门诊高危妊娠孕妇的产前护理管理效果  

Effect of Prenatal Nursing Management for High-Risk Pregnant Women in Outpatient Department

作　　者：徐蕾蕾[1] XU Leiei(Department of Obstetrics and Gynecology Clinic,Shandong University Qilu Hospital,Ji'nan 250000,China)

机构地区：[1]山东大学齐鲁医院妇产科门诊,济南250000

出　　处：《中国医药指南》2024年第21期47-50,共4页Guide of China Medicine

摘　　要：目的针对门诊高危妊娠孕妇实施产前护理管理,探讨其临床应用效果。方法研究时间为2021年1月至2022年12月,研究对象为我院门诊收治的高危妊娠孕妇100例,按照护理方法不同分为观察组50例与对照组50例,分别实施产前护理管理(包括宫内转诊风险评估管理、门诊健康教育、产前心理弹性支持、延续护理)与常规护理。比较两组孕妇对保健知识的掌握情况、高危妊娠评分情况、妊娠结局以及产后抑郁情况[采用爱丁堡产后抑郁量表(EPDS)评估]。结果观察组孕妇对保健知识的掌握情况优于对照组,心理弹性总分高于对照组,差异有统计学意义(P<0.05);观察组产妇的中转剖宫产率、产后2 h出血量、首次泌乳时间及新生儿窒息率均低于对照组,产后24 h泌乳量评分、新生儿1周存活率均高于对照组(P<0.05)。干预后,两组高危妊娠评分、EPDS评分均低于干预前,且观察组2个指标评分均低于对照组,差异有统计学意义(P<0.05)。结论对门诊高危妊娠孕妇实施产前护理管理,可明显提高孕妇对保健知识的掌握度和心理弹性,降低母婴不良的妊娠结局,改善产妇的抑郁状态。Objective To carry out prenatal nursing management for high-risk pregnant women in outpatient department,and to explore its clinical application effect.Methods The study period was from January 2021 to December 2022.The subjects were 100 high-risk pregnant women admitted to the outpatient department of our hospital.They were divided into observation group(50 cases)and control group(50 cases)according to different nursing methods.Observation group implements prenatal care management(including intrauterine referral risk assessment management,outpatient health education,prenatal psychological resilience support,continuous care)and the control group received routine care.The mastery of health knowledge,high-risk pregnancy score,pregnancy outcome and postpartum depression were compared between the two groups[evaluated by Edinburgh Postpartum Depression Scale(EPDS)].Results The mastery of health knowledge of pregnant women in the observation group was better than that in the control group,and the total score of psychological resilience was higher than that in the control group,with significant difference(P<0.05).The transfer cesarean section rate,neonatal asphyxia rate,postpartum 2 h bleeding volume and first lactation time in the observation group were lower than those in the control group,and the postpartum 24 h lactation score and neonatal 1 week survival rate were higher than those in the control group(P<0.05).After intervention,the scores of high-risk pregnancy and EPDS in the two groups were lower than those before intervention,and the scores of the two indexes in the observation group were lower than those in the control group,the differences were significant(P<0.05).Conclusions The implementation of prenatal nursing management for pregnant women with high-risk pregnancy in outpatient department can significantly improve the mastery of health knowledge and psychological resilience of pregnant women,reduce the adverse pregnancy outcomes of mothers and infants,and improve the depression status of pregnant women.

关 键 词：高危妊娠 门诊 产前护理 风险管理 爱丁堡产后抑郁量表 

分 类 号：R473.71[医药卫生—护理学]