摘要
目的探讨预见性护理对早发型重度子痫前期患者妊娠结局的影响。方法选取2014年1月~2017年4月在该院进行治疗的早发型重度子痫前期患者100例,根据护理干预模式的不同分为观察组和对照组,各50例。对照组患者行常规模式进行干预,观察组患者实施预见性护理模式。两组患者均连续干预1个月,记录并对比两组患者妊娠结局及围生儿情况,比较两组患者并发症发生情况及患者满意度。结果观察组患者产后出血、子痫发生率明显低于对照组患者,差异有统计学意义(P<0.05);观察组患者胎死宫内、胎儿宫内窘迫及新生儿窒息发生率明显低于对照组患者,差异有统计学意义(P<0.05);观察组患者并发症发生率与对照组患者相比显著降低,差异有统计学意义(P<0.05);观察组患者满意度较对照组患者显著升高,差异有统计学意义(P<0.05)。两组患者舒张压、收缩压及分娩孕周比较无显著差异,观察组患者SAS评分显著低于对照组患者,差异有统计学意义(P<0.01)。结论对早发型重度子痫前期患者实施预见性护理干预可明显改善母婴结局和焦虑状态,且并发症发生率低,患者满意度高,值得临床推广应用。
Objective To explore the effect of predictive nursing on pregnancy outcome of early onset severe preeclampsia. Methods A total of 100 patients of early onset severe preeclampsia treated in the hospital were selected from January 2014 to April 2017.According to the different nursing intervention patterns, they were divided into the observation group and the control group, 50 cases of each group.Patients in the control group received conventional intervention. Patients in the observation group were given predictive nursing mode.Patients in both groups were given continuous intervention for 1 month.Pregnancy outcomes and perinatal outcomes were recorded and compared between the two groups.The occurrence of complications and patients' satisfaction were compared between the two groups. Results The incidence of postpartum hemorrhage and eclampsia in the observation group was significantly lower than that in the control group, and the difference was statistically significant(P<0.05). The incidence of intrauterine death, fetal distress and neonatal asphyxia in the observation group was significantly lower than that in the control group, and the difference was statistically significant(P<0.05). The incidence of complications in the observation group was significantly lower than that in the control group, and the difference was statistically significant(P<0.05). The satisfaction of the observation group was significantly higher than that of the control group, and the difference was statistically significant(P<0.05). There was no significant difference in diastolic blood pressure, systolic blood pressure and delivery gestational age between the two groups.The SAS score of patients in the observation group was significantly lower than that in the control group, and the difference was statistically significant(P<0.01). Conclusion Predictive nursing intervention for patients with early onset severe preeclampsia can significantly improve maternal and infant outcomes and anxiety, lessen the incidence of complications, and improve the satisfaction of patients.It is worthy of clinical application.
作者
陈海红
索虹蔚
李卫文
朱相干
曹森杨
吴文秀
Chen Haihong;Suo Hongwei;Li Weiwen;Zhu Xianggan;Cao Senyang;Wu Wenxiu(Yancheng Maternal and Child Health Care Hospital Affilitated to Medical College of Yangzhou University,Yancheng,224002,China)
出处
《国际护理学杂志》
2019年第1期85-88,共4页
international journal of nursing
基金
2016年盐城市医学科技发展计划项目(YK2016041).
关键词
早发型重度子痫前期
预见性护理
妊娠结局
满意度
Early onset severe preeclampsia
Predictive care
Pregnancy outcome
Satisfaction degree
