全程护理干预在妊娠合并心脏病孕妇围生期中的临床应用  

Clinical application of perioperative nursing intervention on pregnant women with gravidity complicated with cardiopathy

作　　者：陈益君 张春萍 卢家凯[2] 

机构地区：[1]浙江省恩泽集团医疗中心台州医院仙居分院妇产科,浙江仙居317300 [2]首都医科大学附属北京安贞医院妇产科,北京100029

出　　处：《中国医药导报》2014年第14期110-113,共4页China Medical Herald

基　　金：首都医学发展科研基金项目(编号2009-2073)

摘　　要：目的 总结妊娠合并心脏病孕妇围生期护理干预方法 ，归纳护理注意要点。方法 选择2011年4月～2013年4月浙江省恩泽集团医疗中心台州医院仙居分院（以下简称“我院”）产科收治的62例行全程护理干预的妊娠合并心脏病孕妇为观察组．另选2008年6月前我院采用常规护理的55例妊娠合并心脏病孕妇为对照组，回顾性分析两组患者的临床资料并比较其妊娠结局住院天数及护理满意度。结果 观察组的孕妇病死率（0．0％）、新生儿病死率（1．6％）和孕妇心力衰竭发生率（9．7％）均低于对照组（7．2％、3．6％、48．2％），其中孕妇病死率比较差异有统计学意义（P〈0．05）；同时观察组的产后24h出血量[（185．1±32．5）mL]、产后住院天数[（5．2±1．2）d]均明显低于对照组[（260．1±36．8）mL、（8．7±2．6）d]，差异均有统计学意义（P〈0．05）；观察组患者对护理质量的满意率为91．2%，明显高于对照组（61．8％），差异有统计学意义（P〈0．05）。结论 全程护理干预手段，能预防妊娠合并心脏病孕妇产后心力衰竭发生．能有效地保证孕妇和婴儿的安全。Objective To investigate perinatal nursing methods for women suffering from pregnancy with cardiopathy, and to summarize experiences of nursing intervention. Methods 62 women with pregnancy accompanied with cardiopathy from April 2011 to April 2013 in Obstetrical Department of Xianju Branch of Taizhou Hospital of Enze Group Medical Center （＂our hospital＂ for short） were selected as the observation group, they were treated with whole course nursing intervention. 55 cases of women suffering from pregnancy accompanied with cardiopathy in Obstetrical Department of our hospital before June 2008 were selected as the control group, they were given the routine nursing. Retrospective analysis was performed in the two groups, all nursing indexes in the two groups were compared. Results The death rate of pregnant （0.0%）, death rate of newborns （1.6%）, and occurrence rate of heart failure （9.7%） in the observation group were lower than those in the control group （7.2%, 3.6%, 48.2%）, but only the death rate of pregnant in two group was statistically significant difference （P 〈 0.05）; the 24 h postoperative bleeding amount [（185.1±32.5） mL] and puerperal hospital stay [（5.2±1.2） d] in the observation group were lower than those in the control group [（260.1±36.8） mL, （8.7± 2.6） d], the differences were statistically significant （P 〈 0.05）. The satisfaction rate of nursing quality in the observation group （91.2%） was higher than that in the control group （61.8%）, the difference of two groups was statistically significant （P 〈 0.05）. Conclusion Whole course nursing in perinatal period can prevent the heart failure of pregnant women with gravidity complicated with cardiopathy and effectively ensure the safe of pregnant women and infants.

关 键 词：妊娠 心脏病 围生期 护理干预 

分 类 号：R473[医药卫生—护理学]