妊娠合并乙型肝炎护理中运用临床护理路径的效果评价  

Evaluation of Clinical Nursing Pathways in the Nursing of Pregnant Women with Hepatitis B

作　　者：刘凤丽[1] LIU Feng-li(Department of Internal Medicine,Zibo Maternal and Child Health Hospital,Zibo,Shandong Province,255000 China)

机构地区：[1]淄博市妇幼保健院内科,山东淄博255000

出　　处：《系统医学》2020年第7期184-186,共3页Systems Medicine

摘　　要：目的评价妊娠合并乙型肝炎护理中运用临床护理路径的效果。方法对该院2018年1月—2019年6月收治的妊娠合并乙型肝炎产妇,从中选择82例作为该次研究的对象。系统随机对82例患者编号,奇数为观察组,偶数为对照组。观察组产妇采用临床护理路径,对照组产妇运用常规护理干预。护理两个月后观察与比较两组患者情绪评分、健康知识掌握程度、自我护理能力、生活质量以及新生儿抗HBsAg阳性与并发症情况。结果护理后,观察组产妇SAS评分(22.46±0.91)分、SDS评分(27.34±0.96)分均低于对照组[(36.05±1.03)分、(39.83±0.92)分],差异有统计学意义(t=3.809、4.318,P<0.05);观察组产妇健康知识掌握程度评分(87.92±2.53)分、自我护理能力评分(83.51±2.82)分以及生活质量评分(82.17±1.97)分均高于对照组[(76.04±2.41)分、(71.05±2.94)分、(70.06±1.88)分],差异有统计学意义(t=4.059、4.381、4.237,P<0.05);观察组新生儿抗HBsAg阳性率95.12%高于对照组73.17%,观察组并发症发生率2.44%明显低于对照组19.51%,差异有统计学意义(χ^2=5.627、3.802,P<0.05)。结论对妊娠合并乙型肝炎产妇实施临床护理路径可以提高产妇对健康知识的掌握程度,提升产妇自我护理能力与生活质量,帮助产妇以更积极的心态面对治疗,可以减少新生儿感染情况以及产妇并发症发生,应用效果良好。Objective To evaluate the effect of clinical nursing pathway in the nursing of pregnancy combined with hepatitis B.Methods For pregnant women with hepatitis B who were treated in the hospital from January 2018 to June 2019,82 cases were selected as the object of this study.The system randomly numbered 82 patients.The odd number was the observation group and the even number was the control group.Observation group mothers adopted clinical nursing pathway,while control group mothers used routine nursing intervention.After two months of nursing,observe and compare the emotional scores,mastery of health knowledge,self-care ability,quality of life,and anti-HBsAg positive and complications of the two groups of patients.Results After nursing,the maternal SAS score(22.46±0.91)points and SDS score(27.34±0.96)points of the observation group were lower than those of the control group[(36.05±1.03)points,(39.83±0.92)points,and the differences were statistically significant(t=3.809,4.318,P<0.05);Observation group maternal health knowledge mastery score(87.92±2.53)points,self-care ability score(83.51±2.82)points and quality of life score(82.17±1.97)points were higher than the control group[(76.04±2.41)points,(71.05±2.94)points,(70.06±1.88)points].The difference was statistically significant(t=4.381,4.059,4.237,P<0.05);the anti-HBsAg positive rate of newborns in the observation group was 95.12%higher than that of the control group at 73.17%,and the incidence of complications in the observation group was 2.44%significantly lower than that in the control group.19.51%,the difference was statistically significant(χ^2=5.627,3.802,P<0.05).Conclusion The implementation of clinical nursing pathways for pregnant women with hepatitis B can improve their knowledge of health,improve their self-care ability and quality of life,help them to face treatment with a more positive attitude,and reduce the incidence of neonatal infections and women complications occurrence and the application effect was good.

关 键 词：乙型肝炎 妊娠 临床护理路径 效果 

分 类 号：R473.5[医药卫生—护理学]