集束化护理干预对高原妊娠贫血的应用探讨  

Application of cluster nursing intervention on plateau pregnancy anemia

作　　者：杨长捷[1] 刘晓[2] 赵粒[3] 田策 李颖[1] YANG Changjie;LIU Xiao;ZHAO Li;TIAN Ce;Li Ying(Department of Obstetrics and Gynecology,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China;Pediatrics of Tibet Autonomous Region People’s Hospital,Lhasa,Tibet 850000,China;Obstetrics and Gynecology of Tibet Autonomous Region People’s Hospital,Lhasa,Tibet 850000,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院妇产科,北京100730 [2]西藏自治区人民医院儿科,西藏拉萨850000 [3]西藏自治区人民医院妇产科,西藏拉萨850000

出　　处：《中国优生与遗传杂志》2023年第2期404-408,共5页Chinese Journal of Birth Health & Heredity

基　　金：中国医学科学院中央级公益性科研院所基本科研业务费专项(2020-RW320-004)。

摘　　要：目的探讨集束化护理策略在高原妊娠贫血患者的应用效果。方法将2020年12月至2022年1月在西藏自治区人民医院妇产科住院分娩的妊娠合并缺铁性贫血的80例患者随机均分为观察组和对照组。对照组采用常规护理方案,观察组成立集束化小组,根据循证结果制定集束化护理干预措施并实施,比较两组间血红蛋白、血清铁蛋白、红细胞压积计数、产后2 h出血、胎儿宫内发育指标、宫内窘迫、新生儿窒息、早产、低体质量儿发生率等的差异。结果观察组经干预后在治疗有效率、血红蛋白、血清铁蛋白、红细胞压积计数高于对照组;胎儿生长受限、产后2 h出血、低出生体质量儿出生数低于对照组,差异有统计学意义(P≤0.05);胎儿窘迫、新生儿窒息、早产等相关指标两组比较差异无统计学意义(P>0.05)。结论应用集束化护理能够改善高原妊娠贫血患者的母婴结局。Objective To explore the application effect of cluster nursing strategy in patients with plateau pregnancy anemia.Methods Eighty patients with iron deficiency anemia combined with pregnancy who delivered in the Department of Obstetrics and Gynecology of Tibet Autonomous Region People’s Hospital from December 2020 to January 2022 were randomly and equally divided into an observation group and a control group.The control group used conventional nursing protocols,and the observation group set up a cluster group to develop and implement cluster nursing interventions based on evidence-based results,and compared the differences in hemoglobin,serum ferritin,erythrocyte pressure product count,2-hour postpartum hemorrhage,intrauterine development index,intrauterine distress,neonatal asphyxia,preterm delivery,and incidence of low birth weight babies between the two groups.Results In the observation group,the treatment efficiency,hemoglobin,serum ferritin and erythrocyte pressure count were higher than those in the control group after the intervention;the number of fetal growth restriction,2-hour postpartum hemorrhage and low birth weight babies born were lower than those in the control group,and the difference was statistically significant(P≤0.05).The differences in fetal distress,neonatal asphyxia and preterm delivery and other related indexes were not statistically significant(P>0.05).Conclusion Application of cluster nursing can improve maternal and infant outcomes in patients with plateau pregnancy anemia.

关 键 词：集束化 干预 高原 妊娠贫血 

分 类 号：R473.71[医药卫生—护理学]