高危妊娠管理护理措施的临床研究

Clinical Study on Nursing Measures for High-Risk Pregnancy Management

目的分析综合性护理管理措施在高危妊娠管理护理中的应用效果.方法选取该院产科门诊在2017年8月—2018年8月期间收治的规范性产检孕妇共72例进行研究,随机编号分组,奇数号为对照组共36例,开展传统的护理管理措施;偶数号为研究组共36例,应用综合性护理管理措施,对比两组孕妇干预前后的SAS评分、SDS评分、不良妊娠结局发生率、满意度等指标.结果 SAS、SDS在干预前用量表对孕妇评估,差异无统计学意义(P>0.05),研究组孕妇经过干预后的SAS、SDS评分(40.8±1.1)分、(47.8±1.4)分均比对照组干预后的分数(43.1±1.6)分、(50.3±2.2)分低,对比差异有统计学意义(t=7.107、5.572,P<0.05),研究组不良妊娠结局发生率2.78%低于对照组16.67%,满意度91.67%比对照组72.22%高,数据分析差异有统计学意义(x^2=3.956、4.600,P<0.05).结论高危妊娠管理护理中应用综合性护理干预,改善了孕妇不良心理,降低了不良妊娠结局发生率,孕妇满意度高,临床护理中具有重要推广价值.

Objective To analyze the application effect of comprehensive nursing management measures in high-risk pregnancy management nursing. Methods A total of 72 pregnant women in the obstetrics clinic in our hospital from August 2017 to August 2018 were enrolled in the study. Randomized numbering was performed. The patients with odd number were included in the control group (n=36), treated with the traditional nursing management measures. The patients with even number were included in the observation group (n=36), treated with comprehensive nursing management. The SAS scores, SDS scores, incidence of adverse pregnancy outcomes, and satisfaction were compared between the two groups. Results There was no statistically significant difference in SAS and SDS before intervention(P>0.05). The SAS and SDS scores of pregnant women in study group after intervention were (40.8±1.1)points and (47.8±1.4)points, which were lower than those of control group (43.1±1.6)points,(50.3±2.2)points. The difference was statistically significant (t=7.107,5.572,5.572, P<0.05). The incidence of adverse pregnancy outcomes in the study group was 2.78%, which was lower than that in the control group (16.67%). And the satisfaction rate was 91.67%, which was higher than that in the control group (72.22%). There was statistically significant difference between the two groups (χ^2=3.956, 4.600,P<0.05). Conclusion The application of comprehensive nursing intervention in high-risk pregnancy management nursing improves the bad psychology of pregnant women, reduces the incidence of adverse pregnancy outcomes, with high satisfaction of pregnant women. It has the value of promotion in clinical nursing.