Clinical effect of anticipatory care on reducing postpartum bleeding during vaginal delivery
预见性护理对减少阴道分娩产后出血的临床效果

摘要

目的 获取我院阴道分娩者病例，对其临床相关护理方法进行深入分析，探讨预见性护理的应用效果，针对性统计产后出血率。方法 经我院伦理委员会审批后，择2023年1月-2024年1月于我院阴道分娩者100例作为研究对象，鉴于本次研究目的，将产妇分组，分于参照组产妇接受常规护理（50例），分于研究组产妇常规护理基础上结合预见性护理（50例），对比区别护理效果，统计产后出血率、出血量、心理状态评分、护理满意度两组数据，分析组间差异，判定护理有效性。结果 两组研究结果对比，产后出血率，出血率低于研究组、参照组出血率较高；产妇产后出血量，研究组量较少、参照组相对较多；产妇心理状态评分（SAS、SDS），各项评分护理后研究组低于参照组；护理满意度，总满意率研究组高于参照组；两组数据差异明显（P＜0.05）。结论 给予阴道分娩者预见性护理，可有效降低产后出血率，减少出血量，同时可改善负性情绪，进而提升护理满意度，应用效果佳，建议推广应用。

Abstract

Objective To obtain the cases of vaginal delivery in our hospital, conduct an in-depth analysis of its clinical related nursing methods, explore the application effect of predictive nursing, and specifically count the postpartum hemorrhage rate.
Methods After approval by the Ethics Committee of our hospital, 100 cases of vaginal delivery in our hospital from January 2023 to January 2024 were selected as the research subjects. In view of the purpose of this study, the parturients were divided into groups, and the parturients in the reference group received routine nursing (50 cases) and the parturients in the study group received routine nursing combined with predictive nursing (50 cases). The nursing effects were compared and distinguished, and the postpartum hemorrhage rate, bleeding volume, psychological state score, and nursing satisfaction were statistically analyzed. The differences between the groups were analyzed to determine the effectiveness of nursing.
Results The results of the two groups were compared. The postpartum hemorrhage rate was low in the study group and high in the reference group. The amount of postpartum hemorrhage in the study group was less, while that in the reference group was relatively more. The maternal psychological state score (SAS, SDS) was lower in the study group than in the reference group after nursing. The total satisfaction rate of the study group was higher than that of the reference group. The data of the two groups were significantly different (P < 0.05).
Conclusion   Predictive nursing for vaginal delivery can effectively reduce the postpartum hemorrhage rate and the amount of bleeding, and at the same time improve negative emotions, thereby improving nursing satisfaction. The application effect is good, and it is recommended to promote its application.