摘要
目的调查影响高危待产妇胎心监护中异常情况的相关因素,为临床制定护理对策提供科学依据。方法回顾性分析2018年4月至2019年4月本院收治的247例高危待产妇的病历资料,了解并收集产妇年龄、是否为重度子痫前期、是否胎膜早破、0. 5%缩宫素的应用、羊水量异常、贫血、逾期妊娠、妊娠期糖尿病、分娩镇痛及地诺前列酮栓应用等情况,对纳入因素采用多因素logistic回归分析法,确定影响因素。结果调查的247例高危待产妇中,有40例(16. 19%)出现胎心监护异常。多因素logistic回归分析显示,重度子痫前期、胎膜早破及0. 5%缩宫素的使用、地诺前列酮栓引产为影响高危待产妇胎心监护异常的独立危险因素(P <0. 05)。结论导致高危待产妇胎心监护异常发生的相关因素较多,明确独立危险因素,给予有效的防范护理对策,从而减少胎心异常的发生。
Objective To investigate the related factors affecting the abnormal situation of fetal heart rate monitoring in high-risk pregnant women,and provide scientific basis for clinical nursing strategies. Methods We retrospectively analyzed the medical records of 247 high-risk pregnant women admitted to our hospital from April 2018 to April 2019 to understand and collect the maternal age,whether it was severe preeclampsia,whether premature rupture of membranes,and application of 0. 5% oxytocin,abnormal amniotic fluid volume,anemia,late pregnancy,gestational diabetes,childbirth analgesia,and application of dinoprostone suppositories,etc.,and multi-factor logistic regression analysis was used to determine the influencing factors incorporated. Results In the 247 high-risk pregnant women surveyed,40 cases( 16. 19%) had abnormal fetal heart monitoring. Multivariate logistic regression analysis showed that the severe preeclampsia,premature rupture of membranes,application of 0. 5% oxytocin,and induction of labor using dinoprostone suppositories were independent risk factors affecting abnormal conditions of fetal heart rate monitoring in high-risk pregnant women( P < 0. 05). Conclusion There were many related factors leading to abnormal occurrence of fetal heart rate monitoring in high-risk pregnant women. The medical staff should identify independent risk factors and provide effective preventive and nursing countermeasures to reduce the occurrence of fetal heart abnormalities.
作者
毛浩
蔡红霞
MAO Hao;CAI Hong-xia
出处
《护理实践与研究》
2019年第24期102-104,共3页
Nursing Practice and Research
关键词
高危待产妇
胎心监护
异常
调查分析
护理对策
High-risk pregnant women
Fetal heart rate monitoring
Abnormality
Investigation and analysis
Nursing countermeasures
