CAJ | 학술논문

目的：探讨护理干预对高龄初产妇的影响。方法：将186例高龄初产妇随机分为两组，试验组除常规护理外，给予孕期健康宣教、心理护理、围生期护理及生活指导等护理干预，对照组只给予常规护理。观察并比较两组患者产科并发症、分娩方式及过程、胎儿结局。结果：试验组顺产率、产后出血量、早产、难产发生率、伤口愈合及其他并发症的发生率均低于对照组，差异有统计学意义（P ﹤0.05）。试验组胎儿窘迫、新生儿窒息发生率低于对照组，但差异无统计学意义（P ﹥0.05）。结论：高龄孕妇属高危妊娠，通过护理干预，顺产率高，有利于产妇生产，减少各种并发症，对妇产科整体护理质量的提高有积极的意义。
목적：탐토호리간예대고령초산부적영향。방법：장186례고령초산부수궤분위량조，시험조제상규호리외，급여잉기건강선교、심리호리、위생기호리급생활지도등호리간예，대조조지급여상규호리。관찰병비교량조환자산과병발증、분면방식급과정、태인결국。결과：시험조순산솔、산후출혈량、조산、난산발생솔、상구유합급기타병발증적발생솔균저우대조조，차이유통계학의의（P ﹤0.05）。시험조태인군박、신생인질식발생솔저우대조조，단차이무통계학의의（P ﹥0.05）。결론：고령잉부속고위임신，통과호리간예，순산솔고，유리우산부생산，감소각충병발증，대부산과정체호리질량적제고유적겁적의의。
Objective To study the effect of the intervention in nursing to the elderly primipara. Method Bassed on the method of ran-dom,the 186 elderly primipara were divided into two groups:the experiment group not only with routine nursing,but also the intervention in nursing such as pregnancy health education,psychological care,perinatal care and life guidance and control group only with routine nurs-ing. The obstetric complication,mode of delivery and process,fetal outcome were observed and compared in two groups. Results The ratio of Eutocia,Postpartum hemorrhage,Premature birth,Dystocia,Wound healing and other complications in the experiment group were less than the control group,there were statistical significance(P ﹤0. 05). The ratio of Fetal distress and Asphyxia in the experiment group were less than the control group,but here were not statistical significance(P ﹥0. 05). Conclusion Older pregnant women belong to high - risk pregnancy. there were positive significance to the high ratio of Eutocia Conducive to maternal production,Reduce complications,improve the overall quality of care in obstetrics and gynecology through the intervention in nursing.