高病毒量HBV感染并妊娠的临床护理研究  

Clinical Nursing Study on High Viral HBV Infection and Pregnancy

作　　者：徐达珍[1] 韩贤琪 XU Da-zhen;HAN Xian-qi(Department of Infection,Shanghai Sixth People's Hospital,Shanghai,200233 China)

机构地区：[1]上海市第六人民医院感染科,上海200233

出　　处：《系统医学》2020年第15期127-129,共3页Systems Medicine

摘　　要：目的分析高病毒量乙型病毒肝炎(HBV)感染并妊娠患者的护理。方法选择该院2017年2月—2019年7月收治的83例高病毒量HBV感染并妊娠患者为研究对象,分成对照组(41例)与干预组(42例),分别给予两组常规护理、针对性护理干预。对比两组治疗依从性、护理满意度、情绪变化、肝功能变化及不良妊娠结局发生率差异。结果干预组治疗依从性97.62%及护理满意度97.62%高于对照组,差异有统计学意义(χ^2=6.140、5.370,P<0.05)。干预组护理后焦虑状态(44.61±3.57)分、抑郁状态(46.33±4.91)分优于对照组(t=6.020、5.970,P<0.05)。干预组护理后HBV-DNA(59.43±14.86)U/mL、ALT(26.17±5.82)U/L优于对照组(t=16.710、9.510,P<0.05)。干预组不良妊娠结局发生率2.37%低于对照组(χ^2=5.370,P<0.05)。结论针对性护理干预用于高病毒量HBV感染并妊娠患者,可改善其负性情绪及肝功能,减少不良妊娠结局的形成。Objective To analyze the nursing of patients with high viral load hepatitis B(HBV)infection and pregnancy.Methods Eighty-three patients with high viral load HBV infection and pregnancy who were admitted to the hospital from February 2017 to July 2019 were selected as the research object.They were divided into a control group(41 cases)and an intervention group(42 cases).Patients in the control group were given routine nursing,and patients in the intervention group were given targeted nursing intervention.The differences in treatment compliance,nursing satisfaction,mood changes,liver function changes and adverse pregnancy outcomes were compared between the two groups.Results The treatment compliance of the intervention group was 97.62%,and the nursing satisfaction rate was 97.62%,which was higher than that of the control group.The difference was statistically significant(χ^2=6.140,5.370,P<0.05).After intervention,the anxiety state(44.61±3.57)points and depression state(46.33±4.91)points were better in the intervention group than in the control group(t=6.020,5.970,P<0.05).The HBV-DNA(59.43±14.86)U/mL,and ALT(26.17±5.82)U/L of the intervention group after nursing were better than the control group(t=16.710,9.510,P<0.05).The incidence of adverse pregnancy outcomes in the intervention group was 2.37%lower than that in the control group(χ^2=5.370,P<0.05).Conclusion Targeted nursing intervention for patients with high viral load HBV infection and pregnancy can improve their negative emotions and liver function and reduce the formation of adverse pregnancy outcomes.

关 键 词：高病毒量HBV感染 妊娠 肝功能 

分 类 号：R473.5[医药卫生—护理学]