摘要
目的 探讨基于循证证据的针对性护理在胎膜早破患者护理中的应用效果,以期为临床相关护理提供参考。方法 选择驻马店市中心医院2020年1月-2021年10月收治的92例胎膜早破患者为研究对象。采用随机数字表法将患者分为对照组与观察组,每组46例。对照组患者实施常规护理,观察组患者实施基于循证证据的针对性护理干预。护理干预前后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评价2组患者的心理状态,采用一般自我效能感量表(GSES)评估2组患者的自我效能感。比较2组患者不良事件发生情况。结果 干预前,2组患者SDS及SAS评分比较,差异无统计学意义(P>0.05)。干预后,2组患者SDS及SAS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预前,2组患者GSES评分比较,差异无统计学意义(P>0.05);干预后,2组患者GSES评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组患者剖宫产率、不良事件发生率均低于对照组,差异有统计学意义(P<0.05)。结论 针对胎膜早破产妇采取基于循证证据的针对性护理,可有效缓解患者不良心理情绪,提高患者自我效能感,改善妊娠结局,值得临床推广应用。
Objective To explore the effect of evidence-based targeted nursing in patients with premature rupture of membranes(PROM),so as to provide guidance for clinical nursing.Methods A total of 92 patients with PROM admitted to Zhumadian Central Hospital from January 2020 to October 2021 were selected as the study subjects.The patients were randomly allocated to the control group and observation group,with 46 cases in each group.Patients in the control group received conventional nursing,and patients in the observation group received evidence-based targeted nursing interventions.Before and after the nursing intervention,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were adopted to evaluate the psychological status of patients in the two groups,and the general self-efficacy scale(GSES)was adopted to assess the self-efficacy of patients in the two groups.The incidence of adverse events was compared between the 2 groups.Results Before the intervention,there was no significant difference in SDS and SAS scores between the two groups(P>0.05).After the intervention,SDS and SAS scores in the two groups were lower than those before the intervention,and the observation group was lower than the control group,with statistical significance(P<0.05).Before the intervention,there was no significant difference in GSES score between the two groups(P>0.05);after the intervention,the GSES score in the two groups was higher than that before the intervention,and the observation group was higher than the control group,with statistical significance(P<0.05).The cesarean section and the incidence rates of adverse events in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Evidence-based targeted nursing in patients with premature rupture of membranes can effectively relieve adverse psychological emotions,and improve self-efficacy and pregnancy outcomes.These benefits hold promise for a wider application of this technique clinically.
作者
周亚
张静
张进凯
Zhou Ya;Zhang Jing;Zhang Jinkai(Pathological Obstetrics Department,Zhumadian Central Hospital,Zhumadian Henan 463000,China)
出处
《保健医学研究与实践》
2022年第8期143-146,共4页
Health Medicine Research and Practice
关键词
胎膜早破
循证护理
心理状态
自我效能
妊娠结局
Premature rupture of membranes
Evidence-based nursing
Psychological status
Self-efficacy
Pregnancy outcome
