以量化评估策略为基础的多学科综合护理干预在重度子痫前期患者中的应用

Application of multidisciplinary comprehensive nursing interventions based on quantitative assessment strategies in patients with severe preeclampsia

目的探究以量化评估策略为基础的护理干预在重度子痫前期患者中的应用效果。方法纳入2019年6月至2022年6月南京医科大学附属南京医院收治的101例重度子痫前期患者,采用随机数字表法将其分为对照组(51例)与观察组(50例)。对照组实施以产科为主导的多学科综合护理干预,观察组实施以量化评估策略为基础的多学科综合护理干预,比较两组入院至分娩的时间,观察两组干预前、分娩前1 d的心理状况[采用焦虑自评量表(SAS)评估],观察两组并发症、分娩方式及不良妊娠结局发生情况。结果观察组入院至分娩时间长于对照组,差异有统计学意义(P<0.05);两组分娩前1 d SAS评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05);两组分娩方式及不良妊娠结局发生率比较,差异无统计学意义(P>0.05)。结论以量化评估策略为基础的多学科护理干预可延长重度子痫前期患者入院至分娩时间,改善其心理状况,并能在一定程度上降低并发症及不良妊娠结局发生的风险。

Objective To explore the application of multidisciplinary comprehensive nursing interventions based on quantitative assessment strategies in patients with severe preeclampsia.Methods A total of 101 patients with severe preeclampsia admitted to Nanjing Hospital Affiliated to Nanjing Medical University from June 2019 to June 2022 were included.The patients were divided into control group(51 cases)and observation group(50 cases)by random number table method.The control group received multidisciplinary nursing intervention led by obstetrics,in the observation group,multidisciplinary comprehensive nursing intervention based on quantitative evaluation strategy was implemented.The time from admission to delivery was compared between the two groups.The psychological status(assessed by the self-rating anxiety scale[SAS])of the two groups before intervention and one day before delivery was observed,and the occurrence of complications,delivery methods,and adverse pregnancy outcomes in the two groups were observed.Results The time from admission to delivery in the observation group was longer than that in the control group,and the difference was statistically significant(P<0.05);the SAS score one day before delivery of the two groups were lower than those before intervention,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).The complication rate of observation group was lower than control group,and the difference was statistically significant(P<0.05);there was no significant difference in the delivery mode and incidence of adverse pregnancy outcome between the two groups(P>0.05).Conclusion Multidisciplinary nursing interventions based on quantitative assessment strategies can extend the time from hospital admission to delivery,improve the psychological status of patients with severe preeclampsia,and reduce the risk of complications and adverse pregnancy outcomes to some extent.