系统护理干预对B族链球菌感染产妇相关指标的影响

Effect of systematic nursing intervention on maternal related indicators of group B Streptococcus Infection

目的探究系统护理干预对B族链球菌(GBS)感染产妇相关指标的影响。方法选取2016年5月—2017年5月于苏州高新区人民医院接受治疗的GBS感染产妇140例,按照随机数字法分为一般护理组、系统干预组各70例,对一般护理组患者进行常规护理,对系统干预组患者进行系统护理干预。对2组患者护理前后心理状况、生活质量、自我护理能力进行评价,并对2组患者住院时间、护理质量、不良妊娠结局、新生儿不良结局及患者家属满意度进行统计对比。结果护理后系统干预组患者HAMD、HAMA评分分别为(13.88±4.13)、(12.61±4.11)分,均低于一般护理组的(17.65±4.56)、(16.58±4.46)分,生活质量评分为(64.63±5.06)分,高于一般护理组的(60.54±4.97)分(均P<0.05)。护理后系统干预组患者各项自我护理能力评分均高于一般护理组(均P<0.05)。系统干预组患者平均住院时间为(4.56±0.38)d,短于一般护理组的(5.32±0.57)d,护理质量评分为(93.53±7.21)分,高于一般护理组的(86.77±6.59)分(均P<0.05)。系统干预组不良妊娠结局发生率为4.29%,低于一般护理组的17.14%(P<0.05)。系统干预组新生儿不良结局发生率低于一般护理组(P<0.05)。系统干预组患者家属总满意率高于一般护理组(P<0.05)。结论对GBS感染产妇进行系统护理干预,能够改善患者生活、心理状况,提升患者自我护理能力,改善患者妊娠结局,使患者及家属更加满意。

Objective To explore the effect of systematic nursing intervention on the related indicators of pregnant women infected with group B Streptococcus(GBS). Methods A total of 140 parturients with GBS infection who were treated in our hospital from May 2016 to May 2017 were selected and divided into general nursing group and systematic intervention group according to random number method. Routine nursing was given to general nursing group and systematic nursing intervention group. The psychological status, quality of life and self-care ability of the two groups before and after nursing were evaluated, and the hospitalization time, nursing quality, adverse pregnancy outcomes, adverse neonatal outcomes and satisfaction degree of patients’ family members were statistically compared between the two groups. Results The scores of HAMD and HAMA in the systemic intervention group were(13.88±4.13) and(12.61±4.11) respectively, lower than those in the general nursing group(17.65±4.56),(16.58±4.46). The scores of quality of life were(64.63±5.06), higher than those in the general nursing group(60.54±4.97, all P<0.05). The scores of self-care ability in the intervention group after nursing were higher than those in the general nursing group(all P<0.05). The average hospitalization time in the systemic intervention group was(4.56±0.38) days, which was shorter than that in the general nursing group(5.32±0.57) days. The nursing quality score was(93.53±7.21), which was higher than that in the general nursing group(86.77±6.59, all P<0.05). The incidence of adverse pregnancy outcomes in the intervention group was 4.29%, lower than that in the general nursing group 17.14%(P<0.05). The incidence of adverse neonatal outcomes in the intervention group was 13.51%, which was lower than that in the general nursing group 34.25%(P<0.05). The total satisfaction rate of family members in the intervention group was 95.71%, higher than that in the general nursing group 84.29%(P<0.05). Conclusion Systematic nursing intervention for GBS infected parturients can improve patients’ life and psychological status, enhance patients’ self-care ability, improve patients’ pregnancy outcomes, and make patients and their families more satisfied.