摘要
目的探讨临床路径联合前馈控制护理在合并甲状腺功能亢进症孕妇中的应用效果。方法回顾性分析2018年2月至2020年2月中山市博爱医院收治的73例孕期合并甲状腺功能亢进孕妇的资料,按照护理方法的不同分为对照组36例和研究组37例。两组孕妇均实施临床路径治疗,对照组采用常规护理干预,研究组采用前馈控制护理干预。治疗结束出院前,比较两组孕妇的平均住院时间、住院费用、实施护理干预前及干预后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,以及妊娠结局和护理满意度。结果研究组孕妇的平均住院时间、平均住院费用分别为(9.42±1.68)d、(2968.47±50.59)元,明显短(低)于对照组的(15.19±2.12)d、(3565.84±81.76)元,差异均有统计学意义(P<0.05);干预后,两组孕妇的SAS、SDS评分均明显低于护理前,且研究组孕妇的SAS、SDS评分分别为(30.32±1.91)分、(34.30±2.97)分,明显低于对照组的(34.30±2.97)分、(52.41±4.78)分,差异均有统计学意义(P<0.05);研究组孕妇出现早产、新生儿窒息、死胎的总发生率为13.51%,明显低于对照组的44.44%,差异有统计学意义(P<0.05);研究组孕妇的护理满意度为91.89%,明显高于对照组的72.22%,差异有统计学意义(P<0.05)。结论临床路径联合前馈控制护理干预应用在孕期合并甲状腺功能亢进孕妇中,能减轻孕妇的焦虑、抑郁情绪,帮助孕妇控制孕期甲亢病情,有效避免早产等不良妊娠结局,值得临床推广应用。
Objective To explore the application effect of clinical pathway combined with feedforward control nursing in pregnant women with hyperthyroidism.Methods The clinical data of 73 pregnant women with hyperthyroidism during pregnancy,who admitted to Zhongshan Boai Hospital from February 2018 to February 2020,were retrospectively analyzed.According to different nursing methods,they were divided into control group(36 cases)and study group(37 cases).Two groups of pregnant women were given clinical pathway treatment.The control group was given routine nursing intervention,and the study group was given feedforward control nursing intervention.Before discharge,the average length of hospital stay,hospitalization expenses,SAS and SDS scores before and after nursing intervention,pregnancy outcome and nursing satisfaction were compared between the two groups.Results The average hospitalization time and average hospitalization expenses of the study group were(9.42±1.68)d and(2968.47±50.59)yuan,respectively,which were significantly shorter than or lower than corresponding(15.19±2.12)d and(3565.84±81.76)yuan of the control group(P<0.05).After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before the nursing,and the SAS and SDS scores of the study group were(30.32±1.91)points and(34.30±2.97)points,respectively,which were significantly lower than corresponding(34.30±2.97)points and(52.41±4.78)points in the control group(P<0.05);the total incidence of premature birth,neonatal asphyxia and stillbirth in the study group was 13.51%,which was significantly lower than 44.44%in the control group(P<0.05);the nursing satisfaction in the study group was 91.89%,which was significantly higher than 72.22%of the control group(P<0.05).Conclusion The application of clinical pathway combined with feedforward control nursing intervention in pregnant women with hyperthyroidism during pregnancy can reduce the negative impact of anxiety and depression on pregnant women,help pregnant women control t
作者
陈咏莲
欧德明
陈小莲
李小仁
巫丽琼
CHEN Yong-lian;OU De-ming;CHEN Xiao-lian;LI Xiao-ren;WU Li-qiong(Prenatal Diagnosis Center,Zhongshan Boai Hospital,Zhongshan 528400,Guangdong,CHINA)
出处
《海南医学》
CAS
2021年第11期1491-1493,共3页
Hainan Medical Journal
基金
广东省中山市科技计划项目(编号:20132A020)。
关键词
孕期
甲状腺功能亢进
临床路径
前馈控制
护理满意度
Pregnancy
Hyperthyroidism
Clinical pathway
Feedforward control nursing
Nursing satisfaction
