同质医疗护理服务模式在重症高危孕产妇护理中的应用研究

The Application Research of Homogeneous Medical Nursing Service Mode in the Nursing of Severe and High-risk Pregnant and Lying-in Women

目的分析在重症高危孕产妇护理中应用同质医疗护理服务模式的临床应用效果。方法方便抽取2018年4—9月该院收治的高危评分在15分以上的80例重症高危孕产妇作为对照组,2018年11月—2019年4月同质化护理实施后收治的高危评分在15分以上的80例重症高危孕产妇作为研究组,对照组孕产妇应用常规护理方法,研究组孕产妇采用医疗同质化理念为基础的新型护理模式,另外抽取20名助产士作为研究对象,对比两组护士的护理质量(护士对孕产妇病情掌握程度、基础护理、心理护理、用药指导、健康指导),两组产妇的产后并发症与不良妊娠结局发生率(产后出血、感染、胎儿宫内窘迫、新生儿窒息、新生儿低体重)、护理前后孕产妇的焦虑程度与护理满意评分。结果研究组护士的护理质量明显高于对照组,差异有统计学意义(t=5.208、4.128、4.759、3.732、6.615,P<0.05);研究组的产后并发症与不良妊娠结局发生率(5.00%)低于对照组(18.75%),差异有统计学意义(χ^(2)=7.227,P=0.007);护理前,两组孕产妇的焦虑程度与护理满意评分比较,差异无统计学意义(t=0.269、0.457,P>0.05);护理后,研究组孕产妇的焦虑程度低于对照组,差异有统计学意义(t=8.109,P<0.05);研究组孕产妇的护理满意评分高于对照组,差异有统计学意义(t=8.731,P<0.05)。结论在重症高危孕产妇的临床护理中采用同质医疗服务模式的临床有效性显著,可改善孕产妇的心理状态,提升医院护理质量,降低不良妊娠结局发生率,应用价值显著,值得推广。

Objective To analyze the clinical application effect of the homogeneous medical care service model in the nursing of severe and high-risk pregnant and lying-in women.Methods From April 2018 to September 2018,80 cases of the severe high-risk pregnant women admitted to the hospital with a high-risk score of 15 points or more were conveniently selected as the control group.From November 2018 to April 2019,after the implementation of homogenized nursing,80 cases of severe high-risk pregnant women with a high-risk score of 15 or more were treated as the study group,the control group applied conventional nursing methods,and the study group adopted a new nursing model based on the concept of medical homogeneity,and 20 midwives were selected as the research subjects,and compared the nursing quality of the two groups of nurses(the degree of nurses’mastery of maternal conditions,basic nursing,psychological care,medication guidance,and health guidance),the incidence of postpartum complications and adverse pregnancy outcomes(postpartum hemorrhage,infection,fetal distress,neonatal asphyxia,neonatal low weight),maternal anxiety before and after nursing,and nursing satisfaction scorein the two groups.Results The nursing quality of nurses in the study group was significantly higher than that of the control group,and the difference was statistically significant(t=5.208,4.128,4.759,3.732,6.615,P<0.05);the incidence of postpartum complications and adverse pregnancy outcomes in the study group(5.00%)was lower than the control group(18.75%),the difference was statistically significant(χ^(2)=7.227,P=0.007);before nursing,there was no statistically significant difference between the two groups of pregnant women’s anxiety and nursing satisfaction scores(t=0.269,0.457,P>0.05);after nursing,the anxiety level of pregnant women in the study group was lower than that of the control group,the difference was statistically significant(t=8.109,P<0.05);the nursing satisfaction score of the pregnant women in the study group was higher than the control group,the difference was statistically significant(t=8.731,P<0.05).Conclusion The clinical effectiveness of the homogeneous medical service model in the clinical nursing of severe high-risk pregnant women is significant,which can improve the mental state of pregnant women,improve the quality of hospital care,and reduce the incidence of adverse pregnancy outcomes.It has significant application value and is worthy of promotion.