个体化护理与“双环学习”理念在早发型重度子痫前期患者中的应用研究

Application of individualized nursing and double loop learning in early onset severe preeclampsia

目的将企业管理中的＂双环学习＂理念与个体化护理实践相结合，分析该方法在早发型重度子痫前期（ESPE）患者护理管理中的应用价值。方法选取产科2014年1月至2016年12月诊治的ESPE患者，按随机数字表法分为观察组和对照组，观察组采用引入＂双环学习＂理念的个体化护理方法，对照组采用常规护理方法，比较2组病例入院时情况、母儿妊娠结局和护理满意度情况。结果观察组96例，对照组101例。2组年龄、入院时孕周、收缩压、舒张压、24 h尿蛋白定量比较差异均无统计学意义（P〉0.05）；2组终止妊娠方式及时机比较，观察组剖宫产87例，对照组剖宫产94例，2组比较差异无统计学意义（P〉0.05）；观察组分娩孕周、新生儿窒息发生率、护理满意度分别为（35.5 ± 2.7）周、5.2%（5/96）、90.6%（87/96），对照组分别为（34.1 ± 2.0）周、15.8%（16/101）、72.3%（73/101），2组比较差异均有统计学意义（t=4.149，χ2=5.843、10.862，P〈0.05或0.01）。结论将个体化护理与＂双环学习＂理念用于ESPE患者护理管理中，能够改善母儿妊娠结局，提升护理满意度。

Objective Combining the concept of double loop learning in enterprise management with individualized nursing practice, the application value of this method in nursing care of patients with early onset severe preeclampsia （ESPE） was analyzed.MethodsPatients with ESPE were selected from January 2014 to December 2016, which were divided into observation group and control group by random digits table method. The patients in observation group were given individualized nursing care with the idea of double loop learning, while the patients in control group received routine nursing care. The hospital admission, maternal pregnancy outcome and nursing satisfaction of the patients were compared between two groups.ResultsThe observation group included 96 cases and the control group included 101 cases. There was no significant difference between two groups in age, gestational age, systolic blood pressure, diastolic blood pressure, and 24 hours urine protein（P〉0.05）. There were 87 cases of cesarean section in the observation group, while 94 cases in the control group, and there was no significant difference（P〉0.05）. The gestational weeks, the incidence of neonatal asphyxia, the nursing satisfaction was （35.5±2.7） weeks, 5.2%（5/96）, 90.6%（87/96） in the observation group and （34.1±2.0） weeks, 15.8%（16/101）, 72.3%（73/101） in the control group, the difference was statistically significant（t=4.149, χ2=5.843, 10.862, P〈0.05 or 0.01）.ConclusionsIn the ESPE nursing management, the individualized nursing and double loop learning can improve the child pregnancy outcomes and nursing satisfaction.