术前风险评估联合对症护理在高危产妇中的应用效果及对妊娠结局的影响  

Application effect of preoperative risk assessment combined with symptomatic nursing in high-risk pregnant women and its influence on pregnancy outcome

作　　者：孙玉丽 刘三多 朱丽红[2] SUN Yuli;LIU Sanduo*;ZHU Lihong(Shaanxi Province Mianxian Hospital,Hanzhong 724200;the Second Affiliated Hospital of Shaanxi Universityof Chinese Medicine,Xianyang 712000,China)

机构地区：[1]陕西省勉县医院,陕西汉中724200 [2]陕西中医药大学第二附属医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2024年第8期162-166,共5页Clinical Research and Practice

基　　金：陕西中医药大学第二附属医院学科创新团队项目(No.2020XKTD-A05)。

摘　　要：目的探讨术前风险评估联合对症护理在高危产妇中的应用效果及对妊娠结局的影响。方法选取2019年10月至2020年10月进行分娩的100例高危产妇作为研究对象,根据随机数字表法将其分为对照组和观察组,各50例。对照组接受常规护理,观察组在对照组基础上增加术前风险评估联合对症护理。比较两组的护理效果。结果观察组的血性恶露排出时间、术后排气时间、下床活动时间、住院时间短于对照组,产后泌乳量大于对照组(P<0.05)。分娩后,两组产妇的抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均下降,且观察组低于对照组(P<0.05)。护理后,观察组的同型半胱氨酸(Hcy)、内皮素(ET)水平低于对照组,一氧化氮(NO)水平高于对照组(P<0.05)。观察组的母婴不良结局总发生率为4.00%,低于对照组的18.00%(P<0.05)。观察组的护理满意度为96.00%,高于对照组的82.00%(P<0.05)。结论术前风险评估联合对症护理可增加高危产妇的产后泌乳量,改善手术指标和不良情绪,减少母婴不良结局发生情况,提高护理满意度。Objective To explore the application effect of preoperative risk assessment combined with symptomatic nursing in high-risk pregnant women and its influence on pregnancy outcome.Methods A total of 100 high-risk pregnant women who gave birth from October 2019 to October 2020 were selected as the research objects.According to the digital random table method,the women were divided into control group and observation group,with 50 cases in each group.The control group received routine nursing,and the observation group was given preoperative risk assessment combined with symptomatic nursing on the basis of the control group.The nursing effects of the two groups were compared.Results The discharge time of bloody lochia,postoperative exhaust time,ambulation time and hospitalization time in the observation group were shorter than those in the control group,and the postpartum lactation volume was greater than that in the control group(P<0.05).After delivery,the scores of Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)in the two groups decreased,and those in the observation group were lower than the control group(P<0.05).After nursing,the levels of homocysteine(Hcy)and endothelin(ET)in the observation group were lower than those in the control group,and the level of nitric oxide(NO)was higher than that in the control group(P<0.05).The total incidence of maternal and infant adverse outcomes in the observation group was 4.00%,which was lower than 18.00% in the control group(P<0.05).The nursing satisfaction of the observation group was 96.00%,which was higher than 82.00% of the control group(P<0.05).Conclusion Preoperative risk assessment combined with symptomatic nursing can increase the postpartum lactation volume of high-risk pregnant women,improve surgical indicators and bad mood,reduce the occurrence of adverse maternal and infant outcomes,and improve nursing satisfaction.

关 键 词：术前风险评估 对症护理 高危产妇 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]