中医情志护理在胎心监护室孕妇中的应用研究

Study on Application of Chinese Medicine Emotional Nursing in Pregnant Women in Fetal Monitor Room

目的:观察中医情志护理在胎心监护室孕妇中的应用效果。方法:选取215例胎心监护室孕妇为观察对象,按照随机数字表法分为对照组107例与观察组108例。对照组给予常规护理,观察组在对照组基础上实施中医情志护理。对比2组胎儿宫内窘迫漏/误诊率、新生儿Apgar评分、焦虑评分、抑郁评分及妊娠结局。结果:观察组宫内窘迫漏/误诊率低于对照组(P<0.05),新生儿Apgar评分≥8分占比高于对照组(P<0.05)。护理后,2组焦虑、抑郁评分均较护理前降低(P<0.05),观察组焦虑、抑郁评分均低于对照组(P<0.05)。观察组非病理性剖宫产、产后出血发生率均低于对照组(P<0.05)。2组新生儿窒息发生率比较,差异无统计学意义(P>0.05)。结论:中医情志护理用于胎心监护室孕妇中,可以降低胎儿宫内窘迫漏/误诊发生率,减轻孕妇焦虑、抑郁情绪,改善妊娠结局。

Objective:To observe the applicational effect of Chinese medicine emotional nursing on pregnant women in fetal monitor room. Methods:A total of 215 pregnant women in fetal monitor room were selected and divided into the control group(107 cases) and the observation group(108 cases) according to the random number table method. The control group was given conventional nursing,and the observation group was additionally given Chinese medicine emotional nursing based on the control group. The missing or misdiagnosis rate of intrauterine distress, Apgar score for newborns, anxiety score,depression score and pregnancy outcome were compared between the two groups. Results:The missing or misdiagnosis rate in the observation group was lower than that in the control group(P<0.05),and the proportion of Apgar score equal to or over eight was higher than that in the control group(P<0.05). After nursing, the scores of anxiety and depression in both groups were decreased when compared with those before nursing(P<0.05),and the two scores obove in the observation group were lower than those in the control group(P<0.05). The incidence of non-pathological cesarean section and postpartum hemorrhage in the observation group was lower than that in the control group(P<0.05). There was no significant difference in the comparison of the incidence of neonatal asphyxia between the two groups(P>0.05). Conclusion:Chinese medicine emotional nursing for pregnant women in fetal monitor room,can reduce the incidence of missing or misdiagnosis rate of intrauterine distress,lessen their anxiety and depression,and improve pregnancy outcome.