以微信为基础延续护理在伴有复发性流产史的先兆流产妇女中的应用  

Application of WeChat-based Continuing Care in Women with Threatened Abortion with Recurrent Abortion

作　　者：郭莹莹 禹菡 Guo Yingying;Yu Han(The Ninth People′s Hospital of Zhengzhou Zhengzhou,Henan450000)

机构地区：[1]郑州市第九人民医院,河南郑州450000

出　　处：《辽宁医学杂志》2023年第1期96-99,共4页Medical Journal of Liaoning

摘　　要：目的 探究以微信为基础延续护理对伴有复发性流产史的先兆流产妇女中的应用效果。方法 选取2019年1月至2020年4月于我院接受治疗后出院的84例伴有复发性流产史的先兆流产妇女为研究对象,按照随机数表法将所有患者平均分为两组,观察组和对照组各42例。对照组患者接受常规院外护理,观察组患者在对照组的基础上联合以微信为基础的延续护理。比较两组患者出院前后保胎知识认知评分;比较两组患者出院护理期间不明原因流产率和明确原因流产率;比较两组患者护理期间阴道流血、腰酸胀痛、小腹胀痛坠胀等不良事件发生率;比较两组患者护理结束后生活质量评分。结果 保胎知识认知评分比较显示,观察组患者用药、饮食、生活起居以及情绪四个维度评分均高于对照组患者,P<0.05。护理期间流产率比较显示,观察组患者不明原因流产率为4.76%(2/42)、明确原因流产率为0,对照组患者不明原因流产率为14.29%(6/42)、明确原因流产率为7.14%(3/42),P<0.05。不良事件发生率比较显示,观察组患者不良事件发生率为11.90%(5/42),对照组患者不良事件发生率为21.43%(9/42),P<0.05。生活质量评分比较显示,观察组患者生活质量总分84.29±3.48分,对照组患者生活质量总分75.84±5.33分,P<0.05。结论 以微信为基础的延续护理应用于伴有复发性流产史的先兆流产妇女中具有良好效果,能够提高产妇保胎认知水平,降低流产率和不良事件发生率,对于提高产妇生活质量水平具有积极意义。Objective To explore the application effect of WeChat based continuous nursing on women with threatened abortion with recurrent abortion history.Methods From January 2019 to April 2020,84 patients with threatened abortion who were discharged from our hospital after treatment were selected as the research subjects.According to the random number table method, all patients were divided into two groups on average, the observation group and the control group had 42 cases each.Patients in the control group received routine out-of-hospital nursing, and patients in the observation group were combined with WeChat-based continuous nursing on the basis of the control group.The cognitive scores of fetal care knowledge were compared between the two groups before and after discharge.The rate of unexplained abortion and unexplained abortion during discharge nursing were compared between the two groups.The incidence of adverse events such as vaginal bleeding, waist pain, abdominal pain and swelling during nursing were compared between the two groups.The quality of life scores after nursing were compared between the two groups.Results Comparison of cognitive scores of fetal care knowledge showed that the scores of medication, diet, daily life and mood in observation group were higher than those in control group(P<0.05).Comparison of abortion rate during nursing showed that the rate of unexplained abortion was 4.76%(2/42)and the rate of unexplained abortion was 0 in the observation group, and the rate of unexplained abortion was 14.29%(6/42)and the rate of unexplained abortion was 7.14%(3/42)in the control group, P<0.05.Comparison of the incidence of adverse events showed that the incidence of adverse events in the observation group was 11.90%(5/42),and that in the control group was 21.43%(9/42),P<0.05.The comparison of quality of life scores showed that the total score of quality of life in the observation group was 84.29±3.48,and that in the control group was 75.84±5.33,P<0.05.Conclusion WeChat-based continuous nursing has a g

关 键 词：以微信为基础延续护理 复发性流产史 先兆流产 

分 类 号：R473.71[医药卫生—护理学]