安全目标阶段性赋予法在前置胎盘行期待疗法患者中的应用
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摘要
目的探讨安全目标阶段性赋予法在前置胎盘期待疗法患者中的应用效果。方法选择2017年1—12月我院收治的前置胎盘行期待疗法患者120例,随机等分为试验组与对照组,对照组采取前置胎盘行期待疗法常规护理,试验组在此基础上采用安全目标阶段性赋予法,比较两组患者干预后的焦虑自评量表评分、抑郁自评量表评分、妊娠终止时间、产后出血量、新生儿结局。结果试验组干预后焦虑与抑郁自评量表评分、产后出血量与新生儿不良结局发生率均低于对照组(P <0. 05),终止妊娠时间长于对照组(P <0. 05),新生儿阿氏评分显著高于对照组(P <0. 05)。结论采用安全目标阶段性赋予法对前置胎盘行期待疗法患者实施干预,可显著改善该类患者不良情绪及母婴结局。
Objective To explore the application effect of phased safety target method in patients with placenta previa who were treated by expectant therapy. Methods To select 120 cases of patients with placenta previa who were treated by expectant therapy in our hospital from January 2017 to December 2017 as the study subjects. They were divided into the experimental group and the control group with the same number of cases randomly. The control group was treated by routine nursing of expectant therapy for prenatal placenta,while the experimental group was nursed by phased safety target method on the same treatment of the control group. The self-rating anxiety scale score,self-rating depression scale score,termination time of pregnancy,postpartum hemorrhage,and neonatal outcome were compared between the two groups. Results After the intervention,the self-rating anxiety scale score,self-rating depression scale score,postpartum hemorrhage and incidence of neonatal adverse outcomes in the experimental group were lower than those in the control group( P < 0. 05). The termination time of pregnancy in the experimental group was longer than that in the control group( P < 0. 05),and the newborn Apgar's score was significantly higher than that of the control group( P < 0. 05). Conclusion Applying phased safety target method to intervene the patients who are treated by expectant therapy for placenta previa can improve the bad mood as well as maternal and child outcomes of these patients significantly.
Objective To explore the application effect of phased safety target method in patients with placenta previa who were treated by expectant therapy. Methods To select 120 cases of patients with placenta previa who were treated by expectant therapy in our hospital from January 2017 to December 2017 as the study subjects. They were divided into the experimental group and the control group with the same number of cases randomly. The control group was treated by routine nursing of expectant therapy for prenatal placenta,while the experimental group was nursed by phased safety target method on the same treatment of the control group. The self-rating anxiety scale score,self-rating depression scale score,termination time of pregnancy,postpartum hemorrhage,and neonatal outcome were compared between the two groups. Results After the intervention,the self-rating anxiety scale score,self-rating depression scale score,postpartum hemorrhage and incidence of neonatal adverse outcomes in the experimental group were lower than those in the control group( P < 0. 05). The termination time of pregnancy in the experimental group was longer than that in the control group( P < 0. 05),and the newborn Apgar's score was significantly higher than that of the control group( P < 0. 05). Conclusion Applying phased safety target method to intervene the patients who are treated by expectant therapy for placenta previa can improve the bad mood as well as maternal and child outcomes of these patients significantly.
引文
[1]苏丽珍,刘羿韵,朱建英.护理干预在前置胎盘期待疗法中的效果探讨[J].中国医药科学,2018,8(5):130-132.
[2]叶红梅.前置胎盘期待疗法患者综合护理体会[J].中国医药导报,2015,12(22):165-168.
[3]谭美珍.前置胎盘患者的护理干预[J].护理实践与研究,2017,14(13):58-59.
[4]徐金霞,陈金凤,徐效凡.前馈控制策略干预在改善前置胎盘期待疗法效果中的应用研究[J].中国妇幼保健,2017,32(24):6157-6159.
[5]刘艳,赵琳,罗远材,等.前置胎盘、胎盘粘连及胎盘植入的临床病理分析[J].中国妇幼保健,2015,30(11):1660-1663.
[6]宋珍美,张健.前置胎盘孕妇实行阶段性安全目标期护理的效果[J].解放军护理杂志,2015,32(16):59-61.
[7]於艾梅.阶段性目标护理对前置胎盘期待疗法孕妇负性情绪及妊娠结局的影响[J].全科护理,2017,15(11):1340-1342.
[8]张华.拉玛泽呼吸减痛分娩法对产妇分娩状况及结局的影响[J].海南医学,2018,29(2):205-207.
[9]徐青青,章桂娇.前置胎盘期待疗法孕妇的综合护理效果评[J].基层医学论坛,2016,20(20):2850-2851.
[10]范翠芳,孙艳梅,董兰,等.前置胎盘伴疤痕子宫的母婴结局附253例临床分析[J].重庆医学,2015,44(7):946-948.
[2]叶红梅.前置胎盘期待疗法患者综合护理体会[J].中国医药导报,2015,12(22):165-168.
[3]谭美珍.前置胎盘患者的护理干预[J].护理实践与研究,2017,14(13):58-59.
[4]徐金霞,陈金凤,徐效凡.前馈控制策略干预在改善前置胎盘期待疗法效果中的应用研究[J].中国妇幼保健,2017,32(24):6157-6159.
[5]刘艳,赵琳,罗远材,等.前置胎盘、胎盘粘连及胎盘植入的临床病理分析[J].中国妇幼保健,2015,30(11):1660-1663.
[6]宋珍美,张健.前置胎盘孕妇实行阶段性安全目标期护理的效果[J].解放军护理杂志,2015,32(16):59-61.
[7]於艾梅.阶段性目标护理对前置胎盘期待疗法孕妇负性情绪及妊娠结局的影响[J].全科护理,2017,15(11):1340-1342.
[8]张华.拉玛泽呼吸减痛分娩法对产妇分娩状况及结局的影响[J].海南医学,2018,29(2):205-207.
[9]徐青青,章桂娇.前置胎盘期待疗法孕妇的综合护理效果评[J].基层医学论坛,2016,20(20):2850-2851.
[10]范翠芳,孙艳梅,董兰,等.前置胎盘伴疤痕子宫的母婴结局附253例临床分析[J].重庆医学,2015,44(7):946-948.