhage with postpartum hemorrhageWu Xiuzhen,Liang Xiuling(Department of Obstetrics and Gynecology,the Second Peoples Hospital of Xinhui District,Jiangmen 529100,China)【Abstract】Objective To study the effect of comprehensive nursing intervention in the treatment of postpartum hemorrhage with carboprost tromethamine.Methods A total of 100 cases of postpartum hemorrhage were selected and divided into a conventional group and a comprehensive group according to the random number table method,with 50 cases in each group.Both groups were treated with carboprost tromethamine.On this basis,conventional nursing was used in the conventional group,and comprehensive nursing was used in the comprehensive group.The nursing efficiency,quality of life,quality of sleep,satisfaction and adverse events were compared between the two groups.Results The nursing effective rate of the comprehensive group was 98.00%,which was higher than 86.00%of the conventional group,and the difference was statistically significant(P0.05).Before nursing,there were no significant differences in the scores of generic quality of life inventory-74(GQOL-74)and the total score of Pittsburgh sleep quality index(PSQI)between the two groups(P0.05);after nursing,the scores of GQOL-74 and the total score of PSQI of the two groups were increased,and the scores of the comprehensive group were higher than those of the conventional group,and the differences were statistically significant(P0.05).The satisfaction of the comprehensive group was 98.00%,higher than 80.00%of the conventional group,and the difference was statistically significant(P0.05).The incidence of adverse events in the comprehensive group was 2.00%,lower than 14.00%in the conventional group,and the difference was statistically significant (P0.05).Conclusion In the process of using carboprost tromethamine in the treatment of postpartum hemorrhage,comprehensive nursing for puerpera can further improve the bleeding symptoms,help to improve their mental state,improve sleep and quality of life,and reduce the incidence of adverse events.It is suggested to be popularized in clinical nursing work.【Key words】Carboprost tromethamine;Postpartum hemorrhage;Comprehensive nursingDOI：10.3969/j.issn.2095-8803.2022.11.038通信作者：吴秀珍，E-mail：1272022 年第 9 卷第 11 期实用妇科内分泌电子杂志临床护理产后出血是一种较为常见的产后并发症，会导致产妇出现贫血、乏力等症状，如未能及时进行处理甚至会威胁产妇的生命安全1。因此，临床需给予产后出血产妇及时的治疗和干预。而在治疗过程中，产妇的心理及身体状态会出现较为明显的变化，需通过有效的护理服务进行调整2。基于此，本研究选取本院收治的100例产后出血产妇为研究对象，分析综合护理干预在其接受卡前列素氨丁三醇治疗中的效果。现报道如下。1 资料与方法1.1 临床资料选取本院2019年1月至2021年10月收治的100例产后出血产妇为研究对象。纳入标准：根据产妇胎儿娩出后24 h内失血量确诊为产后出血；产妇及家属均自愿在知情同意书上签字；产妇护理依从性良好。排除标准：非产后出血者；意识障碍者；产后失血严重，出现休克症状者；个人原因拒绝参与研究或中途退出者。根据随机数字表法将所有产妇分为分为常规组及综合组，每组50例。综合组：平均年龄（29.454.87）岁，平均身高（161.4410.37）cm，平均孕周（37.450.84）周；常规组：平均年龄（29.614.51）岁，平均身高（159.7910.52）cm，平均孕周（37.520.47）周。两组产妇的年龄、身高、孕周等一般资料比较，差异无统计学意义（P0.05），具有可比性。本研究经医学伦理委员会批准。1.2 方法两组产妇均接受卡前列素氨丁三醇治疗。在此基础上，常规组采用常规护理：根据产妇治疗情况遵医嘱对其进行用药干预。综合组采用综合护理。用药指导：针对产妇药物治疗开展护理服务，及时观察产妇用药情况，密切观察其生命体征及身体状态3。生活护理：为产妇提供日常生活护理指导，帮助其建立健康、卫生的个人生活习惯。保持室内清洁，将病房的温度及湿度调整到适合范围。保证室内采光和通风良好4。饮食干预：为产妇制定健康的饮食方案，确保其摄入充足和均衡的营养。心理干预：对产妇进行心理疏导，为其讲解产后出血的治疗方法，消除产妇的紧张感，安抚其 情绪5。1.3 观察指标及判定标准比较两组产妇的护理有效率、生活质量、睡眠质量、满意度及不良事件发生情况。护理有效率：显效：产妇出血症状消失，各项指标均正常；有效：产妇出血症状缓解，各项指标均逐渐恢复；无效：未达到以上标准。总有效率=显效 率+有效率。生活质量：护理前后，采用生活质量综合评定问卷（GQOLI-74）进行评估，问卷共计4项，每项100分，分数越高则生活质量越好。睡眠质量：护理前后，采用匹兹堡睡眠质量指数量表（PSQI）进行评估，量表共7项，每项03分，总分21分，分数越高则睡眠质量越好。满意度：采用自制量表进行评估，量表分数0100分。十分满意：90分；基本满意：6090分；不满意：60分。总满意率=十分满意率+基本满意率。不良事件发生情况：包括血压波动、恶心呕吐、皮肤潮红、头晕等。1.4 统计学方法采用SPSS 22.0统计学软件对数据进行统计分析。计量资料以均数标准差（xs）表示，采用t检验；计数资料以n（%）表示，采用2检验。P0.05表示差异具有统计学意义2 结果2.1 两组产妇护理有效率比较综合组显效27例、有效22例、无效1例，护理总有效率为98.00%；常规组显效22例、有效21例、无效7例，护理总有效率为86.00%。综合组的护理总有效率高于常规组，差异有统计学意义（2=4.891，P=0.0270.05）。2.2 两组产妇生活质量比较护理前，两组产妇的各项GQOLI-74评分比较，差异无统计学意义（P0.05）；护理后，两组产妇的各项GQOLI-74均有所提高，且综合组产妇的各项评分均高于常规组，差异有统计学意义（P0.05）。见表1。2.3 两组产妇睡眠质量比较护理后，综合组产妇的PSQI总分为（17.611.24）分，高于常规组的（11.252.34）分，差异有统计学意义（t=16.982，P=0.0000.05）。1282022 Vol.9 No.11Electronic Journal of Practical Gynecological Endocrinology临床护理表1 两组产妇生活质量比较（xs，分）组别例数生理功能社会功能心理功能精神状态护理前护理后护理前护理后护理前护理后护理前护理后综合组5042.4712.25 78.694.22ab58.6410.2385.283.73ab56.6711.25 87.614.28ab54.8510.3188.614.19ab常规组5042.6112.6162.787.61a58.4110.4776.115.87a56.7211.3174.826.94a54.7110.5275