分析循证理论下预见性护理干预在妊娠期肝内胆汁淤积症患者护理中的临床意义  

Clinical significance of predictive nursing intervention in patients with intrahepatic cholestasis of pregnancy

作　　者：沈谦[1] 万慎娴[1] 杨艳梅[1] 王伟[1] Shen Qian;Wan Shenxian;Yang Yanmei;Wang Wei(Departmens of Obstetrics^The First Affiliated Hospital of Soochow University, Suzhou,Jiangsu 215006)

机构地区：[1]苏州大学附属第一医院产科,江苏苏州215006

出　　处：《中外女性健康研究》2017年第10期3-5,共3页Women＇s Health Research

摘　　要：目的:分析循证理论下预见性护理干预在妊娠期肝内胆汁淤积症患者护理中的临床意义。方法:将我院2014年6月至2016年6月期间收治的94例妊娠期肝内胆汁淤积症(intrahepatic cholestasis of pregnancy,ICP)患者纳入此次研究,通过抽签的方式,将全部患者分为对照组和观察组,各47例,分别给予常规护理和循证理论下的预见性护理,护理结束后,比较两组患者的谷丙转氨酶(alanine transaminase,ALT)、血清胆汁酸(total bile acids,TBA)以及血清总胆红素(total bilirubin,TBIL)水平,比较两组孕产妇的妊娠结局,对比护理满意度。结果:护理结束后,观察组患者的ALT水平、TBA水平以及TBIL水平,均显著低于对照组患者的相关水平,观察组患者出现新生儿窒息、早产以及羊水污染和围生儿死亡的概率均显著低于对照组,观察组患者的护理满意度为95.74%,显著高于对照组的76.60%,两组上述指标的对比,差异均十分突出,具有统计学意义(P<0.05)。结论:基于循证理论,对妊娠期肝内胆汁淤积患者进行预见性护理,可以显著改善各指标水平,改善妊娠结局,提升护理满意度,值得进行临床推广应用。Object ive:To analyze pred ictabil i ty under the theory of evidence-based nurs ing intervention cholestasis disease clinical significance in patiens care. Methods: From June 2014 (o June 2016 treated of 94 cases of intrahepatic cholestasis during pregnancy (intrahepatic cholestasis of pregnancy,ICP) study, through the lottery,all the patients were divided mto control group and observation group, the 47 cases, were givenroutine nursing and proactive under the theory of evidence-based nursing, nursing after the comparison of two groups of patientsALT (alanine transaminase,A L T ), serum bile acid (total bile acids,associates) and serum total bilirubin (total bilirubin,TBIL) levels, compared two groups of maternal pregnancy outcomes, compare the nursing satisfaction. Results: After thecare, the patients of ALT, associates and TBIL level, were significantly lower than the control observation group patients with neonatal asphyxia ^ premature birth ^ and the probability of death n amnio tic fluid contammationand perinatals were significantly lower than the control group, observation group patients nursing satisfaction: significantly higher than that of control group 76. 60% , two groups of the mdex contrast, differences statistical significance (_P < 0. 05). Conclusion: Based on the theory of evidence-based, intrahepatic cholestasis of pregnancy patientswith predictive nursing care, can significantly improve the index level, improve the pregnancy outcome, satisfaction, is worth for clinicil application,

关 键 词：循证理论 预见性护理 妊娠期 肝内胆汁淤积症 临床护理 

分 类 号：R714.255[医药卫生—妇产科学]