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Effect of disease information support model on prenatal coping ability and pregnancy outcome of patients with placenta previa |
LI Rong WANG Bo LI Hongqing▲ |
Department of Obstetrics, Huaian First People’s Hospital, Jiangsu Province, Huaian 223300, China
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Abstract Objective To explore the effects of disease information support model on prenatal coping ability and postpartum pregnancy outcome of placenta previa patients. Methods A total of 90 patients with placenta previa admitted to Huaian First People’s Hospital, Jiangsu Province from May 2020 to April 2022 were selected as the study objects, and they were divided into observation group and control group by random number table method, with 45 cases in each group. The control group implemented the conventional health education model, and the observation group implemented the disease information support model based on the control group. The coping ability and anxiety state before intervention and eight weeks after intervention were compared between the two groups, and the pregnancy outcomes in the two groups were recorded. Results After eight weeks of intervention, the scores of prenatal coping ability in both groups were higher than those before intervention, and those of observation group were higher than those of control group, the differences were statistically significant (P<0.05). After eight weeks of intervention, the self-rating anxiety scale scores of both groups were lower than those before intervention, and those of observation group were lower than those of control group, the differences were statistically significant (P<0.05). The total incidence of postpartum hemorrhage, premature infants, and neonatal asphyxia in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05). Conclusion Disease information support can improve the stress coping ability of placenta previa patients, relieve psychological anxiety, and reduce the occurrence of maternal and infant adverse events.
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[1] 陈铭红,夏珊敏,朱利平,刘嘉.医护一体化管理对瘢痕子宫再次妊娠产妇经阴道分娩成功率的影响[J].广西医学,2019,41(22):2936-2939,2946.
[2] 颜月明,林惠英,朱丽丹.产妇焦虑、抑郁状况及其与家庭环境、应对方式的相关性[J].中国妇幼保健,2020,35(6):1121-1123.
[3] Silver RM. Abnormal Placentation:Placenta Previa,Vasa Previa,and Placenta Accreta [J]. Obstet Gynecol,2015,126(3): 654-668.
[4] 叶文馨,余幼芬,贺琰.PDCA护理方式应用于凶险型前置胎盘护理对患者并发症及妊娠结局的影响[J].中国药物与临床,2019,19(19):3434-3436.
[5] Jauniaux E,Bhide A. Prenatal ultrasound diagnosis and outcome of placenta previa accreta after cesarean delivery:a systematic review and meta-analysis [J]. Am J Obstet Gynecol,2017,217(1):27-36.
[6] 曲美玉,曲思宇,张冬梅.医护一体化护理模式对卵巢癌术后化疗患者依从性及安全性的影响[J].广西医科大学学报,2018,35(9):1321-1324.
[7] 中华医学会妇产科学分会产科学组.前置胎盘的诊断与处理指南(2020)[J].中华妇产科杂志,2020,55(1):3-8.
[8] 刘敏,刘磊,陆玉.超声及磁共振成像在凶险型前置胎盘诊断中的图像特征[J].中国医药导报,2020,17(34):150- 152,160.
[9] 李亚芳,潘丽,孙垚,等.修订版产前应对量表的汉化及信效度评价[J]. 中国妇幼保健,2019,34(18):4292-4296.
[10] Dunstan DA,Scott N. Norms for Zung’s Self-rating Anxiety Scale [J]. BMC Psychiatry,2020,20(1):90.
[11] Christopher BL,Louis GK,André BL,等.产后出血——产后出血的评估、治疗和外科手术综合指南[M].北京:人民卫生出版社,2008.
[12] 中国医师协会新生儿科医师分会,《中华围产医学杂志》编辑委员会.早产儿呼吸窘迫综合征早期防治专家共识[J].中华围产医学杂志,2017,20(8):557-559.
[13] 周颖,汪燕,李佳宁,等.宫颈内口-子宫下段压迫缝合法用于凶险性前置胎盘伴胎盘植入术中止血的疗效评估[J].实用妇产科杂志,2017,33(1):69-71.
[14] 杨凌艳,傅玲.凶险性前置胎盘行双侧髂内动脉球囊预置剖宫产术患者的护理[J].护理学杂志,2017,32(18):52-54.
[15] 聂鑫,丁杰,孙彩凤.稀释式和回收式自体血回输在凶险性前置胎盘剖宫产中止血效果及对母婴结局影响[J].中国医药导报,2020,17(32):79-82,99.
[16] 陈翠霞.凶险性前置胎盘孕妇基于聚焦解决模式干预的效果观察[J].护理学报,2017,24(4):76-78.
[17] Sweet DG,Carnielli V,Greisen G,et al. European Association of Perinatal Medicine. European consensus guidelines on the management of neonatal respiratory distress syndrome in preterm infants——2013 update [J]. Neonatology,2013,103(4):353-368.
[18] 沈谦,万慎娴,杨艳梅,等.前置胎盘患者焦虑抑郁与便秘的相关性研究[J].中国实用护理杂志,2018,34(20):1549-1552.
[19] 王晓蕾,黄小勇,杨霖,等.医护一体化诊疗模式的应用效果[J].解放军护理杂志,2018,35(3):66-68.
[20] D’Alton ME,Rood KM,Smid MC,et al. Intrauterine Vacuum-Induced Hemorrhage-Control Device for Rapid Treatment of Postpartum Hemorrhage [J]. Obstet Gynecol,2020 ,136(5):882-891.
[21] Pacheco LD,Saade GR,Hankins GDV. Medical management of postpartum hemorrhage:An update [J]. Semin Perinatol,2019,43(1):22-26.
[22] 张利,李晓芳,李育玲,等.医护一体化管理模式在中心静脉置管术中的应用效果[J].护理研究,2019,33(21):3801-3803.
[23] Dahlke JD,Bhalwal A,Chauhan SP. Obstetric Emergencies:Shoulder Dystocia and Postpartum Hemorrhage [J]. Obstet Gynecol Clin North Am,2017,44(2):231-243.
[24] 卫莉,杨福娜,刘东英,等.基于SBAR沟通模式的医护一体化建设与应用效果[J].中华现代护理杂志,2018, 24(15):1788-1792.
[25] 杨红梅,陈锰,刘兴会.凶险性前置胎盘的围生期管理[J].实用妇产科杂志,2017,33(9):641-643. |
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