CAJ | 학술논문

目的将临床护理路径应用于妊娠合并梅毒行剖宫产术病人,以达到减轻患者焦虑抑郁和提高护理满意度的目的.方法把128例妊娠合并梅毒并行剖宫产术患者随机分为观察组及对照组各64例,对照组给予剖宫产常规护理;观察组除给予剖宫产常规护理外,并给以梅毒临床护理路径实施手册进行护理.用综合医院焦虑及抑郁量表(Hospital Anxiety and Depression Scale, HAD)观察并比较两组焦虑抑郁的水平、梅毒相关知识的掌握情况及对护理工作的满意度.结果观察组的焦虑与抑郁评分分别为:干预前(13.39±2.07,13.98±2.12),干预后(8.73±1.75,9.86±1.76);对照组的焦虑与抑郁评分分别为:干预前(12.86±1.94,13.98±2.12),干预后(10.97±1.89,11.21±1.86).两组的评分差异有统计学意义(P <0.05),观察组的焦虑及抑郁 HAD 评分低于对照组.两组的护理工作的满意度评价也有统计学意义(P <0.05),观察组高于对照组.结论在妊娠合并梅毒行剖宫产术患者中实行临床护理路径能减轻患者的焦虑和抑郁,提高病人梅毒知识认知度和护理满意度.值得临床应用.
목적장림상호리로경응용우임신합병매독행부궁산술병인,이체도감경환자초필억욱화제고호리만의도적목적.방법파128례임신합병매독병행부궁산술환자수궤분위관찰조급대조조각64례,대조조급여부궁산상규호리;관찰조제급여부궁산상규호리외,병급이매독림상호리로경실시수책진행호리.용종합의원초필급억욱량표(Hospital Anxiety and Depression Scale, HAD)관찰병비교량조초필억욱적수평、매독상관지식적장악정황급대호리공작적만의도.결과관찰조적초필여억욱평분분별위:간예전(13.39±2.07,13.98±2.12),간예후(8.73±1.75,9.86±1.76);대조조적초필여억욱평분분별위:간예전(12.86±1.94,13.98±2.12),간예후(10.97±1.89,11.21±1.86).량조적평분차이유통계학의의(P <0.05),관찰조적초필급억욱 HAD 평분저우대조조.량조적호리공작적만의도평개야유통계학의의(P <0.05),관찰조고우대조조.결론재임신합병매독행부궁산술환자중실행림상호리로경능감경환자적초필화억욱,제고병인매독지식인지도화호리만의도.치득림상응용.
Objective Clinical nursing pathway was applied to pregnant women with syphilis cesarean section patients to reduce anxiety and improve the nursing satisfaction. Method 128 cases of pregnancy complicated with syphilis were randomly divided into observation group and control group ,64 cases were in each group, The control group was given a routine cesarean section nursing, however, The observation group were given syphilis clinical care path according to the implementation manual in addition to the routine cesarean section nursing. Hospital Anxiety and Depression Scale were used to observe and compare the level of anxiety and depression between the two groups. And the syphilis-related knowledge and the satisfaction of the patients were also be observed. Results The observation group of anxiety and depression scores were 13.39±2.07 and 13.98±2.12 before the intervention and 8.73±1.75 and 9.86±1.76 after the intervention respectively; and the scores of control group were 12.86 ± 1.94 and 13.98 2.12 before the intervention and 10.97 ± 1.89 and11.21 ± 1.86 after the intervention. The differences were statisticaly significant (P <0.05) in the two groups about anxiety and depression scores. The score of observation group was lower than that of the control group. The nursing satisfaction evaluation of the two groups was statisticaly significant (P <0.05), the observation group was higher than that of in the control group.Conclusion The implementation of the clinical care path for the patients with syphilis merger cesarean section may aleviate patients' anxiety and depression, improve awareness of syphilis knowledge and satisfaction of care. It is worthy for clinical application.