循证案例下的优化护理在妊娠介入性产前诊断术中的应用

Application of Evidence-based Optimization Nursing in Interventional Prenatal Diagnosis of Pregnancy

目的探讨妊娠介入性产前诊断术配合循证案例下优化护理干预的效果与价值。方法选择2022年2月至2023年2月在我院接受妊娠介入性产前诊断术的100例孕妇作为研究对象,按照随机数字表法进行分组。对照组(50例)孕妇辅以常规模式护理干预;观察组(50例)孕妇配合循证案例下优化护理模式干预。对两组孕妇护理前后心理状态变化予以评估,比较组间结果的统计学差异。监测对比两组孕妇护理前后心率、血压等应激指标,总结记录各组孕妇出现不良妊娠结局的具体情况与总发生概率。调查两组孕妇对此次护理服务的满意度。结果实施护理干预前,两组孕妇心理状态评分及应激指标测定值组间对比无统计学差异(P>0.05),观察组孕妇经过优化护理干预后,焦虑等不良心态评分均低于对照组,同时心率、血压测定值低于对照组(P<0.05)。观察组孕妇出现不良妊娠结局的总概率低于对照组,对护理服务的总满意度高于对照组(P<0.05)。结论临床实施妊娠介入性产前诊断术过程中配合循证案例下优化护理模式干预能够有效改善孕妇焦虑等不良心理状态,维持心率等应激指标稳定,减少不良妊娠结局。

Objective To explore the effectiveness and value of optimizing nursing intervention under evidence-based cases in the intervention of prenatal diagnosis for pregnancy.Method A total of 100 pregnant women who underwent interventional prenatal diagnosis of pregnancy in our hospital from February 2022 to February 2023 were selected as the study subjects.They were randomly divided into groups using a random number table method.A control group(50 cases)of pregnant women received routine nursing intervention;Observation group(50 cases):Pregnant women cooperate with evidence-based cases to optimize nursing mode intervention;Evaluate the psychological changes of two groups of pregnant women before and after nursing care,and compare the statistical differences between the results between the groups.Monitor and compare stress indicators such as heart rate and blood pressure before and after nursing care between two groups of pregnant women,and summarize and record the specific situation and total probability of adverse pregnancy outcomes in each group of pregnant women.Investigate the satisfaction of two groups of pregnant women with this nursing service.Results Before the implementation of nursing intervention,there was no statistically significant difference in the psychological state scores and stress index measurements between the two groups of pregnant women(P>0.05).After optimizing nursing intervention,the observation group's pregnant women had lower scores of anxiety and other negative attitudes than the control group,while the measured values of heart rate and blood pressure were lower than the control group(P<0.05).The total probability of adverse pregnancy outcomes among pregnant women in the observation group was lower than that of the control group,and their overall satisfaction with nursing services was higher than that of the control group(P<0.05).Conclusions During the clinical implementation of interventional prenatal diagnosis for pregnancy,combining evidence-based case studies with optimized nursing interventions can effectively improve the anxiety and other unconscionable states of pregnant women,maintain the stability of stress indicators such as heart rate,and reduce adverse pregnancy outcomes.It is worth promoting and applying.