摘要
目的研究阶段性安全目标期护理在前置胎盘孕妇中的应用效果。方法选取2017年6月至2018年6月我院收治的120例前置胎盘孕妇作为研究对象,采用随机数字表法将其分为对照组和观察组,每组60例。观察组给予阶段性安全目标期护理,对照组给予期待治疗的护理。比较两组孕妇的心境状况、分娩结局、产程用时、产时出血量、产后2 h出血量。结果观察组紧张-焦虑、抑郁-沮丧、疲惫-迟钝、愤怒-敌意、迷惑-紊乱评分显著均低于对照组,精力-活力评分显著高于对照组,差异具有统计学意义(P<0.05)。观察组的剖宫产率、中转剖宫产率、会阴侧切率、会阴裂伤率均低于对照组,差异具有统计学意义(P<0.05)。观察组第1、2、3产程用时均短于对照组,差异具有统计学意义(P<0.05)。观察组的产时出血量和产后2 h出血量均明显少于对照组,差异具有统计学意义(P<0.05)。结论阶段性安全目标期护理用于前置胎盘孕妇中,可以明显改善孕妇的心理状况,优化其妊娠结局,缩短产程用时,减少产时及产后2 h出血量,值得临床推广应用。
Objective To study the application effect of staged safety target period nursing in pregnant women with placenta previa.Methods A total of 120 pregnant women with placenta previa admitted in our hospital from June 2017 to June 2018 were selected as the study objects.The pregnant women were divided into control group and observation group by random number table method,with 60 cases in each group.The observation group was given staged safety target period nursing,and the control group was given nursing of expectation treatment.The state of mind,the delivery outcome,the duration of labor,the amount of bleeding during delivery and 2 hours after delivery were compared between the two groups.Results The scores of tension-anxiety,depression-frustration,fatigue-dullness,anger-hostility and bewilder-disorder in the observation group were significantly lower than those in the control group,and the score of energy-vitality was significantly higher than that in the control group,the differences were statistically significant(P<0.05).The rates of cesarean section,conversion to cesarean section,lateral section of perineum and laceration of perineum in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The duration of the first,second and third stages of labor in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The amount of bleeding during delivery and 2 hours after delivery in the observation group were significantly less than those in the control group,the differences were statistically significant(P<0.05).Conclusion Staged safety target period nursing can significantly improve the psychological status of pregnant women,optimize pregnancy outcome,shorten the duration of labor,and reduce the amount of bleeding during delivery and 2 hours after delivery in pregnant women with placenta previa,which is worthy of clinical promotion and application.
作者
李宝琴
朱丹
LI Bao-qin;ZHU Dan(the First People's Hospital of Xianyang,Xianyang 712000;Hanzhong People's Hospital,Hanzhong 723000,China)
出处
《临床医学研究与实践》
2020年第9期150-152,共3页
Clinical Research and Practice
关键词
阶段性安全目标期护理
前置胎盘
孕妇
分娩结局
staged safety target period nursing
placenta previa
pregnant woman
delivery outcome
