摘要
目的探讨健康教育护理路径在甲氨蝶呤联合米非司酮治疗胎盘植入患者中的应用效果。方法选取2014年5月至2015年1月收治的胎盘植入患者120例,随机分为对照组和研究组,各60例。两组患者均给予甲氨蝶呤联合米非司酮治疗。对照组患者采用常规护理方法;研究组患者在常规护理的基础上采用健康教育护理路径。观察两组患者的焦虑、抑郁状况,评定自我护理能力,统计患者的临床疗效。结果治疗后,研究组患者的焦虑及抑郁评分改善程度显著优于对照组(P<0.05),两组患者自我护理能力较治疗前均显著提高(P<0.05);研究组相较对照组,自我护理能力评分明显提高(P<0.05),血β-绒毛膜促性腺激素(β-HCG)下降>15%例数明显较多(P<0.05),血β-HCG转阴时间、平均住院日缩短(P<0.05)。结论健康教育护理路径在甲氨蝶呤联合米非司酮治疗胎盘植入患者时可减轻患者的焦虑、抑郁等负性情绪,提高患者的自我护理能力,对提高患者的临床疗效也有一定的积极影响。
Objective To study the health education of nursing path in MTX combined application of mifepristone treatment in patients with placenta increta Fruit. Methods 120 cases of patients with placenta increta from May 2014 to January 2015 were randomly divid-ed into the control group and the study group, 60 cases in each group. The two groups were given MTX combined with mifepristone.The control group was treated by routine nursing methods, and the study group was given health education nursing pathway on the basis of the conventional nursing. The anxiety and depression situation of the two group were observed, their self- care ability were evaluated and the statistics of the patient′s clinical efficacy were compared. Results After treatment, the improvement degree of anxiety and depression scores in the study group were significantly better than the control group（ P〈0. 05）; the self- care ability of the two groups were significantly improved than before treatment（ P〈0. 05）, and the improvement in the study group was significantly more than the control group（ P〈0. 05）; the cases of serum β- h CG declined 15% was significantly increased（ P〈0. 05） and the Serum β- h CG clearance time as well as the the average length of hospital stay were shortened（ P〈0. 05）. Conclusion Health education nursing pathway combined with methotrexate and mifepristone can reduce the patients′ anxiety, depression and other negative emotions receiving placenta implantation, improve the patients′ self- care ability, thus improve the clinical efficacy.
出处
《中国药业》
CAS
2016年第5期93-95,共3页
China Pharmaceuticals
