强化护理干预对前置胎盘患者妊娠结局的影响

Effect of intensive nursing intervention on pregnancy outcomes in patients with placenta previa

目的:探讨强化护理干预对凶险性前置胎盘(PPP)患者妊娠结局的影响。方法:将60例PPP患者随机等分为对照组和观察组,对照组给予常规护理,观察组在对照组基础上加用强化护理干预,干预前后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评价患者焦虑、抑郁情绪,并比较妊娠结局。结果:干预后,观察组患者SAS评分、SDS评分均低于对照组(P<0.05),产后大出血率、子宫切除率、ICU入住率、早产儿出生率、新生儿窒息率均低于对照组(P<0.05),终止妊娠时间晚于对照组(P<0.05),新生儿体重高于对照组(P<0.05),新生儿Apgar评分高于对照组(P<0.05)。结论:强化护理干预可有效改善PPP患者妊娠结局,值得临床推广应用。

Objective： To explore the effect of intensive nursing intervention on pregnancy outcomes in patients with pernicious placenta previa（ PPP）.Methods： A total of sixty patients with PPP were randomly divided into control group and observation group. The control group was given routine nursing.The observation group was given intensive nursing intervention on the basis of control group. SAS and SDS scales were used before and after depression to evaluate anxiety and depression in patients and to compare pregnancy outcomes. Results： After the intervention,SAS score and SDS score in the observation group were lower than those in the control group（ P 〈 0. 05）. The rate of postpartum hemorrhage,hysterectomy,ICU occupancy,premature birth and neonatal asphyxia were lower than those in the control group（ P 〈 0. 05）,and the termination of pregnancy was later than that of the control group（ P 〈 0. 05）.The newborn’s body weight was higher than that of the control group（ P 〈 0. 05）,and Apgar score of neonates was higher than that of the control group（ P〈 0. 05）. Conclusions： Intensive nursing intervention can effectively improve the pregnancy outcome in patients with PPP,and is worthy of clinical application.