优质护理在重度子痫前期产妇护理中的应用

Application of quality nursing in maternal nursing of severe preeclampsia

目的探讨优质护理在重度子痫前期产妇护理中的临床应用效果,评价其临床应用价值。方法选取本院2017年1～12月所收治的181例重度子痫前期产妇,随机分为对照组和观察组,对照组91例产妇行基础护理模式,观察组90例产妇在基础护理的基础上并给予优质住院环境、优质药物治疗和心理疏导等优质护理干预方式,护理后对比分析两组产妇自身护理满意程度、SAS、SDS和生活质量评分,对比分析血压变化情况,产后出血发生率。比较两组产妇妊娠结局情况:新生儿窒息、胎儿窘迫和Apgar评分。结果观察组患者接受优质护理干预后患者满意度为96.7%高于对照组11.2%,差异有统计学意义(P <0.05)。观察组产妇SAS和SDS评分评分均低于对照组产妇,差异有统计学意义(P <0.05)。观察组产妇生活质量评分显著高于对照组,差异有统计学意义(P <0.05)。观察组产妇收缩压和舒张压均低于对照组产妇,差异有统计学意义(P <0.05)。观察组产妇产后出血发生率均低于对照组产妇,差异有统计学意义(P <0.05)。观察组产妇新生儿窒息和胎儿窘迫的发生率均低于对照组,差异有统计学意义(P <0.05)。观察组产妇新生儿Apgar评分为(9.88±0.12)分,显著高于对照组,差异有统计学意义(P <0.05)。结论重度子痫前期产妇接受优质护理干预,有效提升患者的满意度,同时降低产妇子痫发生率、大出血发生率和不良情绪发生,帮助产妇维持正常血压水平,降低新生儿窒息和胎儿窘迫发生率,提高孕妇的生活质量,有利于产妇产后恢复,值得临床进一步应用和探讨。

Objective To discuss and evaluate the clinical effects of quality nursing in maternal nursing of severe preeclampsia. Methods 181 maternal with severe preeclampsia who admitted to our hospital from January to December 2017 were randomly divided into observation group and control group.91 maternal in the control group received basic nursing,while 90 parturient women in the observation group further received high-quality nursing intervention methods such as high-quality hospitalization environment,high-quality drug treatment and psychological counseling.After the nursing,the self-care satisfaction,SAS,SDS,life quality scores,changes of blood pressure and the incidence of postpartum hemorrhage of the two groups were compared and analyzed.Pregnancy outcomes as neonatal asphyxia,fetal distress and Apgar score in the two groups were compared. Results After receiving quality nursing intervention,the patient satisfaction of the observation group was 96.7%,which was higher than that of the control group (11.2%)(P<0.05).The SAS and SDS scores of the observation group were lower than those of the control group(P<0.05),and the score of maternal quality of life in the observation group was higher than that in the control group(P<0.05).The systolic blood pressure,diastolic blood pressure,incidence of postpartum hemorrhage,neonatal asphyxia and fetal distress in the observation group were significantly lower than those in the control group.All the differences were statistically significant (P<0.05).Apgar score (9.88±0.12) in the observation group was significantly higher than that in the control group,and the difference was statistically significant (P<0.05). Conclusion Severe preeclampsia women with high quality nursing intervention,can effectively improve the patient's satisfaction,reduce the incidence of eclampsia and maternal bleeding incidence and bad mood,helps to maintain normal blood pressure levels,reduce the incidence of neonatal asphyxia and fetal distress,and improve the quality of life in pregnant women,which is advantageous to the maternal postpartum recovery,and worthy of clinical application and further exploration.