集束化护理干预模式对高龄先兆流产患者的影响

Effect of cluster nursing intervention model on threatened abortion in elderly patients

目的:探讨对高龄先兆流产患者应用集束化护理干预模式进行护理的临床效果。方法:将2018年6月至2019年6月期间山东省东营市河口区人民医院收治80例高龄先兆流产患者作为研究对象。将这80例患者分为对照组(n=40)和研究组(n=40)。对两组患者均进行保胎治疗。在此期间,对对照组患者进行常规护理,对研究组患者应用集束化护理干预模式进行护理。然后,比较两组患者的妊娠结局、健康状况调查问卷(SF-36)的评分和症状自评量表SCL-90的评分。结果:治护后,与对照组患者相比,研究组患者中继续妊娠至足月分娩患者的比率更高,其稽留流产率更低,P<0.05;两组患者不良反应的发生率、完全流产率和胎儿畸形率相比,P>0.05。与对照组患者相比,研究组患者SF-36的评分更高,其症状自评量表SCL-90的评分更低,P<0.05。结论:对高龄先兆流产患者应用集束化护理干预模式进行护理的效果显著。

Objective:To explore the clinical effect of cluster nursing intervention mode for elderly patients with threatened abortion.Methods:From June 2018 to June 2019,80 elderly patients with threatened abortion were admitted to Hekou District People’s Hospital in Dongying city,Shandong Province.The 80 patients were divided into control group(n=40)and study group(n=40).Both groups of patients were treated for fetal protection.During this period,the control group of patients for routine care,the study group of patients with the application of cluster nursing intervention model for nursing.Then,pregnancy outcomes,health Status questionnaire(SF-36)scores,and symptom checklist 90 scores were compared between the two groups.Results:Compared with the control group,the proportion of patients in the study group who continued pregnancy to term delivery was higher,and the missed abortion rate was lower(P<0.05).The incidence of adverse reactions,the rate of complete abortion and the rate of fetal malformation were compared between the two groups(P>0.05).Compared with the control group,patients in the study group had a higher score of SF-36 and a lower score of SCL-90 on the self-rating scale of symptoms(P<0.05).Conclusion:Cluster nursing intervention mode is effective for the elderly with threatened abortion.