优质护理在重度子痫前期产妇护理中的应用
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摘要
目的探讨优质护理在重度子痫前期产妇护理中的临床应用效果,评价其临床应用价值。方法选取本院2017年1～12月所收治的181例重度子痫前期产妇,随机分为对照组和观察组,对照组91例产妇行基础护理模式,观察组90例产妇在基础护理的基础上并给予优质住院环境、优质药物治疗和心理疏导等优质护理干预方式,护理后对比分析两组产妇自身护理满意程度、SAS、SDS和生活质量评分,对比分析血压变化情况,产后出血发生率。比较两组产妇妊娠结局情况:新生儿窒息、胎儿窘迫和Apgar评分。结果观察组患者接受优质护理干预后患者满意度为96.7%高于对照组11.2%,差异有统计学意义(P <0.05)。观察组产妇SAS和SDS评分评分均低于对照组产妇,差异有统计学意义(P <0.05)。观察组产妇生活质量评分显著高于对照组,差异有统计学意义(P <0.05)。观察组产妇收缩压和舒张压均低于对照组产妇,差异有统计学意义(P <0.05)。观察组产妇产后出血发生率均低于对照组产妇,差异有统计学意义(P <0.05)。观察组产妇新生儿窒息和胎儿窘迫的发生率均低于对照组,差异有统计学意义(P <0.05)。观察组产妇新生儿Apgar评分为(9.88±0.12)分,显著高于对照组,差异有统计学意义(P <0.05)。结论重度子痫前期产妇接受优质护理干预,有效提升患者的满意度,同时降低产妇子痫发生率、大出血发生率和不良情绪发生,帮助产妇维持正常血压水平,降低新生儿窒息和胎儿窘迫发生率,提高孕妇的生活质量,有利于产妇产后恢复,值得临床进一步应用和探讨。
Objective To discuss and evaluate the clinical effects of quality nursing in maternal nursing of severe preeclampsia. Methods 181 maternal with severe preeclampsia who admitted to our hospital from January to December 2017 were randomly divided into observation group and control group.91 maternal in the control group received basic nursing,while 90 parturient women in the observation group further received high-quality nursing intervention methods such as high-quality hospitalization environment,high-quality drug treatment and psychological counseling.After the nursing,the self-care satisfaction,SAS,SDS,life quality scores,changes of blood pressure and the incidence of postpartum hemorrhage of the two groups were compared and analyzed.Pregnancy outcomes as neonatal asphyxia,fetal distress and Apgar score in the two groups were compared. Results After receiving quality nursing intervention,the patient satisfaction of the observation group was 96.7%,which was higher than that of the control group(11.2%)(P < 0.05).The SAS and SDS scores of the observation group were lower than those of the control group(P < 0.05),and the score of maternal quality of life in the observation group was higher than that in the control group(P < 0.05).The systolic blood pressure,diastolic blood pressure,incidence of postpartum hemorrhage,neonatal asphyxia and fetal distress in the observation group were significantly lower than those in the control group.All the differences were statistically significant(P < 0.05).Apgar score(9.88±0.12) in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P < 0.05).Conclusion Severe preeclampsia women with high quality nursing intervention,can effectively improve the patient's satisfaction,reduce the incidence of eclampsia and maternal bleeding incidence and bad mood,helps to maintain normal blood pressure levels,reduce the incidence of neonatal asphyxia and fetal distress,and improve the quality of life in pregnant women,which is advantageous to the maternal postpartum recovery,and worthy of clinical application and further exploration.
Objective To discuss and evaluate the clinical effects of quality nursing in maternal nursing of severe preeclampsia. Methods 181 maternal with severe preeclampsia who admitted to our hospital from January to December 2017 were randomly divided into observation group and control group.91 maternal in the control group received basic nursing,while 90 parturient women in the observation group further received high-quality nursing intervention methods such as high-quality hospitalization environment,high-quality drug treatment and psychological counseling.After the nursing,the self-care satisfaction,SAS,SDS,life quality scores,changes of blood pressure and the incidence of postpartum hemorrhage of the two groups were compared and analyzed.Pregnancy outcomes as neonatal asphyxia,fetal distress and Apgar score in the two groups were compared. Results After receiving quality nursing intervention,the patient satisfaction of the observation group was 96.7%,which was higher than that of the control group(11.2%)(P < 0.05).The SAS and SDS scores of the observation group were lower than those of the control group(P < 0.05),and the score of maternal quality of life in the observation group was higher than that in the control group(P < 0.05).The systolic blood pressure,diastolic blood pressure,incidence of postpartum hemorrhage,neonatal asphyxia and fetal distress in the observation group were significantly lower than those in the control group.All the differences were statistically significant(P < 0.05).Apgar score(9.88±0.12) in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P < 0.05).Conclusion Severe preeclampsia women with high quality nursing intervention,can effectively improve the patient's satisfaction,reduce the incidence of eclampsia and maternal bleeding incidence and bad mood,helps to maintain normal blood pressure levels,reduce the incidence of neonatal asphyxia and fetal distress,and improve the quality of life in pregnant women,which is advantageous to the maternal postpartum recovery,and worthy of clinical application and further exploration.
