首页> 中文期刊> 《中国现代医生》 >产前优质护理对妊娠高血压产妇负性情绪的改善作用及分娩结局的影响

产前优质护理对妊娠高血压产妇负性情绪的改善作用及分娩结局的影响

             

摘要

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.%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。

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