摘要
目的 探讨急救护理模式在产后大出血患者中的应用效果。方法 选择2022年1月至2024年12月于毕节市中医医院就诊的60例产后大出血患者为回顾性研究对象,根据护理的不同,分为观察组(实施急救护理干预,30例)和对照组(常规护理干预,30例)。比较两组产妇出血量和止血时间、凝血功能指标[血小板计数、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、纤维蛋白原(FIB)]、负面心理状态[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、并发症发生情况。结果 观察组产妇的出血量和止血时间均低于对照组(P<0.001)。干预前,两组产妇的血小板计数、PT、APTT、FIB水平差异无统计学意义(P>0.05)。干预后,两组研究对象以上凝血相关指标均明显改善(P<0.05);且观察组产妇的血小板计数、FIB水平显著高于对照组(P<0.001),PT、APTT水平显著低于对照组(P<0.001)。干预前,两组产妇的SAS评分、SDS评分差异无统计学意义(P >0.05)。干预后,两组研究对象以上评分均明显改善;且观察组产妇的SAS、SDS评分显著低于对照组(P<0.001)。观察组产妇并发症总发生率显著低于对照组(10.00%vs.33.33%,P<0.05)。结论 在产后大出血患者护理中,有效的急救护理可显著缩短止血时间,减少出血量,促进凝血功能恢复,改善产妇负面心理状态,降低并发症的发生风险。
Objective To explore the effectiveness of the emergency nursing model in the care of patients with postpartum hemorrhage(PPH).Methods A retrospective study was conducted with 60 patients diagnosed with PPH at Bijie Traditional Chinese Medicine Hospital from January 2022 to December 2024.The patients were divided into two groups based on the type of nursing care received:the observation group(30 patients who received emergency nursing intervention)and the control group(30 patients who received routine nursing intervention).The volume of bleeding,hemostasis time,coagulation function indicators(platelet count,prothrombin time[PT],activated partial thromboplastin time[APTT],fibrinogen[FIB]),negative psychological states(measured by the Self-Rating Anxiety Scale[SAS]and Self-Rating Depression Scale[SDS]),and complications were compared between the two groups.Results The observation group had significantly lower bleeding volume and shorter hemostasis time compared to the control group(P<0.001).Prior to the intervention,there were no significant differences between the two groups in platelet count,PT,APTT,and FIB levels(P>0.05).After the intervention,all coagulation-related indicators showed significant improvement in both groups(P<0.05).Furthermore,the observation group had significantly higher platelet count and FIB levels(P<0.001)and significantly lower PT and APTT levels(P<0.001)compared to the control group.Prior to the intervention,the SAS and SDS scores were similar between the two groups(P>0.05).After the intervention,both groups showed significant improvements in these scores;however,the observation group had significantly lower SAS and SDS scores compared to the control group(P<0.001).The overall incidence of complications in the observation group was significantly lower than that in the control group(10.00%vs.33.33%,P<0.05).Conclusion Emergency nursing interventions in postpartum hemorrhage care can significantly shorten hemostasis time,reduce bleeding volume,promote coagulation function recovery,improve negative psychological states,and reduce the risk of complications.
作者
张静
叶芝旭
ZHANG Jing;YE Zhixu(Department of Obstetrics,Bijie Traditional Chinese Medicine Hospital,Bijie 551700,China;Department of Pediatric Infectious Diseases,Shanghai Children's Medical Center,Guizhou Hospital,Guiyang 550081,China)
出处
《中华灾害救援医学》
2025年第6期745-748,共4页
Chinese Journal of Disaster Medicine
基金
2018年贵州省卫生计生委科学技术基金项目(gzwjkj2018-1-049)。
关键词
产后大出血
急救护理
止血时间
Postpartum hemorrhage
Emergency nursing
Hemostasis time
