|
|
Application of multidisciplinary comprehensive nursing interventions based on quantitative assessment strategies in patients with severe preeclampsia |
JIANG Wei SUN Jinyan▲ |
Delivery Room, Nanjing First Hospitals Nanjing Medical University, Jiangsu Province, Nanjing 210006, China
|
|
|
Abstract Objective To explore the application of multidisciplinary comprehensive nursing interventions based on quantitative assessment strategies in patients with severe preeclampsia. Methods A total of 101 patients with severe preeclampsia admitted to Nanjing Hospital Affiliated to Nanjing Medical University from June 2019 to June 2022 were included. The patients were divided into control group (51 cases) and observation group (50 cases) by random number table method. The control group received multidisciplinary nursing intervention led by obstetrics, in the observation group, multidisciplinary comprehensive nursing intervention based on quantitative evaluation strategy was implemented. The time from admission to delivery was compared between the two groups. The psychological status (assessed by the self-rating anxiety scale [SAS]) of the two groups before intervention and one day before delivery was observed, and the occurrence of complications, delivery methods, and adverse pregnancy outcomes in the two groups were observed. Results The time from admission to delivery in the observation group was longer than that in the control group, and the difference was statistically significant (P<0.05); the SAS score one day before delivery of the two groups were lower than those before intervention, and the observation group was lower than the control group, and the differences were statistically significant (P<0.05). The complication rate of observation group was lower than control group, and the difference was statistically significant (P<0.05); there was no significant difference in the delivery mode and incidence of adverse pregnancy outcome between the two groups (P>0.05). Conclusion Multidisciplinary nursing interventions based on quantitative assessment strategies can extend the time from hospital admission to delivery, improve the psychological status of patients with severe preeclampsia, and reduce the risk of complications and adverse pregnancy outcomes to some extent.
|
|
|
|
|
[1] 杨长捷,李颖.预见性护理干预对重度子痫前期患者母婴结局的影响[J].川北医学院学报,2020,35(2):343-346.
[2] 李文婷,连荣丽.期待治疗对早发型重度子痫前期患者肝肾功能,凝血功能及母婴结局的影响[J].血栓与止血学,2022,28(2):192-194,197.
[3] 张婉玲,刘艳群,冯远衍.连续细致化护理在重度子痫前期患者中的应用[J].中国当代医药,2022,27(13):196-199.
[4] 韩佩佩,余幼芬,贺琰,等.产科干预对子痫前期产妇临床指标的影响[J].中国性科学,2020,29(9):29-32.
[5] 薛瑞娜,刘惠玉,武延龙.胃癌术后患者行基于量化评估方案的护理干预效果观察[J].中国肿瘤临床与康复,2020, 27(1):115-117.
[6] 朱珠,王爱华,张宜南,等.基于量化评估策略护理对结肠癌手术患者术后康复的影响[J].中国病案,2021,22(1):106-109.
[7] 马艳妮,杜霞,郑霄,等.基于量化评估策略的护理干预在先心病患儿术后康复中的应用效果[J].解放军预防医学杂志,2020,38(4):21-24.
[8] 中华医学会妇产科学分会妊娠期高血压疾病学组.妊娠期高血压疾病诊治指南(2015)[J].中华妇产科杂志,2015, 50(10):721-728.
[9] 林雅真,胡继芬.重度子痫前期产前风险评估及临床意义[J].实用妇产科杂志,2011,27(11):856-859.
[10] 张小倩,李秋侠.基于量化评估策略的预防性护理干预在重度妊娠期高血压综合征中的应用效果[J].血栓与止血学,2021,27(6):1044-1046.
[11] 段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679.
[12] 杨一新,张波.早发型重度子痫前期患者不同终止妊娠时机,分娩方式对母婴结局的影响[J].中国医药导报,2021,18(24):92-95.
[13] 李莉,孙美果,杨媛媛,等.早发型重度子痫前期期待治疗的预后分析[J].安徽医科大学学报,2020,55(8):1271- 1275.
[14] 杨嘉琳,徐仲,龙振鸿.血管外肺水指数变化和液体平衡对重度子痫前期患者预后的影响研究[J].中国医学创新,2017,14(5):27-30.
[15] 许丽,李昙.叙事护理对重度子痫前期患者的护理效果[J].当代护士(下旬刊),2022,29(11):71-73.
[16] 程爱萍,李文和.量化评估策略下的护理干预对糖尿病病人的健康行为及治疗效果的影响[J].蚌埠医学院学报,2020,45(7):961-964,967.
[17] 方勇霞,陈青,桑丽晓.基于量化评估策略的预防性护理对早发型重度子痫前期患者术后LEDVT风险的影响[J].检验医学与临床,2022,19(12):1690-1692.
[18] 许姝婷,周月,王阳,等.针对性护理与双环学习理念在早发型重度子痫前期患者护理中的应用[J].中国医药导报,2020,17(10):173-176.
[19] 顾蔚蓉,李笑天.子痫前期的干预与管理[J].中国实用妇科与产科杂志,2020,36(2):120-123.
[20] 苗婧,曹娜,贾莉.PDCA联合ABC管理健康教育在子痫前期产妇护理中的应用效果观察[J].贵州医药,2021, 45(8):1341-1342.
[21] 尤蓓琳.聚焦问题解决模式下健康教育对重度子痫前期患者心理状况和母婴结局的影响[J].中国妇幼保健,2021,36(18):4337-4340.
[22] 肖媛媛.心理护理临床路径对妊娠高血压综合征患者心理状态,并发症及母乳喂养情况的影响分析[J].检验医学与临床,2020,17(7):926-929.
[23] 韩秀红,张超,邱忠君.穴位按摩联合心理干预对妊娠期高血压病人血压,心理及妊娠结局的影响[J].护理研究,2020,34(8):1439-1442.
[24] 田莉,王艳,王笑,等.精准护理对妊娠期高血压患者心理状态、妊娠结局及生活质量的影响[J].贵州医药,2022, 46(6):995-997.
[25] 陈丽珍,王娜,徐晓英,等.拉贝洛尔联合音乐疗法对妊娠期高血压产妇焦虑、抑郁情绪及分娩结局的影响[J].国际精神病学杂志,2020,47(6):1216-1218.
[26] 王蕊,白惠,姬建秀.个性化护理干预在妊娠高血压致早产预防中的应用效果[J].河北医药,2020,42(6):950-953.
[27] 赵媛媛,王妙英,董有伟,等.子宫动脉血流动力学、胎盘血流灌注参数与妊娠期高血压患者发生子痫前期的相关性分析[J].疑难病杂志,2021,20(8):816-820.
[28] 霍丽艳.妊娠期高血压孕妇围生期血小板活化及应激激素表达的变化观察[J].中国医学创新,2022,19(2):125- 129. |
|
|
|