护理干预对高危妊娠初产妇分娩结局的作用

Effects of nursing intervention on the delivery outcome of highrisk primipara

目的探讨护理干预对高危妊娠初产妇分娩结局的作用。方法随机选取2018年1~8月我院高危妊娠初产妇620例,依据随机数字表法分为常规护理组(n=120)和产前护理干预组(n=500),统计分析两组初产妇的分娩结局、HAMA评分、SF-36评分。结果产前护理干预组初产妇的阴道分娩率83.2%(416/500)显著高于常规护理组56.7%(68/120),差异有统计学意义(P<0.05),剖宫产率16.8%(84/500)显著低于常规护理组43.3%(52/120),差异有统计学意义(P<0.05),产后出血率、新生儿窒息率分别为6.6%(33/500)、3.2%(16/500),均显著低于常规护理组的23.3%(28/120)、16.7%(20/120),差异有统计学意义(P<0.05),SF-36评分均显著高于常规护理组,差异有统计学意义(P<0.05),HAMA评分显著低于常规护理组,差异有统计学意义(P<0.05)。结论产前护理干预较常规护理更能有效改善高危妊娠初产妇分娩结局。

Objective To explore the effect of nursing intervention on delivery outcome of high-risk primipara.Methods 620 high-risk pregnant primiparas treated in our hospital from January to August 2018 were randomly selected and divided into routine nursing group(n=120)and prenatal nursing intervention group(n=500)according to the random number table method.The delivery outcome,Hamilton anxiety scale(HAMA)score and SF-36 score of the primiparas in the two groups were statistically analyzed.Results The vaginal delivery rate of primipara in the prenatal nursing intervention group was 83.2%(416/500),which was significantly higher than that in the routine nursing intervention group[56.7%(68/120)](P<0.05);the cesarean section rate was 16.8%(84/500),which was significantly lower than that in the routine nursing group[43.3%(52/120)],and the difference was statistically significant(P<0.05);the postpartum hemorrhage rate and neonatal asphyxia rate were 6.6%(33/500)and 3.2%(16/500),respectively,which were significantly lower than those in the routine nursing group[23.3%(28/120)and 16.7%(20/120)](P<0.05);SF-36 score was significantly higher than that of routine nursing group(P<0.05),HAMA score was significantly lower than that of routine nursing group(P<0.05).Conclusion Prenatal nursing intervention is more effective than routine nursing in improving the delivery outcome of high-risk pregnant women.