摘要
目的探究在产褥期高龄产妇的护理中基于微信平台进行护理干预对其并发症和抑郁焦虑情况的影响。方法以2017年1月—2018年12月于本院生产且年龄在35岁以上的产妇90例作为研究对象,并按照数字表法随机均分为两组,对照组、研究组各45例,对照组常规护理,研究组在对照组基础上以微信为平台进行护理,比较两组产妇焦虑抑郁情况以及并发症发生情况。结果干预前两组产妇的SAS评分和SDS评分差异不存在统计学意义(t=0.258,P=0.797;t=0.158,P=0.875),干预后研究组产妇两项评分均低于对照组,差异有统计学意义(t=5.923,P=0.000;t=7.195,P=0.000);两组产妇出现急性乳腺炎、痔疮、产后感染、子宫修复不良、肛裂等并发症的发生率分别为40.00%和62.22%,研究组发生率明显低于对照组,差异有统计学意义(χ2=4.450,P=0.035)。结论以微信平台为基础对产褥期高龄产妇进行护理干预,对于产妇并发症发生率的降低以及焦虑抑郁情况的改善均具有明显促进作用,临床应用效果较好。
Objective To explore the impact of nursing interventions on alignment complications and depression and anxiety in the care of older women during puerperium based on WeChat platform. Methods From January 2017 to December 2018, 90 parturients over 35 years old who gave birth in the hospital were studied,And according to the digital table method, they are randomly divided into two : control group and research group, 45 cases in each group. The control group received routine nursing. The research group took Wechat as the platform for nursing on the basis of the control group. The anxiety and depression situation and complications of the two groups were compared. Results There was no significant difference in SAS and SDS scores between the two groups before and after intervention (t=0.258, P=0.797;t=0.158, P=0.875). After intervention, the maternal scores of the study group were lower than those of the control group (t=5.923, P=0.000;t=7.195,P=0.000). Acute mastitis and hemorrhoids occurred in the two groups. Postpartum infection, poor uterine repair, anal fissure and other complications were 40.00% and 62.22% respectively. The incidence of the study group was significantly lower than that of the control group (χ2 = 4.450, P = 0.035). Conclusion Based on the WeChat platform, the nursing intervention for older women in the puerperium period is carried out,It has a significant effect on the reduction of the incidence of maternal complications and the improvement of anxiety and depression,Clinical application is better.
作者
陈红丽
CHEN Hongli(Department of Obstetrics and Gynecology,Heze Maternal and Child Health-Care Hospital, Heze Shandong 274000,China)
出处
《中国继续医学教育》
2019年第24期193-195,共3页
China Continuing Medical Education
关键词
微信平台
产褥期
高龄产妇
并发症
抑郁
焦虑
Wechat platform
puerperium
older maternal
complications
depression
anxiety
