CAJ | 학술논문

目的：探讨分析系统护理在妊娠合并心脏病患者分娩期的应用与效果。方法选取2007年1月-2013年6月收治的妊娠合并心脏病患者60例，随机分为干预组和对照组各30例，对照组给予常规护理，干预组给予临床系统护理。结果干预组剖宫产19例，发生心力衰竭5例，围生儿死亡0例，平均住院天数（5±0．5） d；对照组剖宫产25例、心力衰竭18例、围生儿死亡3例，平均住院天数（7±2．5）d。两组比较差异有统计学意义（χ2值分别为2．33，3．26，2．41，t值为4．65；P＜0．05）。心功能越差，剖宫产、心力衰竭及围生儿死亡的发生率越高。结论系统护理在妊娠合并心脏病患者分娩期的应用效果安全可靠，值得临床推广应用。
목적：탐토분석계통호리재임신합병심장병환자분면기적응용여효과。방법선취2007년1월-2013년6월수치적임신합병심장병환자60례，수궤분위간예조화대조조각30례，대조조급여상규호리，간예조급여림상계통호리。결과간예조부궁산19례，발생심력쇠갈5례，위생인사망0례，평균주원천수（5±0．5） d；대조조부궁산25례、심력쇠갈18례、위생인사망3례，평균주원천수（7±2．5）d。량조비교차이유통계학의의（χ2치분별위2．33，3．26，2．41，t치위4．65；P＜0．05）。심공능월차，부궁산、심력쇠갈급위생인사망적발생솔월고。결론계통호리재임신합병심장병환자분면기적응용효과안전가고，치득림상추엄응용。
Objective To explore the application and effect of systematic nursing in pregnant women with heart disease during the childbirth .Methods Sixty pregnant women with heart disease from January 2007 to June 2013 were chosen and randomly divided into the control group and the intervention group , each with 30 cases.The control group received the routine nursing , and the intervention group received the systematic nursing.Results The cases of cesarean section , heart failure, perinatal death and the average days of hospitalization were respectively 19, 5, 0 cases and (5 ±0.5) d in the intervention group, and were 25, 18, 3 cases and (7 ±2.5) d in the control group, and the differences were statistically significant (χ2 =2.33, 3.26, 2.41, respectively;t=4.65;P<0.05).The incidence rate of cesarean section , heart failure, perinatal death was positive correlated with the poor cardiac function .Conclusions Application effect of systematic nursing in pregnant women with heart disease during the childbirth is safe and reliable , and is worthy of clinical promotion.