急诊护理路径对重症妊娠高血压综合征预后的影响

Emergency care path the application result in severe pregnancy-induced hypertension

目的分析急诊护理路径对重症妊娠高血压综合征预后的影响。方法选取2013年2月—2015年2月于本院急诊科接收的重症妊娠高血压综合征患者112例。对照组采用常规护理模式,观察组采用急诊护理路径。对比两组患者对医务人员的满意度、妊娠方式以及胎儿状况、心理状况,计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果观察组非常满意的比例和总满意率(51.74%、91.07%)均显著高于对照组(32.14%、76.79%),观察组采用剖腹产患者的比例(37.50%)明显低于对照组(69.64%),观察组胎儿存活占比均显著高于对照组(92.86%、78.57%),对比差异均有统计学意义(均P<0.05)。观察组Apegar评分明显高于对照组,焦虑和抑郁评分均明显低于对照组评分[(9.7±0.4)、(8.1±0.5)、(33.85±5.23)、(41.80±10.26)、(44.25±9.21)、(51.29±6.26)分],对比差异均有统计学意义(均P<0.05)。结论急诊护理路径应用于重症妊娠高血压综合征的治疗中,不仅可提高患者满意度、降低胎儿死亡率,还可消除患者不良情绪,效果显著,值得推荐。

Objective Analysis of emergency care path＇s influence 5n the prognosis of severe pregnancy-induced hypertension syndrome.Methods Select 112 patients from February 2013 to February 2015 in our hospital emergency department,wich of se- vere pregnancy-induced hypertension syndrome.Control group use conventional care model,observation group adopt emergency care path.Two groups of patients were compared with satisfaction of medical staff, pregnancy and fetus,mental conditions.Count da- ta was compared with χ2 test,measurement data was processed by t test,the result of P〈0.05 was considered statistically significant. Results The satisfaction of observation group,fetal survival rate,Apegar scores were significantly higher than control group,ce- sarean section rate,anxiety and depression score in observation group were significantly lower than the control group [91.07%, 92.86%,（9.7± 0.4）scores,37.50%,（33.85± 5.23）,（44.25 ±9.21）scores,76.79%,78.57%,（8.1 ± 0.5）scores,69.64%,（41.80 ± 10.26）, （51.29 ± 6.26）scores]（aU P〈0.05）.Conclusion Emergency care path is applied in the treatment of severe pregnancy-induced hy- pertension syndrome,not only can improve patient satisfaction,reduce fetal mortality,but also can eliminate the bad feelings.The ef- fect is remarkable,and worth to recommend.