先兆流产患者行优质护理对其妊娠结局的影响

The Influence of High-quality Nursing for Threatened Abortion Patients on Pregnancy Outcome

目的探究先兆流产患者行优质护理对其妊娠结局的影响。方法方便择取2018年3月—2020年2月期间该院收治的90例先兆流产患者参与研究,根据数字表法进行随机分组,包括对照组45例(常规护理)和观察组45例(优质护理)。比较两组患者保胎成功率、分娩方式、不良事件发生率,治疗前后患者的GSES、SAS及SDS评分。结果观察组患者保胎成功率(93.33%)及自然分娩率(71.11%)高于对照组(75.56%、24.44%),剖宫产率(17.78%)及不良事件发生率(11.11%)低于对照组(42.22%、35.56%),组间差异有统计学意义(χ^(2)=5.414、19.638、6.402、7.516,P<0.05);两组患者阴道助产率(观察组4.44%、对照组8.89%)比较,差异无统计学意义(χ^(2)=0.179,P>0.05);干预后,观察组患者GSES评分(28.74±2.06)分高于对照组(22.41±2.23)分,SAS及SDS评分(28.46±2.35)分、(30.63±2.51)分低于对照组(35.57±2.28)分、(38.39±2.64)分,组间差异有统计学意义(t=13.987、14.567、14.290,P<0.05)。结论优质护理的开展能够提升先兆流产患者的保胎成功率,因此值得在临床中进行推广应用。

Objective To explore the influence of high-quality nursing care on the outcome of pregnancy in patients with threatened abortion.Methods From March 2018 to February 2020,90 patients with threatened abortion admitted to the hospital were conveniently selected to participate in the study,and randomized according to the number table method,including 45 cases in the control group(routine care)and 45 cases in the observation group(high quality care).The two groups of patients were compared with the success rate of fetal preservation,delivery methods,incidence of adverse events,and the GSES,SAS and SDS scores of patients before and after treatment.Results The success rate(93.33%)and spontaneous delivery(71.11%)of patients in the observation group were higher than those of the control group(75.56%and 24.44%).The cesarean section rate(17.78%)and the incidence of adverse events(11.11%)were lower than the control group(42.22%,35.56%),and there was statistically significant differences between the groups(χ^(2)=5.414,19.638,6.402,7.516,P<0.05);the vaginal delivery rate of the two groups of patients(observation group 4.44%,control group 8.89%)was no statistically significant difference(χ^(2)=0.179,P>0.05);after intervention,the GSES score(28.74±2.06)points of the observation group was higher than the control group(22.41±2.23)points,and the SAS and SDS scores were(28.46±2.35)points,(30.63±2.51)points were lower than the control group(35.57±2.28)points,(38.39±2.64)points,there was statistically significant differences between groups(t=13.987,14.567,14.290,P<0.05).Conclusion The development of high-quality nursing care can improve the success rate of fetal protection in patients with threatened abortion,so it is worthy of clinical application.