陆晶

【摘 要】目的：分析干预性护理对产妇心理状态和产后出血的影响。方法：资料选取本院2017年7月至2018年7月接收的84例产妇，依据护理方式的不同进行分组，可分为研究组（常规护理）和对照组（干预性护理）两组，每组产妇42例;观察两组心理状态以及出血量情况。结果：护理前两组产妇的心理状态比较差异不大，无统计学意义（P>0.05）;护理后，研究组产妇的HAMD（4.21±0.11）、SAS（37.56±3.18）、SDS（36.62±3.67）评分均优于对照组，比较差异均具有统计学意义（P<0.05）;研究组产妇的产后出血率为4.76%、产后出血量为（218.66±28.73）mL，均低于对照组的19.05%和（336.82±46.53）mL，比较差异均具有统计学意义（P<0.05）。结论：干预性护理应用于产妇的临床护理过程中具有显著的效果，具有应用价值。

【关键词】产妇;干预性护理;心理状态;产后出血

Effect of interventional nursing on maternal psychological status and postpartum hemorrhage

Lu Jing

Dongping Xian People's Hospital， Taian， Shandong 271500

[Abstract] Objective：To analyze the effect of interventional nursing on maternal psychological status and postpartum hemorrhage. Methods： Data were collected from 84 women who were received from July 2017 to July 1818 in our hospital. According to the different nursing methods， they can be divided into two groups： study group （conventional care） and control group （interventional care）. 42 women were enrolled in the group; the psychological status and bleeding volume of the two groups were observed. Results： There was no significant difference in the psychological status between the two groups before treatment. There was no statistical significance after the nursing. The nursing group had excellent HAMD （4.21±0.11）， SAS （37.56±3.18） and SDS （36.62±3.67） scores. In the control group， the difference was statistically significant （P<0.05）. The postpartum hemorrhage rate of the study group was 4.76%， and the postpartum hemorrhage volume （218.66±28.73） mL was lower than the control group 19.05% and （336.82±46.53） mL. The difference was statistically significant （P<0.05）. Conclusion： Interventional nursing has a significant effect in the clinical nursing process of maternal women and has application value.

[Key words]Maternal; Interventional nursing; Psychological state; Postpartum hemorrhage

妇女生命活动的应激源之一便是分娩活动，该项行为不仅容易造成产妇的不良心理情绪，而且容易导致产妇出现分娩问题，如产后出血等，严重者可能出现大出血或者是难产，进而危及母婴健康[1]。由此，本研究针对本院收治的42例产妇予以干预性护理的效果进行分析，现将结果报告如下。

1 资料与方法

1.1 一般资料

资料选取本院2017年7月至2018年7月接收的84例正常分娩的产妇，分为研究组和对照组，每组42例，对照组年龄20～31岁，平均（23.43±2.68）岁，文化程度：大学及以上10例，高中12例，初中10例，小学以下10例;初产妇30例，经产妇12例;研究组年龄2～31岁，平均（23.23±2.47）岁，文化程度：大学及以上10例，高中10例，初中13例，小學及以下9例;初产妇29例，经产妇13例。两组基线资料无明显差异（P>0.05），具可比性。

1.2 方法

对照组：本组产妇均采用临床常规护理，待产妇入院之后，护理人员需要了解产妇的一般资料，并构建期初步的护患关系。研究组予以干预性护理：医院需为每位产妇设置1名责任护士……