静脉穿刺留置输液管道前护患交流对早发型子痫前期患者的影响探讨

目的探讨给妊娠期高血压疾病患者静脉输液前与其充分护患交流对患者疾病的影响。方法 2008年1月～2010年9月期间住院的子痫前期患者被随机分为两组,A组(n=25)在入院后首次静脉穿刺留置静脉输液管道前其责任护士与其充分护患交流,B组(n=23)的责任护士仅告知输液药物名称,分析静脉穿刺前后患者心率、血压、无吸氧状态下血氧饱和度,并以问卷回访患者。结果 B组患者的心率在静脉穿刺后(104±12)次/分,显著高于穿刺前(96±8)次/分,P<0.05;收缩压在静脉穿刺后(173±25)mmHg显著高于穿刺前(162±21)mmHg,P<0.05;血氧饱和度穿刺后(95.2±2.3)%,显著低于穿刺前(98.6±0.9)%,P<0.05;A组患者输液前后相应指标均无发生明显变化。患者出院前不记名问卷调查结果,A组患者对责任护士满意度,对责任护士名字的记忆的正确率,对本院护理工作人文关怀的认可度均高于B组,P<0.05。两组患者的妊娠结局无显著差异。结论护患交流在子痫前期的临床护理中可以减少静脉穿刺前后的心率、血压以及血氧分压变化,体现医疗机构的人文关怀水平,提高患者对医院护理工作的认可程度,值得推广。

Objective To investigate the effect of nurse-patient communication before venous transfusion to the patients with preeclampsia.Methods From Jan 2008 to Sep 2010,48cases of preeclampsia were randomized to group A（n=25） and group B（n=23）.Group A were given consensus and well communicated before venous transfusion,while group B were just told the name of the medicine.Heart rates,blood pressure,SaO2 were analyzed.A questionnaire was given to the patient for information feedback.Results In group B,heart rate[before vs after,（96±8）bpm vs（104±12）bpm],systolic blood pressure[（162±21）mmHg vs（173±25）mmHg],SaO2[（98.6±0.9）% vs（95.2±2.3）%],P0.05.Similar phenomenon was not found in Group A.The nurses earned more satisfaction and recognition in Group A and Group B,P0.05.Conclusion Nurse-patient communication could bring stable vital sign to the preeclampsia patients and reflect humanistic care.