全程护理干预在中期妊娠缩宫素引产患者中的应用及体会

Application and experience of whole-course nursing intervention in management of mid-trimester pregnancy by pitocin

目的本研究旨在探讨全程护理干预在中期妊娠缩宫素引产患者围手术期的应用及效果。方法选取2013年2月至2014年11月于我院产科就诊要求终止妊娠的129例中期妊娠患者,根据随机分组原则将患者分成观察组(65例)和对照组(64例)。对照组患者围手术期给予产科常规护理,观察组患者在常规护理的基础上给予全程护理干预。对比两组患者引产过程及结局,评价两组患者引产前后焦虑、抑郁等不良心理变化。结果观察组患者缩宫素滴注后宫缩出现时间、胎儿娩出所需时间、引产程需时均短于对照组(P<0.05);两组患者入院抑郁及焦虑评分之间比较无显著差异(P>0.05),引产后观察组患者抑郁及焦虑评分显著低于对照组(P<0.05)。结论对中期妊娠引产患者实行全程护理干预,能缩短产程,减轻患者痛苦,改善患者抑郁及焦虑等不良心理,提高治疗依从性,值得在临床护理工作中推广。

Objective To investigate the application and experience of whole-course nursing intervention in management of mid-trimester pregnancy by pitocin. Methods 129 women seeking for termination of midtrimester pregnancy were enrolled during February 2013 to December 2014. They were divided into two groups：observation group（ 65 cases） and control group（ 64 cases）. The control group of patients given routine obstetric care,and the observation group given perioperative nursing intervention. The induced labor process and the negative psychological changes between two groups were compared. The satisfaction of patients of nursing were evaluated. Results The time of occurrence of uterine contractions,the time needed for fetal childbirth,and the time of induction of labor in observation group were shorter than control group（ P〈0. 05）. The depression and anxiety scores of observation group were lower than these in control group（ P〈0. 05）. Conclusions Using whole-course nursing management in patients of termination of mid-trimester pregnancy could shorten the stages of labor,reduce anxiety and depression of patients. It is worth promoting in clinical nursing work.