中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
9期
1012-1015
,共4页
陈起燕%张荣莲%黄宁%江秀敏%修晓燕
陳起燕%張榮蓮%黃寧%江秀敏%脩曉燕
진기연%장영련%황저%강수민%수효연
梅毒%孕妇%孕期护理
梅毒%孕婦%孕期護理
매독%잉부%잉기호리
Syphilis%Pregnant women%Pregnant nursing intervention
目的 探讨妊娠期梅毒的孕期护理干预方法,减少其对母婴的危害.方法 采集病史资料,调查内容包括年龄、职业、居住环境、婚姻、性行为方式、孕期治疗情况、妊娠结局和围生儿结局等.对初次产前检查的孕妇,在知情同意下行梅毒血清学快速血浆反应素环状卡片试验(rapid plasma reagin test,RPR)筛查,凡RPR阳性者均进一步检测RPR滴度,并以梅毒密螺旋体血凝试验(treponema pallidum hemagglutination assay,TPHA)检测加以确诊.将确诊为妊娠期梅毒感染者847例随机分为孕期护理干预组427例和对照组420例.孕期护理干预组按一对一健康教育提供相关知识,进行一次家庭成员的面谈以取得配合,常规检测和治疗配合；同期对照组仅常规检测和治疗配合.两组均跟踪随访至产后7d.结果 干预组接受治疗的依从性(98.1％)远高于对照组(61.7％),其中接受孕早晚期规范治疗和孕中晚期2个疗程治疗的也高于对照组,差异均有统计学意义(x2分别为176.2,17.8;P均＜0.01).实施孕期护理干预的孕周越小,接受规范治疗的依从性越好(P＜0.01).干预组发生先天性梅毒感染的围生儿23例,少于对照组的149例,差异有统计学意义(x2=123.2,P＜0.01).结论 对妊娠期梅毒患者实施健康教育,可有效提高其接受治疗的依从性,从而有效地改善妊娠、围生儿结局,减少对母婴的危害.
目的 探討妊娠期梅毒的孕期護理榦預方法,減少其對母嬰的危害.方法 採集病史資料,調查內容包括年齡、職業、居住環境、婚姻、性行為方式、孕期治療情況、妊娠結跼和圍生兒結跼等.對初次產前檢查的孕婦,在知情同意下行梅毒血清學快速血漿反應素環狀卡片試驗(rapid plasma reagin test,RPR)篩查,凡RPR暘性者均進一步檢測RPR滴度,併以梅毒密螺鏇體血凝試驗(treponema pallidum hemagglutination assay,TPHA)檢測加以確診.將確診為妊娠期梅毒感染者847例隨機分為孕期護理榦預組427例和對照組420例.孕期護理榦預組按一對一健康教育提供相關知識,進行一次傢庭成員的麵談以取得配閤,常規檢測和治療配閤；同期對照組僅常規檢測和治療配閤.兩組均跟蹤隨訪至產後7d.結果 榦預組接受治療的依從性(98.1％)遠高于對照組(61.7％),其中接受孕早晚期規範治療和孕中晚期2箇療程治療的也高于對照組,差異均有統計學意義(x2分彆為176.2,17.8;P均＜0.01).實施孕期護理榦預的孕週越小,接受規範治療的依從性越好(P＜0.01).榦預組髮生先天性梅毒感染的圍生兒23例,少于對照組的149例,差異有統計學意義(x2=123.2,P＜0.01).結論 對妊娠期梅毒患者實施健康教育,可有效提高其接受治療的依從性,從而有效地改善妊娠、圍生兒結跼,減少對母嬰的危害.
목적 탐토임신기매독적잉기호리간예방법,감소기대모영적위해.방법 채집병사자료,조사내용포괄년령、직업、거주배경、혼인、성행위방식、잉기치료정황、임신결국화위생인결국등.대초차산전검사적잉부,재지정동의하행매독혈청학쾌속혈장반응소배상잡편시험(rapid plasma reagin test,RPR)사사,범RPR양성자균진일보검측RPR적도,병이매독밀라선체혈응시험(treponema pallidum hemagglutination assay,TPHA)검측가이학진.장학진위임신기매독감염자847례수궤분위잉기호리간예조427례화대조조420례.잉기호리간예조안일대일건강교육제공상관지식,진행일차가정성원적면담이취득배합,상규검측화치료배합；동기대조조부상규검측화치료배합.량조균근종수방지산후7d.결과 간예조접수치료적의종성(98.1％)원고우대조조(61.7％),기중접수잉조만기규범치료화잉중만기2개료정치료적야고우대조조,차이균유통계학의의(x2분별위176.2,17.8;P균＜0.01).실시잉기호리간예적잉주월소,접수규범치료적의종성월호(P＜0.01).간예조발생선천성매독감염적위생인23례,소우대조조적149례,차이유통계학의의(x2=123.2,P＜0.01).결론 대임신기매독환자실시건강교육,가유효제고기접수치료적의종성,종이유효지개선임신、위생인결국,감소대모영적위해.
Objective To explore the nursing intervention on the pregnant women with syphilis during pregnancy so as to reduce the harm to maternal and baby.Methods Many information such as age,occupation,dwelling environment,marriage and sexual life,curing during pregnancy,pregnant and perinatal infant outcome from medical records were reviewed. Gestational syphilis women of 847 cases were randomly divided into nursing intervention group with 427 cases and control group with 420 cases.Nursing intervention group received one-by-one psychological care and health education,got cooperation from families,and received routine blood test and cure cooperation,while control group only received routine blood test and curing cooperation.Patients were followed up for seven days.Results The rate of adherence to treatment in nursing intervention group was 98.1％ which was significantly higher than 61.7％ in control group ( x2 =176.2,P ＜ 0.01 ),and the rate of accepting standard treatment between early and late pregnancy,middle and late pregnancy were significantly higher than that in control group ( x2 =17.8,P ＜ 0.01 ).The week was shorter for receiving nursing intervention and the patients' compliance was better ( P ＜ 0.01 ). Only 23 syphilis infection babies in the nursing intervention group were born,but 149 babies in control group were infected by syphilis,and the difference was significantly different( x2 =123.2,P ＜ 0.01 ).Conclusions Nursing intervention can effectively increase the compliance of pregnant women with syphilis and improve the outcome of pregnancy and perinatal infant.
