Application of anticipatory care based on root cause analysis in women delivering vaginally
Objective To explore the effects of anticipatory nursing intervention based on root cause analysis on postpartum hemorrhage and comfort level of women with transvaginal delivery.Methods 120 cases of transvaginal delivery admitted to the hospital from June 2022 to April 2023 were selected as the study subjects,they were divided into the control group and the observation group according to the principle of balanced and comparable data between the groups,with 60 cases in each group.The control group received conventional nursing care,the observation group received predictive nursing intervention based on the root cause analysis method,comparing the postpartum hemorrhage status and hemorrhage-related indexes[postpartum hemorrhage rate,hemorrhage volume at 2 h and 24 h postpartum,platelet-responsive protein 1(THBS-1),25-hydroxyvitamin D3[25(OH)Vitamin D3,25(OH)D3],nitric oxide synthase(NOS),comfort[General Comfort Questionnaire(GCQ)],psychological mood[Self-rating Anxiety Seale(SAS),Self-rating Depression Scale(SDS)],pregnancy outcome indicators[incidence of adverse pregnancy outcomes,cyclooxyge-nase-2(COX-2),matrix metalloproteinase-1(MMP-1)].Results The rate of postpartum hemorrhage in the observation group was lower than that in the control group,and the amount of hemorrhage at 2 h and 24 h postpartum was lower than that in the control group,and the differences between the groups were statistically significant(P<0.05).Maternal THBS-1 and 25(OH)D3 in the observation group were higher than those in the control group,and NOS was lower than that in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in maternal GCQ comfort scores between the two groups before intervention(P>0.05).After intervention,maternal GCQ comfort scores in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in the comparison of maternal SAS scores and SDS scores between the two groups before intervention(P>0.05);After intervention,maternal SAS scores and SDS scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The incidence of maternal adverse pregnancy outcomes in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Maternal COX-2 and MMP-1 in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Transvaginal delivery mothers receive anticipatory nursing interventions based on root cause analysis during labor and delivery,which can keep mothers in good emotion statue during labor and delivery,improve labor and delivery comfort,and reduce postpartum hemorrhage and adverse pregnancy outcomes.
Vaginal deliveryRoot cause analysisAnticipatory nursing interventionBleedingComfort levelPregnancy outcome
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