优质护理干预对高危妊娠产妇心理状态及妊娠结局的影响(1)
摘 要：目的 探究优质护理干预对高危妊娠产妇心理状态及妊娠结局的影响。方法 选取本院2014年1月～2017年1月收治的76例高危妊娠产妇，采用随机数表法将其分为对照组和观察组，每组38例。对照组进行常规护理，观察组进行优质护理干预，对两组产妇的心理状态、妊娠结局及护理满意度进行对比。结果 观察组在进行优质护理干预后，产妇焦虑比例为21.05%，低于对照组的44.74%，差异具有统计学意义(P<0.05)；观察组妊娠结局优于对照组，差异具有统计学意义(P<0.05)；觀察组护理满意度为81.58%，高于对照组的52.63%，差异具有统计学意义(P<0.05)。结论 优质护理干预有利于改善产妇的心理状态，减少不良妊娠结局，增强产妇和胎儿的安全，且可较好提升产妇的护理满意度，有助于提升护理质量及医院的发展。
关键词：优质护理；高危妊娠；心理状态；妊娠结局
中图分类号：R473.71 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.17.057
, 百拇医药
文章编号：1006-1959(2018)17-0178-03
Abstract：Objective To investigate the effects of quality nursing intervention on the psychological status and pregnancy outcome of high risk pregnant women.Methods 76 high risk pregnant women who were admitted to our hospital from January 2014 to January 2017 were randomly divided into the control group and the observation group，with 38 cases in each group.The control group underwent routine nursing， and the observation group underwent quality nursing intervention to compare the psychological status， pregnancy outcome and nursing satisfaction of the two groups of women.Results After the quality nursing intervention，the anxiety rate of the observation group was 21.05%，which was lower than 44.74% of the control group，the difference was statistically significant(P<0.05).The pregnancy outcome of the observation group was better than that of the control group，the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 81.58%，which was higher than that of the control group 52.63%，the difference was statistically significant(P<0.05).Conclusion Quality nursing intervention is beneficial to improve maternal psychological state，reduce adverse pregnancy outcomes，enhance maternal and fetal safety，and improve maternal care satisfaction， which can improve the quality of care and hospital development.
, 百拇医药
Key words：Quality care；High risk pregnancy；Psychological state；Pregnancy outcome
高危妊娠(high risk pregnancy)是指由于个人、家庭、社会环境等因素导致的处于妊娠期妇女生产存在较大风险[1]，可能导致难产或者危及产妇、胎儿的情况。高危妊娠无论是对产妇还是胎儿均存在危害，因而为保证产妇及胎儿的安全，处于高危妊娠期的妇女需要加强护理管理[2，3]，做到提前发现问题，及时调整和治疗，减少孕妇生产风险。本研究就优质护理干预对高危妊娠产妇心理状态及妊娠结局的影响分析如下。
1资料与方法
1.1一般资料 选取上饶市广丰区人民医院2014年1月～2017年1月收治的76例高危妊娠产妇，采用随机数表法将其分为对照组和观察组，每组38例。对照组年龄20～36岁，平均年龄(26.32±5.46)岁；孕周31～37周，平均孕周(34.21±2.79)周；初产妇24例，经产妇14例；妊娠合并症：合并糖尿病13例，合并高血压6例，合并肾病6例，合并心脏病8例，合并肝炎5例。观察组年龄21～37岁，平均年龄(29.13±4.72)岁；孕周31～37周，平均孕周(34.17±2.56)周；初产妇20例，经产妇18例；妊娠合并症：合并糖尿病14例，合并高血压5例，合并肾病6例，合并心脏病7例，合并肝炎6例。两组孕妇的年龄、孕周、是否初产、妊娠合并症等一般资料对比，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(吕丽敏)
关键词：优质护理；高危妊娠；心理状态；妊娠结局
中图分类号：R473.71 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.17.057
, 百拇医药
文章编号：1006-1959(2018)17-0178-03
Abstract：Objective To investigate the effects of quality nursing intervention on the psychological status and pregnancy outcome of high risk pregnant women.Methods 76 high risk pregnant women who were admitted to our hospital from January 2014 to January 2017 were randomly divided into the control group and the observation group，with 38 cases in each group.The control group underwent routine nursing， and the observation group underwent quality nursing intervention to compare the psychological status， pregnancy outcome and nursing satisfaction of the two groups of women.Results After the quality nursing intervention，the anxiety rate of the observation group was 21.05%，which was lower than 44.74% of the control group，the difference was statistically significant(P<0.05).The pregnancy outcome of the observation group was better than that of the control group，the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 81.58%，which was higher than that of the control group 52.63%，the difference was statistically significant(P<0.05).Conclusion Quality nursing intervention is beneficial to improve maternal psychological state，reduce adverse pregnancy outcomes，enhance maternal and fetal safety，and improve maternal care satisfaction， which can improve the quality of care and hospital development.
, 百拇医药
Key words：Quality care；High risk pregnancy；Psychological state；Pregnancy outcome
高危妊娠(high risk pregnancy)是指由于个人、家庭、社会环境等因素导致的处于妊娠期妇女生产存在较大风险[1]，可能导致难产或者危及产妇、胎儿的情况。高危妊娠无论是对产妇还是胎儿均存在危害，因而为保证产妇及胎儿的安全，处于高危妊娠期的妇女需要加强护理管理[2，3]，做到提前发现问题，及时调整和治疗，减少孕妇生产风险。本研究就优质护理干预对高危妊娠产妇心理状态及妊娠结局的影响分析如下。
1资料与方法
1.1一般资料 选取上饶市广丰区人民医院2014年1月～2017年1月收治的76例高危妊娠产妇，采用随机数表法将其分为对照组和观察组，每组38例。对照组年龄20～36岁，平均年龄(26.32±5.46)岁；孕周31～37周，平均孕周(34.21±2.79)周；初产妇24例，经产妇14例；妊娠合并症：合并糖尿病13例，合并高血压6例，合并肾病6例，合并心脏病8例，合并肝炎5例。观察组年龄21～37岁，平均年龄(29.13±4.72)岁；孕周31～37周，平均孕周(34.17±2.56)周；初产妇20例，经产妇18例；妊娠合并症：合并糖尿病14例，合并高血压5例，合并肾病6例，合并心脏病7例，合并肝炎6例。两组孕妇的年龄、孕周、是否初产、妊娠合并症等一般资料对比，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(吕丽敏)