摘要
目的探讨基于产后出血风险评估的预防性护理对妊娠期高血压病人母婴结局的影响,旨在为临床提供更为科学、有效的护理策略。方法选取2023年5月—2024年4月本院收治的100例妊娠期高血压患者为研究对象,以随机摸球为基础分组方式,分为对照组(n=50)和研究组(n=50)。其中对照组采用常规护理,研究组基于产后出血风险评估的预防性护理,收集两组护理数据比较护理效果。结果与对照组相比,研究组产后出血率更低,而产后24 h内出血量更少,住院治疗时间更短,差异有统计学意义(P<0.05)。比较两组母婴结局发现,研究组胎盘早剥、胎儿宫内窘迫、新生儿窒息、产褥感染发生率更低,差异有统计学意义(P<0.05)。护理前,两组血压指标对比,差异无统计学意义(P>0.05);护理后,研究组SBP、DBP水平更低,差异有统计学意义(P<0.05)。与对照组相比,研究组护理满意度更高,差异有统计学意义(P<0.05)。结论基于产后出血风险评估的预防性护理在妊娠期高血压患者中具有显著护理效果,能有效降低产后出血风险,改善母婴结局,提升护理满意度,值得临床推广。
Objective To explore the impact of preventive nursing based on postpartum hemorrhage risk assessment on maternal and infant outcomes in patients with gestational hypertension,with the aim of providing more scientific and effective nursing strategies for clinical practice.Methods 100 patients with gestational hypertension admitted to our hospital from May 2023 to April 2024 were randomly divided into a control group(n=50)and a study group(n=50)based on ball touching.They were given routine care and preventive care based on postpartum hemorrhage risk assessment.Nursing data from the two groups were collected to compare the nursing effects.Results Compared with the control group,the study group had a lower postpartum bleeding rate,less bleeding within 24 hours postpartum,and shorter hospitalization time.The difference between the groups was significant(P<0.05);Comparing the outcomes of two groups of mothers and infants,it was found that the incidence of placental abruption,fetal intrauterine distress,neonatal asphyxia,and postpartum infection was lower in the study group,and the difference between the groups was significant(P<0.05);Before nursing,there was no significant difference in blood pressure indicators between the two groups(P>0.05).After nursing,the study group had lower levels of SBP and DBP,and the difference between the groups was significant(P<0.05);Compared with the control group,the nursing satisfaction of the study group was higher,and the difference between the groups was significant(P<0.05).Conclusion Preventive nursing based on postpartum hemorrhage risk assessment has significant nursing effects in patients with gestational hypertension,effectively reducing the risk of postpartum hemorrhage,improving maternal and infant outcomes,and enhancing nursing satisfaction.It is worthy of clinical promotion.
作者
杨泓彬
YANG Hongbin(The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou,Zhejiang 310051)
出处
《智慧健康》
2025年第19期166-169,共4页
Smart Healthcare
关键词
产后出血风险评估
预防性护理
妊娠期高血压
母婴结局
Postpartum bleeding risk assessment
Preventive care
Pregnancy induced hypertension
Maternal and infant outcomes
