优质护理服务对妊娠高血压产妇分娩结局的改善研究

Study on the Improvement of Delivery Outcome of Pregnant Hypertensive Women with High Quality Nursing Service

目的分析优质护理服务对妊娠高血压产妇分娩结局的改善情况。方法选择2016年11月-2018年11月该院妇产科收治的40例妊高症孕妇为研究对象,将其分为两组,每组20例。对照组接受常规化护理,以此为基础,观察组接受优质护理,分析结果。结果干预前,两组患者血压、心率差异无统计学意义(P>0.05)。干预后,两组患者的血压以及心率指标有所改善,和对照组相比,观察组患者的血压、心率改善情况更好,差异有统计学意义(P<0.05)。干预前,两组患者的SAS以及SDS分数差异无统计学意义(P>0.05)和干预前相比,干预后观察组的SAS以及SDS分数改善情况明显更好,差异有统计学意义(P<0.05)。对照组新生儿中:胎儿窘迫6例,占30.00%。新生儿窒息2例,占10.00%。观察组新生儿中,胎儿窘迫2例,占10.00%。新生儿窒息1例,占5.00%,差异有统计学意义(χ2=5.261、6.321,P<0.05)对照组产妇分娩情况为,剖宫产11例,占55.00%。早产4例,占20.00%。产后出血5例,占25.00%。胎盘早剥3例,占15.00%。观察组产妇分娩情况为,剖宫产5例,占25.00%。早产1例,占5.00%。产后出血1例,占5.00%。胎盘早剥1例,占5.00%,差异有统计学意义(χ2=8.251、4.251、4.251、6.963,P<0.05)。结论对于妊娠高血压患者,开展优质化护理服务能够取得满意效果。此举有助于稳定受试者血压,改善新生儿出生结局,降低不良分娩概率。具有较高的临床应用价值,因此值得进一步推广应用。

Objective To analyze the improvement of maternal delivery outcomes for pregnancy-induced hypertension by quality care services. Methods Forty pregnant women with pregnancy-induced hypertension admitted to our department of obstetrics and gynecology from November 2016 to November 2018 were selected. They were divided into two groups, 20 cases in each group. The control group received conventional nursing. Based on this, the observation group received quality nursing. And the results were analyzed. Results Before intervention, there was no statistically significant difference between the two groups in blood pressure, heart rate(P>0.05). After intervention, blood pressure and heart rate indicators of the two groups have improved. And the improvements in the observation group was better than that in the control group,the difference was statistically significant(P <0.05). Befo re intervention, SAS and SDS scores of the two groups have no statistically significant difference(P>0.05). After intervention, SAS and SDS score improvement of observation group was better,the difference was statistically significant(P<0.05). Neonates in the control group, 6 cases of fetal distress, accounting for 30.00%;2 cases of neonatal asphyxia, accounting for 10.00%. Among the observation group: 2 cases of fetal distress, accounting for 10.00%;1 case of neonatal asphyxia, accounting for5.00%,the difference was statistically significant(χ2=5.261, 6.321,P<0.05). In the control group, there were 11 cases of cesarean section(55.00%), 4 cases of preterm birth(20.00%), 5 cases of postpartum hemorrhage(25.00%), and 3 cases of placental abruption(15.00%). In the observation group, there were 5 cases of cesarean section(25.00%), 1 case of preterm birth(5.00%), 1 case of postpartum hemorrhage(5.00%), and 1 cases of placental abruption(5.00%),the difference was statistically significant(χ2=8.251,4.251,4.251,6.963,P <0.05). Conclusion For pregnancy hypertension patients, the implementation of high-quality nursing services can achieve satisfactory results. It will help stabilize blood pressure, improve birth outcomes and reduce the risk of poor delivery. It has high clinical application value, so it is worth further popularizing.