基于改良产后出血预测评分的分级护理联合AIDET沟通对高危产妇产后出血的预防作用

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Abstract Objective To explore the prevention effect of improved postpartum hemorrhage prediction score grading nursing combined with AIDET communication in high-risk puerpera with postpartum hemorrhage. Methods Seventy-six parturients who gave birth in Rugao People’s Hospital of Jiangsu Province from February 2018 to June 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 38 cases in each group. The control group received AIDET communication, and the observation group received graded nursing with improved prediction score of postpartum hemorrhage on the basis of the control group. Hemodynamic indexes, negative emotions, postpartum blood loss, labor duration and delivery outcomes were compared between the two groups before and after intervention. Results After intervention, systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), percutaneous arterial oxygen saturation (SpO2) and other indexes in both groups were higher than before intervention, and SBP, DBP, HR and SpO2 indexes in observation group were higher than control group, the differences were statistically significant (P ＜ 0.05). The scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) in the two groups were lower than before intervention, and the SAS and SDS scores in were lower than the control group, the differences were statistically significant (P ＜ 0.05). In the observation group, the 24 h postpartum blood loss was lower than the control group, and the time of the first labor stage, second labor stage and third labor stage was shorter than the control group, the differences were statistically significant (P ＜ 0.05). Conclusion In the prevention of high-risk postpartum hemorrhage, the application of graded nursing with improved prediction score of postpartum hemorrhage combined with AIDET communication can maintain the stability of the condition, relieve the adverse psychological mood of puerpera, shorten the time of labor and improve the outcome of childbirth.

Key words： Improved grading nursing of postpartum hemorrhage score AIDET communication High-risk wom-en Postpartum hemorrhage

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	JIN Xing1 TIAN Yanjiao1 LIU Wenjuan1 LIU Jiayin2▲

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JIN Xing1 TIAN Yanjiao1 LIU Wenjuan1 LIU Jiayin2▲. Preventive effect of graded nursing combined with AIDET communication on postpartum hemorrhage in high-risk women based on improved postpartum hemorrhage prediction score#br#[J]. 中国医药导报, 2022, 19(10): 181-184.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I10/181

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