系统性干预管理措施对胎膜早破分娩产妇婴儿感染的护理效果研究  

Nursing Effect of Systemic Intervention and Management Measures on Infant Infection in Women with Premature Rupture of Membranes

作　　者：李芳 LI Fang(CT Room,Nanyang Central Hospital,Nanyang,Henan,473001,China)

机构地区：[1]河南省南阳市中心医院CT室,河南南阳473001

出　　处：《黑龙江医学》2022年第16期2040-2042,共3页Heilongjiang Medical Journal

摘　　要：目的:研究系统性干预管理措施对胎膜早破分娩产妇婴儿感染的护理效果。方法:选取2017年1月―2019年1月河南省南阳市中心医院收治的76例胎膜早破分娩产妇作为研究对象。采用随机数表法分为实验组39例和对照组37例,实验组采用系统性干预管理护理模式,对照组采用常规护理模式。比较两组孕妇护理前后焦虑情况,比较新生儿分娩出1 min、5 min和10 min时Apgar评分,比较两组孕妇分娩方式、不良妊娠结局率、感染率。结果:护理后,两组孕妇SAS评分均降低,且实验组显著低于对照组,差异有统计学意义(t=13.611,P<0.05)。实验组新生儿分娩出1 min、5 min和10 min时Apgar评分均显著高于对照组,差异有统计学意义(t=14.496、20.429、21.435,P<0.05)。实验组自然生产率为97.56%、剖宫产率为0.00%,显著低于对照组的71.79%、15.38%,差异有统计学意义(χ^(2)=15.266、4.781,P<0.05)。实验组不良妊娠发生率为2.43%,显著低于对照组的20.51%,差异有统计学意义(χ^(2)=4.854,P<0.05)。结论:系统性干预管理措施应用于胎膜早破分娩产妇中,护理效果较好,能够改善产妇的焦虑情绪,降低不良妊娠发生率和婴儿感染率,并且能够提高正常分娩的概率以及新生儿的机体状态。Objective: To study the nursing effect of systemic intervention and management measures on infant infection in women with premature rupture of membranes. Methods: A total of 76 pregnant women with premature rupture of membranes who were admitted to the hospital from January 2017 to January 2019 were selected as the research objects, and divided into the experimental group of 39 cases and the control group of 37 cases by random number table method. The experimental group was given the systematic intervention management nursing mode, and the control group was given the routine nursing mode. The anxiety of the two groups of pregnant women before and after nursing, the Apgar score at 1, 5 and 10 minutes after delivery, the mode of delivery,the rate of adverse pregnancy outcomes and the infection rate of the two groups of pregnant women were compared. Results: After nursing, the SAS scores of pregnant women in both groups decreased, and the experimental group was significantly lower than the control group, with a statistically significant difference(t=13.611, P<0.05). The Apgar scores of newborns in the experimental group were significantly higher than those in the control group at 1 min, 5 min and 10 min after delivery, and the differences were statistically significant(t=14.496, 20.429, 21.435, P<0.05). The natural productivity of the experimental group was 97.56%, and the cesarean section rate was 0, which were significantly lower than 71.79% and 15.38% of the control group, and the difference was statistically significant(χ^(2)=15.266, 4.781, P<0.05). The incidence of adverse pregnancy in the experimental group was 2.43%,which was significantly lower than 20.51% in the control group, and the difference was statistically significant(χ^(2)=4.854, P<0.05).Conclusion: Systematic intervention and management measures are used in women with premature rupture of membranes, and the nursing effect is good. It can improve maternal anxiety, reduce the incidence of adverse pregnancy and infant infection rate, and can improve

关 键 词：系统性干预管理措施 胎膜早破 分娩产妇 婴儿感染 

分 类 号：R47[医药卫生—护理学]