摘要
目的:探讨妊娠合并心力衰竭患者行剖宫产的术中干预及其效果。方法:回顾性分析了2005年6月～2012年6月入住我院的200例妊娠合并心力衰竭行剖宫产患者的临床资料,将其随机地均分为对照组与观察组,各为100例,对照组给予常规干预,观察组在此基础上给予循证干预。比较两组患者干预前后VAS评分、新生儿Apgar评分、并发症发生率、干预满意度、生存质量以及心理状况等。结果:(1)对照组干预后VAS评分、新生儿Apgar评分、并发症发生率、干预满意度分别为(7.4±1.3)分、(7.6±1.7)分、18.0%、78.0%,观察组分别为(4.0±0.9)分、(9.4±2.0)分、4.0%、98.0%,两组上述各指标差异具有统计学意义(P<0.05);(2)根据患者生存质量评价标准,对照组干预后生存质量得分为(105±5)分,观察组为(133±8)分,二者差异具有显著的统计学意义(P<0.01);(3)根据HAMA、HAMD心理评价量表,对照组与观察组两组患者干预前HAMA、HAMD得分无统计学差异(P>0.05),观察组干预后HAMA、HAMD得分较对照组的差异具有显著的统计学意义(P<0.01)。结论:循证干预能够明显改善行剖宫产术的妊娠合并心力衰竭产妇及婴儿的生活质量、改善患者的心理状况,可以在临床干预中加以推广并应用。
Objective：To investigate the care and its effects in pregnancy with heart failure underwent cesarean section surgery.Methods：The clinical data of 200 cases of pregnant women with heart failure and carrying out cesarean was retrospectively analyzed during 2005.06～2012.06.And then they were randomly divided into the control group and the observation group,each was 50 cases.The control group were accepted the conventional care,and the observation group was accepted evidence-based care.And the serum muscle enzymes,serum BNP levels before and after the two groups of nursing,VAS score,Apgar score,incidence of complications,nursing satisfaction,quality of life and psychological status were compared between the two groups.Results：（1）The VAS scores,Apgar scores,incidence of complications,nursing satisfaction were respectively（7.4±1.3）,（7.6±1.7） min,18.0%,78.0% after caring of the control group.And the index above-mentioned were respectively（4.0± 0.9）,（9.4±2.0） points,4.0%,98.0% after caring.And there was a statistical difference between the two groups（P〈0.05）;（2） According to the quality of life evaluation criteria,the QOL scores for the control group and the observation group after caring were respectively（105±5） and（133±8）,and there was a significantly statistical difference between the two groups（P〈0.01）;（3） According to HAMA,HAMD psychological evaluation scale,there was no statistical difference between the two groups for HAMA and HAMD before caring（P〈0.05）,and there existed significantly statistical difference after caring（P〈0.01）.Conclusion：Evidence-based care could significantly improve the cesarean section pregnancy complicated by heart failure of maternal and infant’s quality of life and improve the patient’s psychological status,it should be promoted and applied in clinical care.
出处
《中国医药导刊》
2013年第6期976-977,共2页
Chinese Journal of Medicinal Guide
关键词
妊娠
心力衰竭
剖宫产
干预
Pregnancy
Heart failure
Cesarean section
Care
