首页|改良产后出血预测评分的分级护理联合AIDET沟通护理在高危产妇中的应用效果

改良产后出血预测评分的分级护理联合AIDET沟通护理在高危产妇中的应用效果

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目的:探讨改良产后出血预测评分的分级护理联合AIDET沟通护理在高危产妇中的应用效果。方法:选取2020 年 12 月—2022 年 10 月大方县妇幼保健院妇产科收治的 78 例高危产妇作为研究对象。根据单双日入院顺序将其分为观察组(n=38)和对照组(n=40)。对照组给予常规护理,观察组在对照组基础上给予改良产后出血预测评分的分级护理联合AIDET沟通护理。比较两组护理前后心理状态、血流动力学指标,相关指标及护理满意度。结果:护理后,观察组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均显著低于对照组,差异有统计学意义(P<0。05)。护理后,观察组平均动脉压和心率均低于对照组,差异有统计学意义(P<0。05)。观察组自然分娩率、新生儿Apgar评分均显著高于对照组,产后出血率低于对照组,产后 24 h失血量少于对照组,差异有统计学意义(P<0。05)。观察组总满意度显著高于对照组,差异有统计学意义(P<0。05)。结论:在高危产妇的产科护理中实施改良产后出血预测评分的分级护理及AIDET沟通护理,能有效改善产妇的负性情绪和血流动力学指标,最终达到改善产妇预后的效果。
Application Effect of Graded Nursing with Improved Postpartum Hemorrhage Prediction Score Combined with AIDET Communication Nursing in High-risk Parturient
Objective:To explore the application effect of graded nursing with improved postpartum hemorrhage prediction score combined with AIDET communication nursing in high-risk parturient.Method:From December 2020 to October 2022,78 high-risk women admitted to the Obstetrics and Gynecology Department of Dafang County Maternal and Child Health Care Hospital were selected as the research objects.They were divided into observation group(n=38)and control group(n=40)according to the order of admission sequence for single and double days.The control group was given routine nursing,and the observation group was given graded nursing with improved postpartum hemorrhage prediction score combined with AIDET communication nursing.The psychological state,hemodynamic indexes before and after nursing,related indexes and nursing satisfaction were compared between the two groups.Result:After nursing,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).After nursing,the average arterial pressure and heart rate in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The natural delivery rate and neonatal Apgar score in the observation group were significantly higher than those in the control group,the postpartum hemorrhage rate was lower than that in the control group,and the postpartum blood loss volume at 24 h was less than that in the control group,the differences were statistically significant(P<0.05).The total satisfaction of the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:The implementation of graded nursing based on improved postpartum hemorrhage prediction score and AIDET model nursing in obstetric care of high-risk women can effectively improve the negative emotions and hemodynamic indicators of the women,and finally achieve the effect of improving the prognosis of the women.

High-risk puerperaGraded nursingAIDET communication nursingDelivery

张青永

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大方县妇幼保健院 贵州 大方 551600

高危产妇 分级护理 AIDET沟通护理 分娩

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(16)