摘要
目的观察子痫前期患者产前、产后的护理干预效果。方法选取2015年1月~2017年3月于我院治疗的子痫前期患者100例,均为单胎妊娠。产前进行心理干预、基础护理、饮食护理、产前胎儿监护、药物指导、子痫急救,产后予以有效的护理干预。观察入选产妇的妊娠结局以及产后出血、新生儿体重及新生儿Apgar评分情况及产妇护理干预前后焦虑、抑郁心理及生活质量评分。结果 100例产妇中,其中行阴道自然分娩5例,剖宫产手术95例。其足月产62例,早产38例,其中产后出血<500 m L共69例,占69.0%,新生儿体重≥2500 g共70例,占70.0%,新生儿Apgar评分8~10分共72例,占72.0%。护理后,100例产妇的SAS评分、SDS评分较护理前显著降低,差异具有显著性(P<0.05)。所有产妇的生活质量评分:母体产后恢复情况(8.3±1.3)分、心理状态(8.1±1.3)分、精神状态(8.1±1.5)分及围产儿健康情况(7.9±1.4)分。结论子痫前期患者产前、产后的临床观察及护理干预,可以减轻患者的焦虑、抑郁等负性心理,改善妊娠结局,提高生活质量,值得临床推广和应用。
Objective To observe the effect of prenatal and postnatal nursing intervention in the patients with eclampsia. Methods A total of 100 patients with eclampsia who were treated in our hospital from January 2015 to March 2017 were selected. They were all single pregnancy. Prenatal psychological intervention, basic care, diet care, prenatal fetal care, drug guidance, epilepsy first aid were carried out, and effective nursing intervention was performed after delivery. The pregnancy outcome and postpartum hemorrhage, neonatal body weight and neonatal Apgar score in the enrolled puerpera, as well as the anxiety, depression and quality of life scores before and after materrnal care intervention were observed. Results Among the 100 cases of puerpera, natural vaginal delivery was in 5 cases, and cesarean section was in 95 cases. Full-term delivery was in 62 cases, and premature birth was in 38 cases. Postpartum hemorrhage 〈500 mL was in 69 cases, accounting for 69.0%. Neonatal body weight≥2500 g was in a total of 70 cases, accounting for 70.0%. Neonatal Apgar score of 8-10 points was in 72 cases, accounting for 72,0%. After nursing, the SAS score and SDS score in 100 puerpera were significantly lower than those before nursing, and the differences were significant （P〈0.05）. The scores of quality of life in all puerpera： maternal postnatal recovery （8.3±1.3）, psychological state （8.1±1.3）, mental state（8.1±l.5） and perinatal health condition（7.9±1.4）. Conclusion The clinical observation and nursing intervention of prenatal and postnatal care in the patients with eclampsia can alleviate the negative mental states such as anxiety and depression in the patients, improve the outcome of pregnancy and improve the quality of life, which is worthy of popularization and application.
出处
《中国现代医生》
2017年第27期135-137,140,共4页
China Modern Doctor
基金
浙江省自然科学基金资助项目(LY15H040012)
