基于循证理念的人文关怀护理对高危产妇心理状态和妊娠结局的影响  

Impact of evidence-based humanistic care on psychological status and pregnancy outcome in high-risk parturient women

作　　者：李欣[1] 马靓[2] Li Xin;Ma Liang(Delivery Room,the First People′s Hospital of Lianyungang City,Lianyungang 222002,China;Nursing Department,the First People′s Hospital of Lianyungang City,Lianyungang 222002,China)

机构地区：[1]江苏省连云港市第一人民医院产房,222002 [2]江苏省连云港市第一人民医院护理部,222002

出　　处：《中国实用护理杂志》2021年第28期2177-2182,共6页Chinese Journal of Practical Nursing

基　　金：江苏省教育科学"十三五"规划2018年度课题(D/2018/01/68)。

摘　　要：目的探讨基于循证理念的人文关怀护理对高危产妇心理压力、焦虑情绪及妊娠结局的影响。方法选取2019年1月至2020年1月江苏省连云港市第一人民医院产科接诊的高危产妇92例,按照随机数字表抽取样本的方法分成2组,对照组(46例)按分娩临床护理路径给予护理,观察组(46例)在此基础上实施基于循证理念的人文关怀护理,对比2组干预前后知觉压力量表(CPSS)、焦虑自评量表(SAS)得分以及剖宫产率、新生儿窒息率、产后2 h与24 h出血量等指标。结果干预后观察组CPSS评分(12.28±4.34)分、SAS评分(47.32±6.61)分,低于对照组的(16.26±3.39)、(53.60±5.46)分,差异有统计学意义(t值为4.902、4.968,P<0.05);观察组剖宫产率23.91%(11/46)、新生儿窒息率2.17%(1/46),低于对照组的45.65%(21/46)、19.57%(9/46),差异有统计学意义(χ^(2)值为4.791、5.954,P<0.05)。观察组产后2 h出血量(173.63±61.46)ml,产后24 h出血量(246.37±67.24)ml,少于对照组的(272.45±57.92)、(368.34±72.47)ml,差异有统计学意义(t值为7.936、8.368,P<0.05)。结论基于循证理念的人文关怀护理能够改善高危产妇心理压力与焦虑情绪,改善其妊娠结局。Objective To observe the effects of evidence-based humanistic care on psychological status and pregnancy outcome in high-risk parturient women.Methods A total of 92 high-risk pregnant women admitted to the First People′s Hospital of Lianyungang City from January 2019 to January 2020 were selected.According to the method of drawing samples from a random number table,the control group(46 cases)was given care according to the clinical nursing path of childbirth,and the observation group(46 cases)implemented evidence-based humanistic care on this basis.Scores of Chinese Perceived Stress Scale(CPSS)and Self-rating Anxiety Scale(SAS)before and after the intervention,and cesarean section rate,neonatal asphyxia rate,2 h and 24 h postpartum blood loss were compared.Results After the intervention,CPSS score(12.28±4.34)and SAS score(47.32±6.61)in observation group were lower than those in control group(16.26±3.39)and(53.60±5.46)(t values were 4.902,4.968,P<0.05);cesarean section rate and neonatal asphyxia rate in observation group were 23.91%(11/46),2.17%(1/46)lower than 45.65%(21/46)and 19.57%(9/46)in control group(χ^(2) values were 4.791,5.954,P<0.05),and postpartum hemorrhage volume in 2 hours(173.63±61.46)ml and 24 h blood loss(246.37±67.24)ml were less than those in control group(272.45±57.92)ml and(368.34±72.47)ml(t values were 7.936,8.368,P<0.05).Conclusions Evidence-based humanistic care can relieve the psychological pressure and anxiety of high-risk parturient women and improve their pregnancy outcome.

关 键 词：循证护理 高危产妇 人文关怀 心理状态 负性情绪 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]