优质护理服务对高危妊娠孕妇的效果
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摘要
目的探讨高危妊娠孕妇产前护理需求及优质护理服务的应用效果。方法选取2017年3月—2018年3月我院收治的92例高危妊娠孕妇作为研究对象。按照随机数字表法,将其分成两组。对照组(46例)予以产前常规护理,观察组(46例)在此基础上,采取优质护理服务。记录所有孕妇的产前护理需求情况,比较两组产前心理状况,母婴结局及护理满意度。结果高危妊娠孕妇的产前护理需求主要有胎儿健康状况、孕期保健知识、高危妊娠相关知识、心理问题、分娩相关知识、经济负担等。观察组经护理后抑郁自评量表及焦虑自评量表分数较对照组均显著降低,差异具有统计学意义(P <0.01)。观察组产后出血、早产、难产、新生儿窘迫的发生率均低于对照组,但差异无统计学意义(P> 0.05)。观察组护理满意度为97.83%(45/46),与对照组82.61%(38/46)相比明显更高,差异具有统计学意义(χ2=4.43,P <0.05)。结论优质护理服务的护理效果优于常规护理,能缓解高危妊娠孕妇的不良情绪,改善母婴结局,提高护理满意度。
Objective To explore prenatal care needs for high risk pregnancy and the application effect of quality nursing services. Methods 92 cases of high-risk pregnancy in our hospital from March 2017 to March 2018 were selected as the study subjects. According to the random number table method,it was divided into two groups. The control group(46 cases) received routine prenatal care. The observation group(46 cases) adopted high quality nursing service on this basis. The prenatal care needs of all pregnant women were recorded,and the prenatal psychological status, maternal and infant outcomes and nursing satisfaction between the two groups were compared. Results Prenatal care needs of high-risk pregnant women mainly include fetal health status, pregnancy health knowledge, high-risk pregnancy-related knowledge, psychological problems,childbirth-related knowledge, economic burden and so on. The scores of self-rating depression scale(SDS) and self-rating anxiety scale(SAS) in the observation group were significantly lower than those in the control group(P < 0.01). The incidence of postpartum hemorrhage, premature delivery, dystocia and neonatal distress in the observation group was lower than that in the control group, but there was no significant difference(P > 0.05). The nursing satisfaction of the observation group was 97.83%(45/46), which was significantly higher than that of the control group 82.61%(38/46). The difference was statistically significant(χ2=4.43, P <0.05). Conclusion The nursing effect of high quality nursing service is better than routine nursing, which can relieve the bad mood of pregnant women with high risk pregnancy, improve maternal and child outcomes, improve the satisfaction of nursing.
Objective To explore prenatal care needs for high risk pregnancy and the application effect of quality nursing services. Methods 92 cases of high-risk pregnancy in our hospital from March 2017 to March 2018 were selected as the study subjects. According to the random number table method,it was divided into two groups. The control group(46 cases) received routine prenatal care. The observation group(46 cases) adopted high quality nursing service on this basis. The prenatal care needs of all pregnant women were recorded,and the prenatal psychological status, maternal and infant outcomes and nursing satisfaction between the two groups were compared. Results Prenatal care needs of high-risk pregnant women mainly include fetal health status, pregnancy health knowledge, high-risk pregnancy-related knowledge, psychological problems,childbirth-related knowledge, economic burden and so on. The scores of self-rating depression scale(SDS) and self-rating anxiety scale(SAS) in the observation group were significantly lower than those in the control group(P < 0.01). The incidence of postpartum hemorrhage, premature delivery, dystocia and neonatal distress in the observation group was lower than that in the control group, but there was no significant difference(P > 0.05). The nursing satisfaction of the observation group was 97.83%(45/46), which was significantly higher than that of the control group 82.61%(38/46). The difference was statistically significant(χ2=4.43, P <0.05). Conclusion The nursing effect of high quality nursing service is better than routine nursing, which can relieve the bad mood of pregnant women with high risk pregnancy, improve maternal and child outcomes, improve the satisfaction of nursing.
引文
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[12]彭玉娇,林华,易隽.住院孕妇高危妊娠Nesbitt评分、疾病不确定感和焦虑状态调查及相关性分析[J].中华现代护理杂志,2016,22(33):4837-4840.
[2]宋亚琴,徐惠英,冯桂兰.产前护理干预对于高危妊娠初产妇分娩结局的影响[J].护士进修杂志,2017,32(3):248-251.
[3]乐杰.妇产科学[M].6版.北京:人民卫生出版社,2006:54.
[4]金婷,张磊晶.我国常用的抑郁自评量表介绍及应用[J].神经疾病与精神卫生,2017,17(5):366-369.
[5]刘海燕,张国荣,刘新荣,等.合理孕期营养状况对降低高危妊娠结局的影响[J].中国医药导报,2016,13(5):91-94.
[6]孟利平,李建梅.高危妊娠管理模式探讨及效果评价[J].公共卫生与预防医学,2016,27(6):120-122.
[7]Zullig LL,Whitson HE,Hastings SN,et al.A Systematic Review of Conceptual Frameworks of Medical Complexity and New Model Development[J].Journal of General Internal Medicine,2016,31(3):329-337.
[8]王亚娟,轩玉宏.优质护理服务对护理质量及患者满意度的影响[J].河北医学,2016,22(7):1201-1203.
[9]刘乐,陈静,蔡亦蕴,等.音乐治疗合并心理干预对高危孕妇孕期和产后焦虑抑郁情绪的影响[J].临床精神医学杂志,2017,27(1):9-11.
[10]Khambalia AZ,Aimone A,Nagubandi P,et al.High maternal iron status,dietary iron intake and iron supplement use in pregnancy and risk of gestational diabetes mellitus:a prospective study and systematic review[J].Diabetic Medicine,2016,33(9):1211-1221.
[11]徐东萍.高危妊娠孕产妇抑郁影响因素分析[J].中国公共卫生,2014,30(8):1086-1087.
[12]彭玉娇,林华,易隽.住院孕妇高危妊娠Nesbitt评分、疾病不确定感和焦虑状态调查及相关性分析[J].中华现代护理杂志,2016,22(33):4837-4840.