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目的观察术中针对护理在妊娠合并心力衰竭患者行以剖宫产术中的应用效果。方法将68例妊娠并发心力衰竭患者,根据患者入院时间分为研究组和对照组各34例,研究组行以术中针对护理,对照组行以常规护理方法。比较2组并发症情况、治疗效果、护理满意度、心理状态(HAMA量表、HAMD量表)与疼痛评分(RRS)及新生儿Apgar评分。结果研究组并发症发生率低于对照组,总有效率和满意度明显高于对照组,患者的HAMA评分、HAMD评分、NRS评分均低于对照组,新生儿Apgar评分高于对照组,差异均有统计学意义(P<0.05)。结论术中针对护理在妊娠合并心力衰竭患者中行剖宫产时应用可有效减少并发症,提高患者护理满意度,缓解患者焦虑、抑郁心理状态,减轻患者疼痛,临床应用意义显著。
Objective To observe the effect of intraoperative nursing in cesarean section in patients with pregnancy complicated with heart failure. Methods Sixty-eight patients with pregnancy complicated with heart failure were divided into study group and control group according to the time of admission. The study group was given intraoperative nursing, and the control group received routine nursing. The complications, treatment effect, satisfaction degree of nursing, state of mind (HAMA scale, HAMD scale) and pain score (RRS) and neonatal Apgar score were compared between the two groups. Results The incidence of complications in the study group was lower than that in the control group, and the total effective rate and satisfaction were significantly higher than those in the control group. The HAMA score, HAMD score and NRS score of the study group were lower than those of the control group, while the neonatal Apgar score was higher than that of the control group All were statistically significant (P <0.05). Conclusion Intraoperative nursing for pregnancy in patients with heart failure during cesarean section can effectively reduce complications, improve patient satisfaction with nursing, relieve anxiety and depression in patients with symptoms, reduce the patient’s pain, clinical significance.