风险预警评估管理模式应用于高危妊娠产妇管理的效果评价.docVIP

风险预警评估管理模式应用于高危妊娠 产妇管理的效果评价 肖婷婷 廖太秀 甘淑珍 赖凤萍 江西省赣州市人民医院 摘要： 口的:探索风险预警评估管理模式在高危妊娠产妇管理屮的应用价值。方法:于 2014年1月-2017年6月在赣州市人民医院产科收治的高危妊娠产妇中选出86 例，根据产妇的意愿分组，对照组42例产妇给予常规高危妊娠产妇综合评分法 评估产妇的危险稈度，并采取相应的管理措施;观察组44例产妇则采用风险预 警评估管理模式进行危险程度的评估，并采取相应的管理措施。对比两组产妇的 高危程度评估符合率、护理人员业务能力评分、家属及产妇的护理满意度、妊娠 结局。结果:观察组产妇的高危程度评估符合率90.91%显著高于对照组的73.81% (P0. 05)。观察组产妇的流产率显著低于对照组，且成功分娩率高于对照组 (P0. 05) 0在成功娩岀的新牛儿中，观察组新牛儿岀牛1 min的Apgar评分高 于对照组(P0.05);而在岀生5 min的Apgar评分上两组比较差异无统计学意 义(P0. 05)。观察组家属及孕妇对孕期保健管理的护理满意度明显高于对照组 (P0. 05)。观察组护士的理论知识、操作技能水平高于对照组(P0. 05)。结 论:风险预警评估管理模式在高危妊娠产妇的评估上准确性高，有助于临床医师 强化对高危产妇的孕期保健管理，促进胎儿的发育，改善母婴结局；同时在孕期 保健管理的同时还有助于护士业务能力的提高，提高护理质量，更好为高危产 妇服务。 关键词： 风险预警评估管理模式;高危妊娠产妇;高危程度评估;产妇管理; 收稿日期：2017-08-25 基金：江西省卫生计生委科技计划项目 Evaluation on the Effect of Risk Early Warning and Evaluation Management Model on Maternal Management of High-risk Pregnancy XIAO Ting-ting LIAO Tai-xiu GAN Shu-zhen Ganzhou People， s Hospital; Abstract： Objcctivc:To explore the application value of risk early warning and assessment management model in high-risk pregnant women. Method:From January 2014 to June 2017 in Ganzhou People s Hospital from high-risk pregnancy in 86 cases were selected, according to the wishes, they were divided into control group of 42 cases and observation group of 44 cases. The control group was given routine risk assessment method of comprehensive evaluation of high-risk maternal pregnancy women, and take corresponding measures;the observation group was given risk assessment model to assess the degree of risk management, and take corresponding measures. The maternal risk assessment of the degree of coincidence rate, nursing personnel ability score, family and maternal satisfaction with care, and pregnancy outcome of two groups were compared. RcsuIt:The observation group maternal high risk level assessment in line with the rate of 90. 91% was significantly higher than the control group 73.81% (P0. 05) ? The observation group maternal abortion rate was significantly lower than the cont