基于思维导图模型下全方位护理路径在妊娠子痫前期患者中的应用效果  

Application effect of comprehensive nursing pathway based on mind mapping model in patients with preeclampsia of pregnancy

作　　者：蒋楠楠[1] 许叶涛 孙丹丹 JIANG Nannan;XU Yetao;SUN Dandan(Ward Two,Department of Obstetrics,Jiangsu Provincial People’s Hospital,Jiangsu Province,Nanjing210000,China)

机构地区：[1]江苏省人民医院产科二病区,江苏南京210000

出　　处：《中国医药导报》2023年第16期189-192,共4页China Medical Herald

基　　金：江苏省自然科学基金面上项目(BK20191124)。

摘　　要：目的探讨基于思维导图模型下全方位护理路径妊娠子痫前期患者中的应用效果。方法选择2020年1月至10月,江苏省人民医院收治的88例妊娠子痫前期患者,按照随机数字表法分为全方位组和联合组,每组44例。全方位组采用全方位路径护理,联合组采用基于思维导图模型下全方位路径护理,观察两组心理应激、生活质量及产后出血相关性。结果护理后,两组焦虑、抑郁评分低于护理前,且联合组低于全方位组,差异有统计学意义(P<0.05)。护理后,两组睡眠质量及妊娠压力评分低于护理前,且联合组低于全方位组,差异有统计学意义(P<0.05)。联合组疾病总掌握比例高于全方位组,差异有统计学意义(P<0.05)。联合组产妇结局(胎盘早剥和产后出血)发生率低于全方位组,出生体重及出生Apgar评分高于全方位组,差异有统计学意义(P<0.05)。结论基于思维导图模型下全方位护理路径能够显著降低患者心理应激,提高生活质量,减少产后出血。Objective To explore the application effect of comprehensive nursing pathway in preeclampsia of pregnancy based on mind mapping model.Methods A total of 88 patients with preeclampsia of pregnancy admitted to Jiangsu Provincial People’s Hospital from January to October 2020 were selected and divided into combined group and omnidirectional group according to random number table method,with 44 cases in both group.The omnidirectional group was treated with omni directional routing nursing,while the combined group was treated with routing nursing based on mind mapping model.The correlation of psychological stress,quality of life,and postpartum hemorrhage were observed in the two groups.Results After nursing,anxiety and depression scores of the two groups were lower than before nursing,and those of the combined group was lower than the omnidirectional group,with statistical significance(P<0.05).After nursing,sleep quality and pregnancy stress scores in two groups were lower than before nursing,while those of combined group were lower than those of omnidirectional group,and the differences were statistically significant(P<0.05).The proportion of total disease mastery in combination group was higher than that in omnidirectional group,and the difference was statistically significant(P<0.05).The incidence of maternal outcomes(placental abruption and postpartum hemorrhage)in the combined group was lower than that in the omnidirectional group,while the birth weight and Apgar score were higher than those in the omnidirectional group,and the differences were statistically significant(P<0.05).Conclusion Comprehensive nursing pathway based on mind mapping model can significantly reduce patients’psychological stress,improve quality of life,and reduce postpartum hemorrhage.

关 键 词：妊娠子痫前期 思维导图 全方位护理 效果 

分 类 号：R47[医药卫生—护理学]