全程护理小组对高危妊娠初产妇妊娠结局与分娩后并发症的影响

Influence of whole-course care group on that outcome of pregnancy and postpartum complications in high-risk pregnant primipara

目的探讨全程护理小组对高危妊娠初产妇妊娠结局与分娩后并发症的影响。方法选择2016年6—12月于医院待产的120例高危妊娠初产妇作为研究对象,按随机数字表法等分为对照组与观察组,对照组采用产科护理;观察组加用全程护理干预。比较两组妊娠及新生儿结局,观察两组产妇分娩疼痛情况,记录两组阴道出血量、子宫复旧时间、初次泌乳时间,测定干预前后产妇焦虑自评量表(SAS)、抑郁自评量表(SDS)的变化,统计并发症发生率。结果观察组阴道分娩率、新生儿无窒息率略高于对照组,但比较差异无统计学意义(P>0.05),观察组阴道出血量少于对照组(P<0.05),子宫复旧时间、初次泌乳时间均短于对照组(P<0.05)。观察组出院时SAS,SDS评分均低于对照组(P<0.05),其分娩疼痛程度轻于对照组(P<0.05),产后出血、产后抑郁发生率低于对照组(P<0.05)。结论在高危妊娠初产妇中应用全程护理模式,组建全程护理小组,可改善产妇心理状况,减轻分娩疼痛,促进产后恢复,有助于改善母婴结局。

Objective To explore the effect of whole-course care group on that outcome of pregnancy and postpartum complications in high-risk pregnant primipara.Methods To select 120 high-risk pregnant women waiting to deliver in the hospital as the study subjects from June to December 2016,divided them into the control group and the observation group according to the random number table method,the obstetrical care was used in the control group,and the whole-course nursing intervention was used in the observation group based on the control group'treatment.The pregnancy outcomes and neonatal outcomes were compared between the two groups.The maternal pain during delivery was observed.The vaginal bleeding,time of uterine involution,and time of initial lactation were recorded.The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were measured before and after intervention.The incidence of complications was statistically investigated.Results The vaginal delivery rate and neonatal non-asphyxia rate in the observation group were slightly higher than those in the control group,but there was no statistically significant difference between the two groups(P>0.05).The vaginal bleeding volume in the observation group was less than that in the control group(P<0.05).The uterine involution time and initial lactation time were all shorter than those in the control group(P<0.05).The SAS and SDS scores of the observation group at the time of discharge from the hospital were lower than those of the control group(P<0.05).The degree of pain at the delivery was lighter than that of the control group(P<0.05),and the incidence of postpartum hemorrhage and postpartum depression was lower than that of the control group(P<0.05).Conclusion The application of whole-course nursing model in high-risk pregnancies and the establishment of a whole-course nursing group can improve maternal psychological status,relieve labor pain,promote postpartum recovery,and help improve maternal and child outcomes.