综合护理干预对高龄初产妇心理和妊娠结局的影响.pdfVIP

齐鲁护理杂志2013年第 19卷第22期 综合护理干预对高龄初产妇心理和妊娠 结局 的影响 张红梅 。张玉云，钱美云 (如皋市第四人民医院 江苏如皋226511) 摘【 要】目的：探讨综合护理干预对高龄初产妇心理和妊娠结局的影响。方法：将 l16例高龄初产妇随机分为观察组与对照组 各58例 ，对照组给予生理护理和产后指导等常规护理措施，观察组于分娩前后给予综合护理干预措施。比较两组产妇妊娠结 局、心理状况和并发症发生情况。结果：观察组剖宫产率显著低于对照组，自然分娩率显著高于对照组 (P0．05)；两组 SAS和 SDS得分均有所降低，观察组显著低于对照组 (P0．05)；观察组妊高症、早产、胎膜早破和产后 出血比例均低于对照组(P0． 05)。结论：对高龄初产妇给予积极的综合护理干预，能够有效改善产妇心理状况和妊娠结局，降低并发症发生率。 【关键词】高龄；初产妇；护理；心理；妊娠结局 中图分类号：R473．71 文献标识码：A DOI：10．3969／j．issn．1006—7256．2013．22．012 文章编号：1006—7256(2013)22—0028—02 EffectofcOmDrehensiVenursinginterventiononthementalityandpregnancyoutcomeoftheelderlyprimiparas ZhangHong—mei，ZhangYu—yun，QianMei—yun (TheFourthPeoplesHospitalofRugaoMunicipality，RugaoJiangsu226511，P．R．China) 【Abstract】 Objective：Toexploretheeffectofcomprehensivenursinginterventiononthementalityandpregnancyoutcomeoftheelderly primiparas．Methods：116elderlyprimiparaswererandomlydividedintotheobservationgroupandthecontrolgroup(58casesineach rgoup)．Theconventionalnursingmeasuressuchasphysiologicalnursingandpostpartumguidancewasimplementedinthecontrolrgoup andthecomprehensivenursinginterventionmeasuresweretakenintheobservationgroupbeforeandafterdelivery．Thepregnancyout— come，psychologicalcareandtheincidenceofcomplicationswerecomparedbetweenthetworgoups．Results：Therateofcesareansection wassignificantlylowerandthenaturalchildbirthratewassignificantlyhigherintheobservationrgoupthanthecontrolrgoup(P0．05)； thescoresofSASandSDSinthetwogroupsdecreasedtosomeextent，thescoresofSASandSDSintheobservationrgoupweresignificant- lylowerthanthoseinthecontrolrgoup(P0．05)；theproportionofpregnancyinducedhypertensionsyndrome，prematuredelivery，pre— matureruptureoffetalmembranesandpostpartumhemorrhagewaslowerintheobservationrgoupthanthecontrolrgoup(P0．05)．Con— clusion：Thepositivecomprehensivenursinginterventioncaneffectivelyimprovethepsychologicalstatusandpregnancyoutcomeoftheeld— erlyprimiparasandcanreducetheincidenceof