摘要
目的基于King达标理论为前置胎盘剖宫产产妇制订综合护理干预,探究该护理方案对产后出血、新生儿状况的影响。方法选取2022年3月至2025年1月合肥市第一人民医院妇产科收治的80例前置胎盘拟行剖宫产产妇为研究对象,按照随机数字表法分为参照组(40例)和研究组(40例)。参照组实施常规护理,研究组实施基于King达标理论的综合护理干预。比较两组产妇产后出血、新生儿不良结局、产妇不良结局、产妇心理状况。结果研究组产后出血率0.00%、新生儿不良结局率0.00%、产妇不良结局率2.50%,均低于参照组的10.00%、12.50%、15.00%,差异有统计学意义(P<0.05)。研究组干预后焦虑自评量表评分、抑郁自评量表评分低于参照组,差异有统计学意义(P<0.05)。结论基于King达标理论为前置胎盘剖宫产产妇制订综合护理措施,效果显著,能够降低产妇产后出血风险、新生儿不良结局、产妇不良结局风险,并改善产妇心理状况。
Objective To formulate a comprehensive nursing intervention for parturients with placenta previa undergoing cesarean section based on the theory of goal attainment and explore the effect of this nursing program on postpartum hemorrhage and neonatal conditions.Methods A total of 80 parturients with placenta previa scheduled for cesarean section admitted to the Department of Obstetrics and Gynecology,Zunyi First People's Hospital from March 2022 to March 2025 were selected as the study subjects.They were divided into the reference group(40 cases)and the study group(40 cases)using the random number table method.The reference group received routine nursing care,while those in the study group received comprehensive nursing intervention based on the theory of goal attainment.The postpartum hemorrhage,adverse neonatal outcomes,adverse maternal outcomes and psychological conditions of the two groups of parturients were compared.Results The incidence rates of postpartum hemorrhage,adverse neonatal outcomes,adverse maternal outcome in the study group were 0.00% and 0.00%,2.50%,respectively,which were lower than those in the reference group(10.00%,12.50%,15.00%),the differences were statistically significant(P<0.05).After the intervention,the scores of the self-rating anxiety scale and the self-rating depression scale in the study group were lower than those in the reference group,and the differences were statistically significant(P<0.05).Conclusion Comprehensive nursing interventions based on the theory of goal attainment for parturients with placenta previa undergoing cesarean section are highly effective,capable of reducing the risks of postpartum hemorrhage and neonatal adverse outcomes,and adverse maternal outcome,and improving maternal psychological status.
作者
邹启静
王刚
白恒义
冯志霞
ZOU Qijing;WANG Gang;BAI Hengyi;FENG Zhixia(Department of Obstetrics and Gynecology,Zunyi First People's Hospital(the Third Affiliated Hospital of Zunyi Medical University),Guizhou Province,Zunyi 563000,China;Department of Radiology,Guizhou Aerospace Hospital,Guizhou Province,Zunyi 563000,China;Department of Gynecology,Zunyi First People's Hospital(the Third Affiliated Hospital of Zunyi Medical University),Guizhou Province,Zunyi 563000,China)
出处
《中国当代医药》
2025年第25期155-158,163,共5页
China Modern Medicine
关键词
前置胎盘
剖宫产
KING达标理论
综合护理措施
Placenta previa
Cesarean section
Theory of goal attainment
Comprehensive nursing intervention
