优质护理干预对重度子痫前期孕产妇及新生儿的影响

Application of high quality nursing intervention on puerperal women with severe preeclampsia

目的探讨优质护理干预对重度子痫前期孕产妇及新生儿的影响。方法将91例重度子痫前期孕妇随机分为干预组45例和对照组46例,2组均行卧床休息、吸氧、降压、解痉、营养支持等治疗,对照组给予常规护理,干预组在对照组基础上给予优质护理干预。结果干预组终止妊娠时孕周显著大于对照组,产妇及围生儿并发症显著少于对照组(P<0.05)。干预组存活新生儿体质量及Apgar评分均高于对照组,产妇产后VAS评分低于对照组,产后第1天睡眠时间长于对照组,差异均有统计学意义(P<0.05或P<0.01)。产后,2组产妇SAS、SDS评分均显著下降(P<0.01),且干预组显著低于对照组(P<0.01)。结论对重度子痫前期孕产妇实施科学规范的护理措施,有助于改善妊娠结局,提高围产儿存活率及新生儿Apgar评分,促进产妇产后康复。

Objective To investigate the effect of high quality nursing intervention on puer- peral women with severe preeclampsia and neonates. Methods A total of 91 puerperal women with severe preeclampsia were randomly divided into intervention group （n =-45 ） and control group （n = 46）, the two groups were both given conventional treatment and nursing care such as oxygen inhala- tion, antihypertensive therapy, spasmolysis and nutrition support. The observation group applied high quality nursing intervention. The maternal and neonatal outcomes were compared between two groups. Results The gestational age was longer in intervention group than that of the controls at the termina- tion of pregnancy （P 〈 0.05 ）. Intervention group had a lower incidence of maternal and perinatal complications compared with the controls （P 〈 0.05 ）. The body weight and Apgar score were higher in neonates in intervention group than that in the control group （P 〈 0.05 ）. After delivery, scores of self-rating anxiety scale （SAS） and self-rating depression scale （SDS） decreased in both group than delivery before （P 〈 0.01 ） , which were markedly lower in intervention group than those in control group, and the difference were significant （P 〈 0.01 ）. Conclusion Scientific and normalized nurs- ing management can improve the pregnant outcomes, enhance the survival rate and Apgar score of ne- onates, and promote the maternal rehabilitation.