循证护理干预对妊娠合并梅毒患者产程及产褥的影响

Effect of evidence-based nursing intervention on labor progress and puerperal morbidity in pregnant women with syphilis

目的探讨循证护理干预对妊娠合并梅毒患者产程及产褥的影响。方法选取2015年1月至2016年3月于商丘市第一人民医院分院收治的妊娠合并梅毒患者98例,将其随机分为两组,各49例,对照组给予常规产科护理,观察组在此基础上加用循证护理干预。比较两组产程时间、产褥发病率、健康知识知晓率及母乳喂养率。结果观察组产程时间为(11.8±2.4)h,短于对照组的(15.3±3.5)h,观察组产褥发病率为2.0%,低于对照组的16.3%,差异均有统计学意义(P<0.05);观察组健康知识知晓率与母乳喂养率均高于对照组,差异有统计学意义(P<0.05)。结论循证护理干预可促进妊娠合并梅毒患者产程进展,有效预防产褥发病,提高健康知识知晓率,改善喂养方式,值得推广应用。

Objective To explore the effect of evidence - based nursing intervention on labor progress and puerperal morbidi- ty in pregnant women with syphilis. Methods Ninety - eight pregnant women with syphilis from January of 2015 to March of 2016 were randomly divided into two groups, 49 cases in one group, the control group was given routine obstetric nursing, the ob- servation group was given evidence - based nursing intervention based on routine nursing. Breastfeeding duration, labor time, pu- erperal morbidity and health knowledge were observed. Results The labor time in the observation group was significantly shorter than that in the control group （ P 〈 0.05）, puerperal morbidity rate in the observation group was significantly lower than that in the control group （P 〈 0. 05 ）, health knowledge rate and the rate of breast feeding in the observation group were higher than that in the control group, the differences were statistically significant （P 〈 0. 05 ）. Conclusion Evidence - based nursing interven- tion can remarkably make labor time shorter, puerperal morbidity lower, improve health knowledge rate and the rate of breast feeding, worthy of application.