Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2024; 12(1): 51-58
Published online Jan 6, 2024. doi: 10.12998/wjcc.v12.i1.51
Clinical nursing value of predictive nursing in reducing complications of pregnant women undergoing short-term massive blood transfusion during cesarean section
Li Cheng, Li-Ping Li, Yuan-Yuan Zhang, Fang Deng, Ting-Ting Lan
Li Cheng, Department of Obstertrics, Wuhan Third Hospital, Wuhan 430000, Hubei Province, China
Li-Ping Li, Department of Gynaecology, Wuhan No. 1 Hospital, WuHan 430030, Hubei Province, China
Yuan-Yuan Zhang, Fang Deng, Ting-Ting Lan, Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610072, Sichuan Province, China
Co-first authors: Li Cheng and Li-Ping Li.
Author contributions: Cheng L and Li LP designed the research; Zhang YY, Deng F and Lan TT performed the research; Lan TT contributed new reagents/analytic tools; Cheng L, Li LP, Zhang YY, Deng F and Lan TT analyzed the data; Cheng L and Li LP wrote the paper.
Institutional review board statement: This study protocol was approved by Sichuan Provincial People's Hospital, and all the families have voluntarily participated in the study and have signed informed consent forms.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors declared no conflict of interest existing in this paper.
Data sharing statement: Data generated from this investigation are available upon reasonable quest from the corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ting-Ting Lan, Supervisor Nurse, Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, No. 32 West Section 2, First Ring Road, Qingyang District, Chengdu 610072, Sichuan Province, China. 18771035071@163.com
Received: October 11, 2023
Peer-review started: October 11, 2023
First decision: October 24, 2023
Revised: November 8, 2023
Accepted: December 18, 2023
Article in press: December 18, 2023
Published online: January 6, 2024
Abstract
BACKGROUND

Cesarean hemorrhage is one of the serious complications, and short-term massive blood transfusion can easily cause postoperative infection and physical stress response. However, predictive nursing intervention has important clinical significance for it.

AIM

To explore the effect of predictive nursing intervention on the stress response and complications of women undergoing short-term mass blood transfusion during cesarean section (CS).

METHODS

A clinical medical record of 100 pregnant women undergoing rapid mass blood transfusion during sections from June 2019 to June 2021. According to the different nursing methods, patients divided into control group (n = 50) and observation group (n = 50). Among them, the control group implemented routine nursing, and the observation group implemented predictive nursing intervention based on the control group. Moreover, compared the differences in stress response, complications, and pain scores before and after the nursing of pregnant women undergoing rapid mass blood transfusion during CS.

RESULTS

The anxiety and depression scores of pregnant women in the two groups were significantly improved after nursing, and the psychological stress response of the observation group was significantly lower than that of the control group (P < 0.05). The heart rate and mean arterial pressure (MAP) of the observation group during delivery were lower than those of the control group, and the MAP at the end of delivery was lower than that of the control group (P < 0.05). Moreover, different pain scores improved significantly in both groups, with the observation group considerably less than the control group (P < 0.05). After nursing, complications such as skin rash, urinary retention, chills, diarrhea, and anaphylactic shock in the observation group were 18%, which significantly higher than in the control group (4%) (P < 0.05).

CONCLUSION

Predictive nursing intervention can effectively relieve the pain, reduce the incidence of complications, improve mood and stress response, and serve as a reference value for the nursing of women undergoing rapid mass transfusion during CS.

Keywords: Predictive care, Rapid mass blood transfusion, Cesarean section, Stress response, Complications

Core Tip: Cesarean section (CS) is prone to bleeding, but a large amount of blood transfusion in a short period of time is likely to cause maternal physical stress reaction and postoperative infection. Therefore, this paper aims to explore the clinical nursing effect of predictive nursing intervention on this adverse complication. By comparing the differences of stress response, complications and pain scores of pregnant women who received rapid and massive blood transfusion during CS under different nursing modes, it is found that predictive nursing can effectively alleviate the pain of parturient women during operation and reduce the occurrence of stress response.