中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
10期
149-152
,共4页
产前优质护理%妊高征%不良情绪%妊娠结局%SAS评分
產前優質護理%妊高徵%不良情緒%妊娠結跼%SAS評分
산전우질호리%임고정%불량정서%임신결국%SAS평분
Antenatal premium care%Gestational hypertension%Negative emotion%Pregnancy outcome%SAS score
目的：探讨产前优质护理对妊娠高血压产妇不良情绪的改善及妊娠结局的影响。方法选取2013年6月~2014年1月我院收治的128例妊高征患者为研究对象，随机分为两组，分别进行产前优质护理（观察组）和常规护理（对照组）。比较两组患者护理前后SAS评分、SDS评分及早产、剖宫产、胎盘早剥、产后出血、子痫、先兆子痫、胎儿窘迫、低体重儿、新生儿窒息、死亡、新生儿Apgar评分、生活质量评分。结果观察组产前优质护理后SAS、SDS评分分别为（41.42±5.16）、（40.29±5.41）分；对照组产前优质护理后SAS、SDS评分分别为（50.27±5.49）、（48.73±5.63）分。产前优质护理前，两组SAS、SDS评分差异无统计学意义（P>0.05）。产前优质护理后，观察组SAS、SDS评分明显低于对照组，差异有统计学意义（P<0.05）。两组孕产妇不良结局比较差异有统计学意义（P<0.05）。两组围生儿不良结局比较差异有统计学意义（P<0.05）。护理后观察组患者生活质量各项评分均优于对照组，组间比较差异有统计学意义（P<0.05）。结论产前优质护理能有效缓解妊高征患者的不良情绪，优化母婴结局。
目的：探討產前優質護理對妊娠高血壓產婦不良情緒的改善及妊娠結跼的影響。方法選取2013年6月~2014年1月我院收治的128例妊高徵患者為研究對象，隨機分為兩組，分彆進行產前優質護理（觀察組）和常規護理（對照組）。比較兩組患者護理前後SAS評分、SDS評分及早產、剖宮產、胎盤早剝、產後齣血、子癇、先兆子癇、胎兒窘迫、低體重兒、新生兒窒息、死亡、新生兒Apgar評分、生活質量評分。結果觀察組產前優質護理後SAS、SDS評分分彆為（41.42±5.16）、（40.29±5.41）分；對照組產前優質護理後SAS、SDS評分分彆為（50.27±5.49）、（48.73±5.63）分。產前優質護理前，兩組SAS、SDS評分差異無統計學意義（P>0.05）。產前優質護理後，觀察組SAS、SDS評分明顯低于對照組，差異有統計學意義（P<0.05）。兩組孕產婦不良結跼比較差異有統計學意義（P<0.05）。兩組圍生兒不良結跼比較差異有統計學意義（P<0.05）。護理後觀察組患者生活質量各項評分均優于對照組，組間比較差異有統計學意義（P<0.05）。結論產前優質護理能有效緩解妊高徵患者的不良情緒，優化母嬰結跼。
목적：탐토산전우질호리대임신고혈압산부불량정서적개선급임신결국적영향。방법선취2013년6월~2014년1월아원수치적128례임고정환자위연구대상，수궤분위량조，분별진행산전우질호리（관찰조）화상규호리（대조조）。비교량조환자호리전후SAS평분、SDS평분급조산、부궁산、태반조박、산후출혈、자간、선조자간、태인군박、저체중인、신생인질식、사망、신생인Apgar평분、생활질량평분。결과관찰조산전우질호리후SAS、SDS평분분별위（41.42±5.16）、（40.29±5.41）분；대조조산전우질호리후SAS、SDS평분분별위（50.27±5.49）、（48.73±5.63）분。산전우질호리전，량조SAS、SDS평분차이무통계학의의（P>0.05）。산전우질호리후，관찰조SAS、SDS평분명현저우대조조，차이유통계학의의（P<0.05）。량조잉산부불량결국비교차이유통계학의의（P<0.05）。량조위생인불량결국비교차이유통계학의의（P<0.05）。호리후관찰조환자생활질량각항평분균우우대조조，조간비교차이유통계학의의（P<0.05）。결론산전우질호리능유효완해임고정환자적불량정서，우화모영결국。
Objective To explore the effects of antenatal premium care on the improvement of negative emotions and pregnancy outcomes for patients with gestational hypertension. Methods A total of 128 patients with gestational hyper-tension who were admitted to our hospital from June 2013 to January 2014 were selected as research subjects. They were randomly assigned to two groups, who received antenatal premium care (observation group) and regular nursing care (control group). SAS and SDS scores before and after admission, premature delivery, cesarean section, placental abruption, postnatal hemorrhage, eclampsia, pre-eclampsia, fetal distress, low birth weight, neonatal asphyxia, death, Apgar scores and life quality were compared. Results After antenatal premium care in the observation group, SAS and SDS scores were (41.42±5.16) and (40.29±5.41) respectively;After antenatal premium care in the control group, SAS and SDS scores were (50.27±5.49) and (48.73±5.63) respectively. Before the antenatal premium care, SAS and SDS scores between the two groups were not statistically significant (P>0.05). After the antenatal premium care, SAS and SDS scores in the observation group were significantly lower than those in the control group, and the differences were statis-tically significant (P<0.05). Differences of negative outcomes compared between the two groups of patients were statisti-cally significant (P<0.05). Differences of negative outcomes compared between the two groups of perinatal infants were statistically significant (P<0.05). Scores of life quality of patients in the observation group were all better than those in patients in the control group, and the differences were statistically significant (P<0.05). Conclusion Antenatal premium nursing is able to effectively ease the negative emotion of patients with gestational hypertension and enhance the out-come of mother and infants.
