高危孕产妇应用风险预警评估管理模式在产科门诊管理中的效果观察

Observation on the effect of risk early warning and assessment management model for high risk pregnant women in obstetrical clinic management

目的探讨高危孕产妇应用风险预警评估管理模式在产科门诊管理中的效果观察。方法选取2018年2月—2019年2月本院产科门诊收治的126例高危妊娠产妇作为研究对象,随机分为对照组与研究组两组,每组各63例。对照组给予传统的高危评分管理模式,研究组患者给予常规的基础上加入风险预警评估管理模式。对比两组患者的生产成功率、评估符合率、抑郁评分量表(SDS)和焦虑自评量表(SAS)评分以及护理质量和护理满意度。结果研究组高危产妇生产成功率(93.7%)明显优于对照组(58.7%),差异具有统计学意义(P<0.05);研究组护理人员满意度与护理质量满意度比较明显优于对照组,差异具有显著统计学意义(P<0.05);护理前后SDS、SAS评分比较,差异具有统计学意义(P<0.05)。结论高危孕产妇应用风险预警评估管理模式,可提高高危产妇分娩成功率,提高护理满意度和护理质量,确保产妇及胎儿的生命安全。

Objective To explore the effect of applying risk early warning and assessment management model in obstetric outpatient management of high-risk pregnancy lying-in women.Methods A total of 126 highrisk pregnant women in the obstetrics clinic of our hospital were randomly selected as the study subjects.They were divided into the control group and the study group,63 cases in each.The control group was given a traditional high-risk score management model. The patients in study group were given the risk early warning assessment management model in addition to routine model. The success rate of delivery,assessment compliance rate,depression score scale( SDS) and anxiety self-rating scale( SAS) scores,as well as quality of care and satisfaction of care were compared between the two groups.Results The success rate of delivery of high-risk pregnant women in the study group( 93. 7%) was significantly better than that in the control group( 58. 7%). The satisfaction on nursing staff and nursing quality in the study group was significantly better than those of the control group,the differences were statistically significant(P<0.05).There were significant differences in SDS and SAS scores before and after nursing(P<0.05).Conclusions The application of risk early warning and evaluation management model in high-risk pregnant women could improve the success rate of delivery of them,improve nursing satisfaction and quality,and ensure the safety of maternal and fetal life.