医学指导下的护理干预对妊娠晚期肝功能异常患者妊娠结局的影响

Effect of nursing intervention under medical guidance on pregnancy outcome in patients with liver dysfunction in late pregnancy

目的通过分析比较采用不同护理模式妊娠晚期肝功能异常孕妇的妊娠结局,探讨护理干预对其妊娠结局的影响,为临床妊娠晚期肝功能异常防治寻找有效的护理方法,降低孕妇分娩危险,促进产母婴安全与优生优育.方法选取2014-10/2015-10在丽水市妇幼保健院治疗的妊娠晚期肝功能异常患者80例.以随机实验参照原则分为实验组(42例)和对照组(38例).对照组采用常规护理,干预组在实施常规护理的基础上给予医学指导下的护理干预.将两组患者的早产、剖宫产、羊水过多、高血压病、泌尿系感染、产后出血、胎儿窘迫等发生情况及新生儿窒息和新生儿高胆红素血症发生情况进行比较.结果对两组患者的实验数据进行比较.实验组妊娠晚期肝功能异常孕妇经过护理干预后其在妊娠期早产、剖宫产、羊水过多、高血压病、泌尿系感染、产后出血、胎儿窘迫等妊娠结局病症发生率均低于对照组,差异均有统计学意义(P<0.05).实验组妊娠晚期肝功能异常患者经过护理干预后新生儿窒息和新生儿高胆红素血症发生率均低于对照组,差异均有统计学意义(P<0.05).结论对于妊娠晚期肝功能异常患者,采取医学指导下的护理干预模式,可以降低妊娠结局病症的发生率.

AIM To compare the pregnancy outcome between pregnant women with liver dysfunction in late pregnancy who received different nursing interventions and explore the effect of nursing intervention on the outcome of pregnancy, in order to reduce the risk of pregnant women and ensure maternal and child safety.METHODS From October 2014 to October 2015, 160 pregnant women with liver dysfunction in late pregnancy treated at our hospital were divided into an experimental group （84 cases） and a control group （76 cases）. The control group was given routine nursing, and the intervention group was given routine nursing under medical guidance. Preterm birth, cesarean delivery, polyhydramnios, hypertension, urinary tract infection, postpartum hemorrhage, fetal distress and the incidence of neonatal asphyxia and neonatal hyperbilirubinemia were compared between the two groups.After nursing intervention, premature birth, cesarean delivery, polyhydramnios, hypertension, urinary tract infection, postpartum hemorrhage, fetal distress and other symptoms of pregnancy were significantly reduced in the experimental group than in the control group （P 〈 0.05）. The incidence of neonatal asphyxia and neonatal hyperbilirubinemia rate were significantly lower in the experimental group than in the control group （P 〈 0.05）.CONCLUSION For patients with liver dysfunction in late pregnancy, nursing intervention under medical guidance can improve the pregnancy outcome.