妊娠合并梅毒产妇分娩期循证护理的应用

Application of syphilis during pregnancy lying-in woman evidence-based nursing

目的探讨循证护理在妊娠合并梅毒产妇分娩期的应用。方法选取2010年3月～2013年3月来本院分娩的以梅毒快速血浆反应(RPR)阳性而确诊的妊娠合并梅毒分娩的产妇45例,作为观察组,患者在产科常规护理的基础上进行循证护理;选取2008年3月～2009年12月在本院住院分娩的妊娠合并梅毒的产妇48例(对照组),采用常规护理,观察两组患者的遵医行为、母乳喂养、产程时间、产褥发病和健康知识知晓情况。结果观察组患者的遵医行为、母乳喂养、健康知识知晓情况均高于对照组,差异有统计学意义(P<0.05);产程时间、产褥发病情况低于对照组,差异有统计学意义(P<0.05)。结论循证护理模式有利于提高妊娠合并梅毒产妇的健康知识水平及母乳喂养率,降低产程时间和产褥发病。

Objective To explore the application of evidence-based nursing on patients with syphms m pregnancy. Methods 45 cases of maternal From 2010 March - 2013 year in March to our hospital with syphilis rapid plasma reaction （RPR） positive and pregnancy were complidated syphilis delivery confirmed （observation group）,which was given the evidence-based nursing based on the routine obstetric care.48 cases From 2010 March to 2013 March in the inpatient pregnant pregnancy complicated syphilis maternal （control group）,which treated with conventional care. The compliance,two groups of patients with breast feeding, time of birth process, puerperal morbidity and health knowledge were observed. Results The compliance behavior, groups of patients with breast feeding,health knowledge of observation group was higher than that of the control group,the difference was statistically significant（P 〈 0.05）. Time of birth process, postpartum morbidity was lower than the control group the difference was statistically significant （P 〈 0.05）. Conclusion Evidence-based nursing is beneficial to the improvement of syphilis in pregnancy health knowledge level and the rate of breast feeding, reduce the labor time and puerperal morbidity.