循证护理在重度子痫前期孕产妇中的应用

Application of evidence-based nursing care in pregnancy with severe preeclampsia

目的探讨循证护理在重度子痫前期孕产妇中的应用。方法选取2015年1月~2016年2月我院产科收治的200例重度子痫前期孕产妇,随机分为观察组与对照组,各100例。对照组给予临床常规护理,观察组给予循证护理干预,比较两组产妇产后并发症、住院时间、护理满意度及新生儿并发症发生率、Apgar评分。结果观察组产妇产后并发症发生率低于对照组,住院时间短于对照组,护理满意度高于对照组;观察组新生儿胎儿早产、宫内窘迫、新生儿窒息并发症发生率均低于对照组,Apgar评分高于对照组,差异有统计学意义(P<0.05)。结论应用循证护理方式对重度子痫前期孕产妇进行干预护理可有效降低孕产妇及新生儿相关不良并发症发生率,提高临床护理质量与新生儿生存质量,缩短治疗时间,具有较高的临床应用价值。

Objective To explore application of evidence-based nursing care in preeclampsia pregnancy.Methods 200 patients with severe preeclampsia in our hospital from January 2015 to February 2016 were selected and randomly di- vided into the observation group and the control group,with 100 cases in each group.The control group was given routine nursing,while the observation group was given evidence-based nursing intervention.The incidence of complication,the length of hospital stays and nursing satisfaction of pregnancy and the incidence of complication and score of Apgar of newborns were compared between two groups.Results The incidence of complication of pregnancy in the observation group was lower than that in the control group,the length of hospital stays was shorter than that in the control group,the nursing satisfaction was higher than that in the control group;the incidence of complication of pregnancy （fetiparous,fetal distress,neonatal asphyxia） in the observation group was lower than that in the control group,the score of Apgar of new borns was higher than that in the control group,and the differences were statistically significant （P〈0.O5）.Conclusion The use of evidence-based nursing approach for the treatment of severe preeclampsia pregnant women can effectively prevent maternal and neonatal related adverse complications, improve the quality of clinical care and neonatal quality of life, shorten the treatment time, has a high clinical application value.