护理干预模式在地中海贫血孕产妇中的应用研究  

Application of nursing intervention model in thalassemia pregnant women

作　　者：欧水英[1] 吴秀娥[1] 温素芬[1] 眭建忠[1] OU Shui-ying;WU Xiu-e;WEN Su-fen(The First People’s Hospital of Foshan City,Foshan 528000,Guangdong)

机构地区：[1]佛山市第一人民医院,广东佛山528000

出　　处：《安徽医专学报》2022年第1期129-131,共3页Journal of Anhui Medical College

基　　金：2020年佛山市科技局医学类科技攻关项目(编号:2020001005074)。

摘　　要：目的:探讨地中海贫血孕产妇的护理干预模式及其临床应用价值。方法:选取医院接诊的200例地中海贫血孕产妇,根据孕妇意愿分为两组,对照组孕产妇(100例)实施常规孕期护理,观察组孕妇(100例)实施综合护理干预模式。对比两组孕产妇心理状态、健康知识掌握程度、妊娠结局(分娩方式、不良妊娠结局)、护理满意度。结果:干预前两组孕妇SAS、SDS评分比较,差异无统计学意义(P>0.05);干预后观察组孕妇SAS、SDS评分低于对照组(P<0.05),与对照组比较,观察组孕妇健康知识掌握评分更高,剖宫产率、新生儿地中海贫血发生率更低,护理满意度更高,差异均有统计学意义(P<0.05)。两组新生儿死亡率差异无统计学意义(P>0.05)。结论:综合护理干预为孕产妇提供优质的围产期保健,可以增强地中海贫血孕产妇的健康知识认知度,改善心理状态,促进顺利分娩,改善妊娠结局,保障产妇及新生儿安全,从而减少新生儿出生缺陷,实现优生优育。Objective:To explore the nursing intervention model and clinical application value of pregnant women with thalassemia.Methods:Foshan first people’s hospital received 200 pregnant women with thalassemia.According to the wishes of pregnant women,they were divided into two groups:100 cases of routine pregnancy care(control group)and 100 cases of comprehensive nursing intervention mode(observation group).The psychological status,mastery of health knowledge,pregnancy outcome(delivery mode,adverse pregnancy outcome)and nursing satisfaction were compared.Results:There was no significant difference in SAS and SDS scores between the two groups before intervention(P>0.05);After the intervention,the SAS and SDS scores of the observation group were lower than those of the control group(P<0.05).Compared with the control group,the observation group had higher scores of health knowledge,lower cesarean section rate,lower incidence of neonatal thalassemia and higher nursing satisfaction(P<0.05).Comparison of neonatal mortality between the two groups was made(P>0.05).Conclusion:Comprehensive nursing intervention provides high-quality perinatal health care for pregnant women,enhances the awareness of health knowledge of pregnant women with thalassemia,improves psychological status,promotes smooth delivery,improves pregnancy outcome,and ensures the safety of pregnant women and newborns,so as to reduce neonatal birth defects and realize the national policy of eugenics.

关 键 词：综合护理干预模式 地中海贫血 孕产妇 临床价值 

分 类 号：R473.71[医药卫生—护理学]