循证护理在预防早发型重度子痫前期患者不良妊娠结局中的应用

摘要

Objective:To discuss the effect of evidence-based nursing in the prevention of adverse pregnancy outcomes of patients with early onset severe pre-eclampsia,so as to provide an effective and reasonable nursing method.Methods:Equally divided 60 patients with early onset severe pre-eclampsia admitted in obstetrical department of our hospital from October 2013 to October 2015 into experimental group and control group,and upon consent of the pregnant women and family members,expectant therapy was given to the pregnant women meeting the expectant therapy condition,conventional nursing was given to the patients in the control group,and evidence-based nursing was given to the patients in the experimental group on the basis of the control group.Patients with early onset severe pre-eclampsia in the two groups were compared in incidence rate of severe complications during hospitalization,perinatal infant conditions and satisfaction of medical and nursing personnel etc.Results:The anxiety incidence rate of patients in the experimental group was lower than that of patients in the control group (P<0.05),although the satisfaction of medical and nursing personnel was improved,the difference was not statistically significant (P>0.05);the delivery pregnancy week of patients in the experimental group was extended compared with that of patients in the experimental group,and the pregnancy complications and perinatal infant death rate in the experimental group were lower than those in the control group (P<0.05).Conclusion:The evidence-based nursing did not only reduce the incidence rate of severe complications of the patients,improve the survival rate of the patients and perinatal infants,but was also helpful to improve the nursing business,while improving the doctor-nurse relationship.%目的:探讨循证护理在预防早发型重度子痫前期患者不良妊娠中的作用,以期为其提供一种有效、合理的护理方法.方法:将2013年10月~2015年10月我院产科收治的60例早发型重度子痫前期患者随机等分为对照组和试验组,在征求孕妇和家属同意后对符合期待治疗条件的孕妇实施期待疗法,对照组给予常规护理;试验组在对照组的基础上实施循证护理.比较两组早发型重度子痫前期患者在院期间严重并发症发生率、围产儿情况以及医护满意度等.结果:试验组焦虑发生率低于对照组(P<0.05),医护满意率虽有提高但差异无统计学意义(P>0.05);试验组分娩孕周较对照组延长,且妊娠并发症及围产儿死亡率均低于对照组(P<0.05).结论:循证护理不仅在一定程度上降低了患者严重并发症的发生率,提高了患者及其围产儿的存活率,还有助于护理业务水平的提升,同时改善医患关系.