摘要
目的探讨循证护理在妊娠期宫颈机能不全患者紧急宫颈环扎术后的应用价值。方法选取2016年3月—2021年3月在郑州市某医院行紧急宫颈环扎术的76例妊娠期宫颈机能不全患者,采用随机数字表法分为观察组与对照组,每组38例。对照组患者采用常规护理,观察组患者在对照组基础上采用循证护理。比较2组患者干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及生活质量、术后并发症发生情况、妊娠结局、护理满意度。结果观察组患者干预后SAS及SDS均评分低于对照组,差异均有统计学意义(P<0.05)。观察组患者术后并发症发生率为2.63%,低于对照组的21.05%,差异有统计学意义(χ^(2)=4.537,P=0.033)。2组患者流产率及早产率比较,差异均无统计学意义(P>0.05);观察组患者足月分娩率为68.42%,高于对照组的34.21%,差异有统计学意义(χ^(2)=8.901,P=0.003)。观察组患者干预后生活质量综合评定问卷-74(GQOL-74)量表躯体功能、心理功能、社会功能、物质生活状态维度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组患者护理满意度为97.37%,高于对照组的78.95%,差异有统计学意义(χ^(2)=4.537,P=0.033)。结论妊娠期宫颈机能不全患者紧急宫颈环扎术后应用循证护理,可改善患者心理状态及妊娠结局,提高患者希望水平,降低术后并发症发生风险。
Objective To explore the application of evidence-based nursing care after emergency cervical cerclage in patients with cervical insufficiency during pregnancy.Methods A total of 76 patients with cervical insufficiency during pregnancy who underwent emergency cervical cerclage in a hospital in Zhengzhou from March 2016 to March 2021 were selected and assgined to observation and control groups using the random number table method,with 38 cases in each group.Patients in the control group received conventional care,and patients in the observation group evidence-based care in addition to the conventional care.The self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)scores,quality of life,the occurrence of postoperative complications,pregnancy outcome,and nursing satisfaction were compared between the 2 groups of patients before and after the intervention.Results The SAS and SDS scores of patients in the observation group were lower than those in the control group after the intervention,and the differences were statistically significant(P<0.05).The rate of postoperative complications in the observation group was 2.63%,which was lower than that in the control group(21.05%),and the difference was statistically significant(χ^(2)=4.537,P=0.033).There was no significant difference in the miscarriage rate and premature birth rate between the two groups(P>0.05).The rate of term delivery in the observation group was 68.42%,which was higher than that in the control group(34.21%),and the difference was statistically significant(χ^(2)=8.901,P=0.003).The physical function,psychological function,social function,and material life status scores of the post-intervention Generic Quality of Life Inventory-74(GQOL-74)scale in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Patient satisfaction for care in the observation group was 97.37%,which was higher than that in the control group(78.95%),and the difference was statistically significant(χ^(2
作者
李元元
刘彩霞
李静妍
Li Yuanyuan;Liu Caixia;Li Jingyan(Department of Gynecology,Zhengzhou Maternal and Child Health Hospital,Zhengzhou 450000,China)
出处
《保健医学研究与实践》
2022年第6期137-140,共4页
Health Medicine Research and Practice
基金
河南省医学科技攻关计划联合共建项目(LHGJ20200751)。
关键词
妊娠期宫颈机能不全
紧急宫颈环扎术
循证护理
妊娠结局
Cervical insufficiency during pregnancy
Emergency cervical cerclage
Evidence-based care
Pregnancy outcome
