浅谈产后出血的原因及护理措施.docVIP

精品论文 参考文献 浅谈产后出血的原因及护理措施 廖桂娟 　　（辽宁省朝阳县人民医院 122000） 　　【摘要】目的：对产后出血的原因及护理进行讨论。方法：收集我科室的待产妇共120例进行分析，并随机把她们平均分为实验组和对照组。实验组产妇给予全面高效的护理干预措施，对照组则给予通常的护理措施。对比两组产妇的产后出血率以及满意程度。结果：实验组病人在经过实施全面高效的护理干预措施后其产后出血率以及满意度均大大优于对照组，有明显差别（P＜0.05）。结论：采取全面高效的预防护理干预措施可以有效降低产妇的产后出血率以及并发症的发生概率，并且在一定程度上提高了产科的生产率和病人的满意程度。 　　【关键词】产后出血 护理干预 患者满意度 　　【中图分类号】R473.71 【文献标识码】A 【文章编号】1672-5085（2014）18-0067-01 　　【Abstract】 Objective: the cause and nursing of postpartum hemorrhage were discussed. Methods: our department of expectant mothers were 120 cases were analyzed, and their average were randomly divided into experimental group and control group. The study group were given nursing intervention measures, comprehensive and efficient, the control group were given nursing measures usually. And the satisfaction rate were compared between the two groups of maternal postpartum hemorrhage. Results: the experimental group patients in the nursing intervention measures after the implementation of a comprehensive and efficient after the rate of postpartum hemorrhage and satisfaction are significantly better than the control group, with significant difference (P lt; 0.05). Conclusion: to take comprehensive and effective prevention and nursing intervention measures can effectively reduce the probability of occurrence rate and complications of maternal postpartum hemorrhage, and improve the satisfaction degree of productivity and patient in a certain extent. 　　1 资料和方法 　　1.1一般资料：收集我科室的分娩的产妇共120例进行讨论，她们的年龄在18-41岁之间，平均年龄为26.8plusmn;2.12岁。其中初产妇有82例，经产妇有38例，把她们随机平均分为实验组和对照组。实验组给予全面高效的护理干预措施，对照组则给予通常的护理措施。两组产妇在性别、年龄、以及分娩条件上没有明显差别（P＞0.05），有临床上的可比性。 　　1.2产前预防的护理干预：对产妇在孕期就要加强健康宣传教育工作，以提高产妇的自我保健意识。对患有肝炎、血液系统疾病或其他会引起产后出血的产妇，应及时终止妊娠。应用产后出血高危因素的专用表格对孕妇进行全面评估，同时对可能出现的因素采取相应的预防处理措施，能够显著降低产后出血的发生概率。 　　1.2.1分娩中预防和护理干预：（1）第一产程：严密注意产妇的胎心和子宫收缩情况，运用产程图来记录产妇产程的进展程度，要及时发现产程延缓和停滞现象，并且积极采取处理措施。还要为产妇做好心理护理工作，因为有些产妇可能会对陌生的环境产生恐惧，以致精神高度紧张，从而引起产程延长而发生产后出血[1]。（2）第二产程：要严格执行无菌操作，在胎肩