|
|
Application effect of comprehensive nursing pathway based on mind mapping model in patients with preeclampsia of pregnancy |
JIANG Nannan XU Yetao SUN Dandan▲ |
Ward Two, Department of Obstetrics, Jiangsu Provincial People’s Hospital, Jiangsu Province, Nanjing 210000, China
|
|
|
Abstract Objective To explore the application effect of comprehensive nursing pathway in preeclampsia of pregnancy based on mind mapping model. Methods A total of 88 patients with preeclampsia of pregnancy admitted to Jiangsu Provincial People’s Hospital from January to October 2020 were selected and divided into combined group and omnidirectional group according to random number table method, with 44 cases in both group. The omnidirectional group was treated with omni directional routing nursing, while the combined group was treated with routing nursing based on mind mapping model. The correlation of psychological stress, quality of life, and postpartum hemorrhage were observed in the two groups. Results After nursing, anxiety and depression scores of the two groups were lower than before nursing, and those of the combined group was lower than the omnidirectional group, with statistical significance (P<0.05). After nursing, sleep quality and pregnancy stress scores in two groups were lower than before nursing, while those of combined group were lower than those of omnidirectional group, and the differences were statistically significant (P<0.05). The proportion of total disease mastery in combination group was higher than that in omnidirectional group, and the difference was statistically significant (P<0.05). The incidence of maternal outcomes (placental abruption and postpartum hemorrhage) in the combined group was lower than that in the omnidirectional group, while the birth weight and Apgar score were higher than those in the omnidirectional group, and the differences were statistically significant (P<0.05). Conclusion Comprehensive nursing pathway based on mind mapping model can significantly reduce patients’ psychological stress, improve quality of life, and reduce postpartum hemorrhage.
|
|
|
|
|
[1] 郑艳.妊娠期高血压疾病子痫前期重度剖宫产术后的护理[J].中国医药导报,2009,6(10):120-121.
[2] 赵旭东.血管紧张素Ⅱ1型受体阻滞在妊娠期高血压疾病发病中的作用及机制研究[D].济南:山东大学,2018.
[3] Ausman J,Abbade J,Ermini L,et al. Ceramide-induced BOK promotes mitochondrial fission in preeclampsia [J]. Cell Death Dis,2018,9(3):298.
[4] Henderson JT,Thompson JH,Burda BU,et al. Preeclampsia Scr-eening:Evidence Report and Systematic Review for the US Preventive Services Task Force [J]. JAMA,2017,317(16):1668-1683.
[5] 杜昱萱,李晓瑛,熊英.子痫期间伴血栓形成倾向孕妇的早期护理措施[J].血栓与止血学,2020,26(1):158-159, 162.
[6] 臧玮娜,臧瓅娜,姜雪莲,等.思维导图引导护理干预在肿瘤患者PET-CT检查中的应用效果[J].实用临床医药杂志,2020,24(7):85-88.
[7] Wu TT,Chen AC. Combining e-books with mind mapping in a reciprocal teaching strategy for a classical Chinese cou- rse [J]. Computers Education,2018,116(5):64-80.
[8] 吴恩来,张雨青,王健,等.失眠伴抑郁与单纯失眠患者失眠认知行为治疗的疗效分析[J].中华精神科杂志,2020,53(2):140-145.
[9] 娄丽艳.人性化护理在妇产科临床中的效果研究[J].中国医药导报,2010(9):96-97.
[10] 张鑫,陈海英,庄悦,等.临床护理路径用于妊娠期高血压子痫前期价值[J].中国继续医学教育,2019,11(15):183-186.
[11] 张明圆.精神科评定量表手册[M].长沙:湖南科技出版社,1993:2.
[12] 李建明,尹素凤,段建勋,等.SRSS对13 273名正常人睡眠状态的评定分析[J].健康心理学杂志,2000,8(3):351-353.
[13] 中国行为科学编辑委员会.行为医学量表手册[M].北京:中华医学电子音像出版社,2005:267-268.
[14] Rajaa A,Louise B,Daniel V,et al. Oxidative Stress in Pre- eclampsia and Placental Diseases [J]. Int J Mol Sci,2018, 19(5):1496.
[15] 吴雪.全方位护理在反复呼吸道感染患者中的应用效果及降低再入院率[J].结直肠肛门外科,2021,27(S01):181-182.
[16] Kim L,Colette FD,Mudra V,et al. Guidance for Comprehensive Health Care Simulation Program Evaluation [J]. Clin Simulation Nurs,2020,9(48):20-28.
[17] Booker SQ,Peterson N. Use of the Knowledge Tree as a Mind Map in a Gerontological Course for Undergraduate Nursing Students [J]. J Nurs Educ,2016,55(3):182.
[18] Saban KL,Sherwood PR,Devon HA,et al. Measures of ps- ychological stress and physical health in family caregivers of stroke survivors:a literature review [J]. J Neurosci Nurs,2010,42(3):128-138.
[19] 刘东梅,许宝莹,邓艳君.阶段性护理对围手术期重度子痫前期孕妇妊娠压力,睡眠质量及妊娠结局的影响[J].中外医学研究,2020,45(10):97-100.
[20] 钱松丽.针对性护理干预在重度子痫前期患者中的应用效果[J].护理实践与研究,2018,15(13):84-85.
[21] 许明娟.产科快速反应团队救治子痫前期患者的临床观察[J].现代医院,2021,21(8):1310-1312.
[22] 卢锦芳,朱惠娟,何绮桃,等.双向质量反馈模式对子痫前期剖宫产产妇心理状态及产后恢复情况的影响[J].中国当代医药,2022,29(7):176-179.
[23] 丁亚兰,尤子善,童婷婷.早发型、晚发型重度子痫前期产妇临床指标特征及其对围生儿结局的影响[J].中国妇幼保健,2018,33(19):79-82.
[24] Chen Y,Zheng J,Xiao H,et al. Effects of a Mind Map-Based Life Review Program on Anxiety and Depressive Symptoms on Cancer Patients Undergoing Chemotherapy:A Randomized Controlled Trial [J]. Cancer Nurs,2020,11(2):90-94.
[25] 雷燕,杨莉.妊娠期高血压疾病患者左室舒张功能检测及新生儿结局评估[J].海南医学,2019,30(22):47-50.
[26] 汪田田,崔世红,职云晓,等.子痫前期患者外周血炎症指标水平变化及临床价值分析[J].中国医学创新,2021, 18(9):15-18.
[27] 韦玉月,朱文静,龚明霞,等.妊娠晚期子痫前期并发急性心力衰竭1例[J].中国医药科学,2023,13(2):193- 196.
[28] 丁玲.思维导图引导专科护理对手足口病患儿的干预效果[J].临床与病理杂志,2021,41(1):146-151.
[29] 曾改鸿,余志惠,彭履冰,等.高龄孕妇妊娠期高血压疾病的围生结局分析[J].中国医药导报,2010,7(1):40-41 |
|
|
|