章晓娜 陈丽洁 吴洁滢

[摘要]目的 探讨不同护理方法对助产质量和产后出血的影响。方法 选取2015年5月～2017年5月在榕城区妇幼保健计划生育服务中心产妇80例，采用计算机分组模式分为对照组和观察组，每组各40例。观察组进行护理干预护理，对照组进行常规护理。将两组经相应护理方案干预的产程情况、出血情况、剖宫产率、对医务人员的满意度进行比较。结果 观察组第一产程为（402.65±8.95）min，第二产程为（25.76±2.11）min，第三产程为（5.86±1.05）min，总产程为（456.85±6.98）min，均短于对照组[（416.89±15.68）、（53.98±5.44）、（7.95±1.62）、（675.41±9.76）min]，差异均有统计学意义（P<0.05）。观察组产后2 h出血量为（186.42±15.75）ml，产后24 h出血量为（256.85±26.95）min，均少于对照组[（254.17±26.97），（394.19±42.81）min]，观察组大出血率（5.00%）低于对照组（32.50%），差异均有统计学意义（P<0.05）。觀察组服务满意度评分为（96.85±1.33）分，服务质量评分为（97.38±1.43）分，高于对照组[（86.17±2.11）分，（85.23±1.63）分]，差异均有统计学意义（P<0.05）。观察组的社会功能评分[（95.86±2.33）分]、物质生活评分[（96.83±1.74）分]、躯体功能评分[（96.85±1.77）分]、心理功能评分[（97.11±1.58）分]，均高于对照组[（86.58±2.44）、（87.95±1.75）、（88.41±1.53）、（85.69±1.75）分]，差异均有统计学意义（P<0.05）。结论 对产妇进行护理干预，可缩短产程，减少出血，降低剖宫产率提高其生活质量，从而提高对服务的满意度，值得在临床中推广实施。

[关键词]护理干预；助产质量；产后出血；效果

[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2018）9（a）-0196-04

[Abstract] Objective To investigation effect of different nursing methods on midwifery quality and postpartum hemorrhage. Methods 80 cases of puerpera treated in Maternal and Child Health Family Planning Service Center of Rucheng District from May 2015 to May 2017 were selected， and they were divided into control group and observation group by computer grouping mode， 40 cases in each group. The observation group was given intervention nursing， the control group was given routine care. The two groups of pregnant women were compared with the labor conditions， hemorrhage， cesarean section rate， and satisfaction with medical staff. Results The first stage of labor in the observation group was （402.65±8.95） min， the second stage of labor was （25.76±2.11） min， the third stage of production was （5.86±1.05） min， and the total stage of labor was （456.85±6.98） min， were shorter than that in the control group， the first stage of labor was （416.89±15.68） min， the second stage of production was （53.98±5.44） min， the third stage of production was （7.95±1.62） min， and the total stage of labor was （675.41±9.76） min （P<0.05）； 2 hours postpartum hemorrhage in the observation group was （186.42±15.75） ml， and postpartum 24 hours bleeding was （256.85±26.95） min， and the rate of major bleeding was 5.00%， which were lesser than that of the control group， the postpartum hemorrhage at 2 hours was （254.17±26.97） ml， and the postpartum hemorrhage at 24 hours was （394.19±42.81） min； the rate of major bleeding was 32.50% （P<0.05）； the service satisfaction score of the observation group was （[96.85±1.33] points）， the service quality score was [97.38±1.43] points， and the service satisfaction score of the mothers in the control group was （[86.17±2.11] points）， and the service quality score was （[85.23±1.63] points）， compliance was （P<0.05）； social function score in observation group was （[95.86±2.33] points）， material life （[96.83±1.74] points）， physical function score was （[96.85±1.77] points）， and psychological function score was （[97.11±1.58] points） were higher than those of the control group （[86.58±2.44] points） and material life （[87.95±1.75] points）， physical function （[88.41±1.53] points）， and psychological function （[85.69±1.75] points）， the differences were statistically significant （P<0.05）. Conclusion The nursing intervention for the parturient woman can shorten the birth process， reduce the bleeding， reduce the cesarean section rate and improve the quality of life， so as to improve the satisfaction degree of the medical staff. It is worth promoting in the clinic.

[Key words] Nursing intervention； Quality of midwifery； Postpartum hemorrhage； Effect

产后出血是导致产妇死亡的主要因素，是指在胎儿娩出后24 h阴道出血量≥500 ml，属于产科最常见的并发症[1]，近年来，随着高龄产妇的增加，产后出血率逐渐上升，从而严重影响产妇生存质量和身心健康，同时产后出血，还容易导致产妇在短时间内发生休克，甚至危及产妇生命安全，为了避免此类并发症的发生，还需加强助产质量护理干预，从而保证产妇得到及时抢救和护理，提高服务质量[2]。本研究为探讨护理干预对助产质量和产后出血的影响效果，选取我院收治的80例产妇作为研究对象，探索不同护理方式在产妇中的价值，现报道如下。

1资料与方法

1.1一般资料

选取2015年5月～2017年5月榕城区妇幼保健计划生育服务中心收治的80例产妇作为研究对象，采用计算机分组模式分成对照组和观察组，每组各40例。纳入标准：①产妇或其家属均自愿了解本研究；……