预见性干预对改善重度子痫前期患者治疗效果评价.docVIP

预见性干预对改善重度子痫前期患者治疗效果评价 　　[摘要] 目的 探讨预见性干预对改善晚发型重度子痫前期患者治疗效果及围生期结局的评价。 方法 选取2013年1～12月新疆维吾尔自治区人民医院产科收住的88例晚发型重度子痫前期患者为研究对象，按照患者住院号的单双号分为实验组和对照组。尾数为双号者设为对照组（38例，实施常规护理）；尾数为单号者设为实验组（50例，实施常规护理联合预见性干预措施）。比较两组患者住院治疗有效孕龄、住院天数、住院费用、分娩方式、并发症、围生儿结局及患者住院期间满意度等指标。 结果 实验组患者住院天数较对照组明显缩短，住院费用也明显减少，差异均有统计学意义（P 0.05）；对照组产妇产后出血及子痫发生率（7.89%、5.26%）均高于实验组（0.00%、2.00%），差异均有统计学意义（P 0.05）。结论 实施预见性干预能够缓解重度子痫前期患者治疗过程中的负性情绪，延长孕妇治疗的有效孕龄，提高了治疗效果，减少妊娠分娩过程中母婴并发症，改善围生儿结局，提高患者对护理服务满意度。 　　[关键词] 重度子痫前期；预见性干预；围生期结局 　　[中图分类号] R473.71 [文献标识码] A [文章编号] 1673-7210（2015）08（b）-0149-05 　　[Abstract] Objective To explore the application of intervention to improve the treatment of patients with late onset severe preeclampsia and perinatal outcome evaluation. Methods 88 patients with late onset from January to December 2013 in Peoples Hospital of Xinjiang Uygur Autonomous Region， Xinjiang Uygur Autonomous Region admitted with severe preeclampsia patients as the research objects， according to the odd and even number of hospitalization number， they were divided into experimental group and control group. 38 patients whose end of hospitalization number was even as the control group， was given routine care； 50 patients whose end numbers was odd as the experimental group， accepted predictable intervention measures combined with the conventional nursing mode. Effective gestational week， average days of hospitalization， average hospitalization expenses， mode of delivery， complications， perinatal outcome and satisfaction during hospitalization of two groups were compared. Results The hospital stay in the experimental group was obviously shorten than that of the control group， average hospitalization expenses was reduced obviously， the differences were statistically significant （P 0.05）； rate of postpartum hemorrhage， eclampsia in the control group （7.89%， 5.26%） were higher than those of the experimental group （0.00%， 2.00%）， the differences were statistically significant （P 0.05）. Conclusion Implementation of fo