全程多元护理干预对妊娠合并心脏病产妇母婴结局的影响

The impact of whole course and multivariate nursing intervention on the outcomes of the pregnancies of women complicated with heart disease and their infants

目的 探讨全程多元护理干预对于妊娠合并心脏病产妇母婴妊娠结局的影响与作用.方法 选取2008年1月-2015年6月该院收治的妊娠合并心脏病患者138例,随机分为观察组71例和对照组67例.对照组给予常规护理,观察组给予全程多元护理.结果 观察组孕妇阴道分娩49例,足月分娩55例,心衰发生2例,孕妇死亡0例,平均住院天数6.78d;而对照组阴道分娩35例,足月分娩39例,心衰发生8例,孕妇死亡4例,平均住院天数9.26d,两组比较,差异有统计学意义（P〈0.05）.观察组新生儿轻度窒息7例,重度窒息2例,新生儿死亡0例;而对照组新生儿轻度窒息16例,重度窒息8例,新生儿死亡5例,两组比较,差异有统计学意义（P〈0.05）.结论 全程多元护理对于妊娠合并心脏病产妇的母婴结局有重要影响,作用安全可靠,值得临床推广应用.

Objective To explore the influence and effects of whole course and multivariate nursing interven-tion on the outcomes of the pregnancies of women complicated with heart disease and their infants.Methods A total of 138 cases of pregnant women complicated with heart disease from January 2008 to June 2015 were selected and were ran-domly divided into observation group with 71 cases and control group with 67 cases.The control group was given routine nursing, while the observation group was given whole course and multivariate nursing.Results The cases of vaginal de-livery, term labor, heart failure, death and the average hospitalization stay were respectively 49, 55, 2, 0 and 6.78 days for the observation group,and the cases of vaginal delivery, term labor, heart failure, death and the average hos-pitalization stay were respectively 35, 39, 8, 4 cases and 9.26 days for the control group, and the differences between the two groups were statistically significant（P〈0.05）.The cases of neonatal mild asphyxia, severe asphyxia and neo-natal death were 7, 2 and 0 for the observation group, and the cases of neonatal mild asphyxia, severe asphyxia and neonatal death were 16, 8 and 5 cases for the control group, and the differences between the two groups were statistical-ly significant（P〈0.05）.Conclusions The whole course nursing and multivariate nursing intervention have an impor-tant influence on the outcomes of the pregnancies of women complicated with heart disease and their infants, which is safe and reliable and is worthy of clinical promotion.