引文
[1]李惠贤,袁芳,吴静芝.观察优质护理在重度子痫前期孕产妇护理中应用的效果[J].中国医药科学,2016,6(24):119-121.
[2]赵惠君.重度子痫前期患者妊娠结局与并发症的优质护理体会[J].黑龙江医药科学,2017,40(5):166-167.
[3]张立.重度子痫前期孕产妇护理中优质护理的效果研究[J].中国医药科学,2017,10(20):120-123.
[4]谢帆影.对重度子痫前期孕产妇实施优质护理干预的效果分析[J].当代医药论丛,2015(3):104-105.
[5]王丽丽,赵素芬,何向群,等.硫酸镁联合尼莫地平治疗重度子痫前期临床观察[J].中国妇幼保健,2010,25(1):33-34.
[6]孙小金,殷爱师,魏曙光,等.106例重度子痫前期孕产妇的护理[J].护理实践与研究,2009,6(14):51-52.
[7]姚秀芝.硫酸镁与尼卡地平预防子痫发作的疗效比较[J].中国实用神经疾病杂志,2011,14(16):58-59.
[8]程光卉.硫酸镁联合尼卡地平治疗重度子痫前期临床疗效观察[J].中国实用医药,2016,11(18):212-213.
[9]曾映辉.尼卡地平和硫酸镁预防重度子痫前期发作的临床效果观察[J].中外医学研究,2013(1):14-15.
[10]徐芳青.优质护理在重度子痫前期孕产妇护理中的应用效果分析[J].现代诊断与治疗,2014(13):3118-3119.
[11]乐杰.妇产科学[M].第7版.北京:人民卫生出版社,2008:94.
[12]郑李明,骆建梅,杨海景.集束化护理干预对妊娠高血压疾病病人心理和子痫发生率的影响[J].全科护理,2015,13(31):3138-3139.
[13]周惠欢,黄雪凌,吴秀娥.重度子痫前期产妇规范化护理路径的制定及围产结局[J].中外医学研究,2014,12(19):104-106.
[14]JJ Chang,LJ Muglia,GA Macones.Association of early‐onset pre-eclampsia in first pregnancy with normotensivesecond pregnancy outcomes:a population‐based study[J].BJOG:An International Journal of Obstetrics&Gynaecology,2017,117(8):946-953.
[15]陈珠蝶,邱金凤,陈杏文,等.集束化护理干预在ICU重度子痫前期产妇中的效果观察[J].国际护理学杂志,2016,35(5):609-612.
[2]赵惠君.重度子痫前期患者妊娠结局与并发症的优质护理体会[J].黑龙江医药科学,2017,40(5):166-167.
[3]张立.重度子痫前期孕产妇护理中优质护理的效果研究[J].中国医药科学,2017,10(20):120-123.
[4]谢帆影.对重度子痫前期孕产妇实施优质护理干预的效果分析[J].当代医药论丛,2015(3):104-105.
[5]王丽丽,赵素芬,何向群,等.硫酸镁联合尼莫地平治疗重度子痫前期临床观察[J].中国妇幼保健,2010,25(1):33-34.
[6]孙小金,殷爱师,魏曙光,等.106例重度子痫前期孕产妇的护理[J].护理实践与研究,2009,6(14):51-52.
[7]姚秀芝.硫酸镁与尼卡地平预防子痫发作的疗效比较[J].中国实用神经疾病杂志,2011,14(16):58-59.
[8]程光卉.硫酸镁联合尼卡地平治疗重度子痫前期临床疗效观察[J].中国实用医药,2016,11(18):212-213.
[9]曾映辉.尼卡地平和硫酸镁预防重度子痫前期发作的临床效果观察[J].中外医学研究,2013(1):14-15.
[10]徐芳青.优质护理在重度子痫前期孕产妇护理中的应用效果分析[J].现代诊断与治疗,2014(13):3118-3119.
[11]乐杰.妇产科学[M].第7版.北京:人民卫生出版社,2008:94.
[12]郑李明,骆建梅,杨海景.集束化护理干预对妊娠高血压疾病病人心理和子痫发生率的影响[J].全科护理,2015,13(31):3138-3139.
[13]周惠欢,黄雪凌,吴秀娥.重度子痫前期产妇规范化护理路径的制定及围产结局[J].中外医学研究,2014,12(19):104-106.
[14]JJ Chang,LJ Muglia,GA Macones.Association of early‐onset pre-eclampsia in first pregnancy with normotensivesecond pregnancy outcomes:a population‐based study[J].BJOG:An International Journal of Obstetrics&Gynaecology,2017,117(8):946-953.
[15]陈珠蝶,邱金凤,陈杏文,等.集束化护理干预在ICU重度子痫前期产妇中的效果观察[J].国际护理学杂志,2016,35(5):609-612.