循证护理对胎膜早破合并产褥期感染产妇的生产结局及氧化应激状况的影响

Effect of evidence-based nursing on production outcome and oxidative stress of parturients with premature rupture of membranes complicated with puerperal infection

目的:探讨循证护理对胎膜早破合并产褥期感染产妇生产结局及氧化应激状况的影响。方法:选取100例胎膜早破合并产褥期感染产妇为研究对象,依据护理方式不同分对照组(n=60)和观察组(n=40)。对照组采用常规护理;观察组采用循证护理。比较两组产妇护理前后焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分、白细胞介素-6(IL-6)、IL-8及降钙素原(PCT)水平、生产结局及不良事件发生率。结果:护理后,两组产妇的SAS、SDS评分、IL-6、IL-8、PCT水平均降低(P<0.05),且观察组明显低于对照组(P<0.05)。观察组产妇的自然分娩率高于对照组(P<0.05),剖宫产率低于对照组(P<0.05)。观察组产妇不良事件发生率低于对照组(P<0.05)。结论:循证护理可以影响胎膜早破合并产褥期感染产妇的生产结局,调节负面情绪和氧化应激状况,减少不良事件发生。

Objective:To analyze the effect of evidence-based nursing on the production outcome and oxidative stress of parturients with premature rupture of membranes complicated with puerperal infection.Methods:100 pregnant women with premature rupture of membranes complicated with puerperal infection were selected as the subjects.They were divided into observation group(n=40)and control group(n=60)according to different nursing methods.Routine nursing was used in the control group and evidence-based nursing was used in the observation group.The changes of maternal self rating Anxiety Scale(SAS),self rating Depression Scale(SDS),interleukin-6(IL-6),interleukin-8(IL-8)and procalcitonin(PCT)before and after nursing were compared,and the birth outcomes and incidence of adverse events of the two groups were counted.Results:After nursing,the scores of SAS and SDS,and the levels of IL-6,IL-8 and PCT decreased in the two groups,and the observation group was significantly lower than the control group(P<0.05).The natural delivery rate in the observation group was higher than that in the control group,while the cesarean section rate was lower than that in the control group(P<0.05).The incidence of adverse events in the observation group was lower than that in the control group(P<0.05).Conclusion:Evidence based nursing can improve the production outcome of pregnant women with premature rupture of membranes complicated with puerperal infection,regulate negative emotion and oxidative stress,and reduce the occurrence of adverse events.