全程系统化护理干预在系统性红斑狼疮合并妊娠患者围产期的应用及护理

Throughout systematic application of nursing intervention in pregnancy in patients with systemic lupus erythematosus perinatal cure

目的：探讨全程系统化护理干预在系统性红斑狼疮（SLE）合并妊娠患者围产期应用的可行性。方法：将30例患者随机分为对照蛆和观察组。对照组行常规护理，包括心理护理、活动与休息、饮食护理、用药指导、随诊指导等，由专职护士完成；观察组除给予对照组护理外，同时实施全程系统化护理干预（包括建立信赖基础、认知干预、心理干预、行为干预及跟踪随访），定期通过电话或上门随访、复诊，继续实施系统的、持续的护理干预。帮助病员分析孕期SLE病情活动情况及母儿结局的影响。结果：两组病员并发症及母儿结局出较，现察组在活动性狼疮肾炎、感染、早产、胎儿丢失的发生率明显低于对照组，差异有统计学意义（P〈0．05）；而胎儿窘迫、新生儿室息的发生率2组差异无统计学意义（P〉0．05）。结论：对SLE合并妊娠患者实施奎程系统化护理干预，能帮助病人知晓SLE合并妊娠的相关知识，改善认知态度，加强预防措施，有计划妊娠，加强画妊娠期管理。密切妊娠后的病情变化，坚持遵医嘱用药，提高SLE合并妊娠病人的治疗依从性及母婴存活率。

Objective： To investigate the feasibility of application in systemic lupus erythematosus （SLE） patients with pregnancy and perinatal the full systematic care intervention. Methods：30 patients were randomly divided into a control group and the observation group. The control group un- derwent routine care, including psychological care, activity and rest, diet care, medication guide, followed up guidance, completed by a full- time nurse＇f observation group,in addition to giving the care of the control group,while the implementation of a the full＇ s~＇stematie care intervention （inclu- ding the establishment of trust based on cognitive intervention, psychological intervention, behavioral intervention and tracking follow--up）, regular follow--up by telephone or door,referral, continue to implement the system, continuous nursing intervention. Help the patient to analyze the case of SLE disease activity during pregnancy and the mother and child outcomes. Result： Of the two groups of patient complications and compare the out- come of the mother and child, the observation group in active lupus nephritis,infections, premature birth, the incidence of fetal loss was significantly lower than the control group,the difference was statistically significant （P〈0. 05）; while fetal distress, the incidence of neonatal asphyxia group difference was statistically significant （P〉0.05）. Conclusion： SLE patients with pregnancy implement full systematic nursing intervention can help patients aware of SLE with pregnancy--related knowledge, improve cognitive attitude, strengthen preventive measures, a planned pregnancy, to strengthen Wai pregnancy management,changes in condition closely after pregnancy adhere to the prescribed medication, to improve SLE with preg-nancy patient compliance with treatment,and maternal and child survival.