阶段性目标护理在前置胎盘期待疗法中的应用效果及对孕妇负性情绪、妊娠结局的影响

Effect of staged target nursing in expectant therapy of placenta previa and its influences on pregnant women’s negative emotion and pregnancy outcome

目的探究在前置胎盘期待疗法中采用阶段性目标护理的效果及对孕妇负性情绪、妊娠结局的影响。方法选取2017年9月至2018年9月我院收治的74例前置胎盘孕妇作为研究对象,所有孕妇均实施前置胎盘期待疗法。根据不同的护理方案将孕妇分为对照组和观察组,每组37例。对照组采用常规护理,观察组在常规护理基础上采用阶段性目标护理,对比两组的护理效果。结果护理后,两组SAS、SDS评分均显著低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组妊娠时间长于对照组,产后出血量少于对照组,且各项依从性评分均高于对照组,差异有统计学意义(P<0.05)。观察组孕妇及新生儿并发症总发生率均显著低于对照组,差异有统计学意义(P<0.05)。观察组护理满意度显著高于对照组,差异有统计学意义(P=0.025)。结论阶段性目标护理应用于行前置胎盘期待疗法的孕妇中,可以缓解其负性情绪,改善妊娠结局,具有较高的临床应用价值,值得推广。

Objective To explore the effect of staged targeted nursing in expectant therapy of placenta previa and its influences on pregnant women's negative emotions and pregnancy outcome.Methods A total of 74 pregnant women with placenta previa admitted in our hospital from September 2017 to September 2018 were selected as study objects.All pregnant women were treated with expectant therapy of placenta previa.According to different nursing programs, the pregnant women were divided into control group and observation group, with 37 cases in each group.The control group was treated with routine nursing, and the observation group was treated with staged targeted nursing on the basis of routine nursing.The nursing effects of the two groups were compared.Results After nursing, the scores of SAS and SDS of the two groups were significantly lower than those before nursing, and those in the observation group were lower than the control group, the differences were statistically significant (P<0.05).The pregnancy duration in the observation group was longer than that in the control group, amount of postpartum hemorrhage was less than that in the control group, and all the compliance scores were higher than those in the control group, with statistically significant differences (P<0.05).The total incidences of maternal complications and neonatal complications in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P<0.05).The nursing satisfaction in the observation group was significantly higher than that in the control group, with statistically significant difference (P=0.025).Conclusion Staged target nursing applied in expectant therapy of placenta previa can alleviate the negative emotions of pregnant women and improve the pregnancy outcome, which has high clinical application value and is worth promoting.