| 张莹,汤苗苗,堵敏芳,等.不同护理模式对高危初产妇妊娠结局的影响分析[J].安徽医药,2018,22(10):2041-2044. |
| 不同护理模式对高危初产妇妊娠结局的影响分析 |
| Effects of different nursing models on pregnancy outcomes of high-risk primiparas |
| 投稿时间：2017-05-05 |
| DOI： |
| 中文关键词: 妊娠,高危 妊娠结局 产次 自我效验 护理实践模式 产科护理 |
| 英文关键词: Pregnancy,high-risk Pregnancy outcome Parity Self efficacy Nurse′s practice patterns Obstetrical nursing |
| 基金项目:无锡市医院管理中心科研项目(YGZXH1304) 不同护理模式对高危初产妇妊娠结局的影响分析张莹,汤苗苗,堵敏芳,吴小燕 (无锡市妇幼保健院产科,江苏 无锡 214000) 临床护理 不同护理模式对高危初产妇妊娠结局的影响分析张莹,汤苗苗,堵敏芳,吴小燕 Effects of different nursing models on pregnancy outcomes of high-risk primiparas ZHANG Ying,TANG Miaomiao,DU Minfang,WU Xiaoyan |
|
| 摘要点击次数: 2233 |
| 全文下载次数: 635 |
| 中文摘要: |
| 目的 探讨不同护理模式运用于高危初产妇中对妊娠结局影响。 方法 选择2014年10月至2016年10月无锡市妇幼保健院接收的高危初产妇128例,按随机数字表法分为两组,每组64例。对照组采用常规护理模式,观察组采用连续细致护理模式。观察并记录两组护理前后自我效能评分、妊娠结局和体质量增长情况,并作对比分析。 结果 观察组护理后药物治疗、日常生活、遵医行为、健康行为评分均高于对照组,差异有统计学意义(P＜0.05)；观察组顺产发生率81.25%高于对照组48.44%(χ2＝15.113,P＜0.001)；观察组新生儿Apgar评分(7.65±2.15)分高于对照组的(5.72±3.22)分(t=3.988,P＜0.05)；观察组剖宫产、钳产发生率和新生儿早产率、体质量异常率均低于对照组,差异有统计学意义(P＜0.05)；观察组产妇孕期各体质量指数区间体质量增长情况优于对照组,差异有统计学意义(P＜0.05)。 结论 给予高危初产妇连续细致护理干预可有效提升产妇自我效能,改善妊娠结局,降低剖宫产发生率,保障产妇孕期体质量自然增长,值得临床推广。 |
| 英文摘要: |
| Objective To explore the effects of different nursing models on the outcome of pregnancy in high-risk primiparas. MethodsA hundred and twenty-eight high risk primipara cases admitted to Wuxi Maternal and Child Healthcare Hospital from October 2014 to October 2016 were randomly assigned into two groups according to the random number table,with 64 cases in each group.The control group adopted conventional care,while the observation group adopted continuously refined nursing model.The self-efficacy evaluation score,pregnancy outcome and weight gain of the two groups before and after nursing were observed and recorded,and the results were compared and analyzed.Results The scores of drug therapy,daily living,behavior compliance and health behavior of the observation group were significantly higher than those of the control group;the differences were statistically significant (P<0.05).The incidence of spontaneous labor in the observation group was 81.25%,higher than that in the control group (48.44%) (χ2=15.113,P<0.001).The Apgar score of the observation group (7.65±2.15) was higher than that of the control group (5.72±3.22) (t=3.988,P<0.05).The incidences of cesarean section,forceps delivery,premature birth rate and body weight abnormality in the observation group were significantly lower than those in the control group (P<0.05).The weight gain of pregnant women in each BMI interval of observation group was better than that of the control group,and the difference was statistically significant (P<0.05).ConclusionsContinuously refined nursing intervention can improve maternal self-efficacy and pregnancy outcome,reduce the incidence of cesarean section,and ensure the natural growth of maternal weight during pregnancy,which is worthy of clinical popularization. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
