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目的:探讨循证护理在预防早发型重度子痫前期患者不良妊娠中的作用,以期为其提供一种有效、合理的护理方法。方法:将2013年10月~2015年10月我院产科收治的60例早发型重度子痫前期患者随机等分为对照组和试验组,在征求孕妇和家属同意后对符合期待治疗条件的孕妇实施期待疗法,对照组给予常规护理;试验组在对照组的基础上实施循证护理。比较两组早发型重度子痫前期患者在院期间严重并发症发生率、围产儿情况以及医护满意度等。结果:试验组焦虑发生率低于对照组(P<0.05),医护满意率虽有提高但差异无统计学意义(P>0.05);试验组分娩孕周较对照组延长,且妊娠并发症及围产儿死亡率均低于对照组(P<0.05)。结论:循证护理不仅在一定程度上降低了患者严重并发症的发生率,提高了患者及其围产儿的存活率,还有助于护理业务水平的提升,同时改善医患关系。
Objective: To explore the role of evidence-based nursing in the prevention of adverse pregnancy in patients with early-onset severe preeclampsia in order to provide an effective and reasonable nursing method. Methods: Sixty patients with early-onset severe preeclampsia admitted to our hospital from October 2013 to October 2015 were equally divided into control group and trial group. Pregnant women and expectant treatment patients The expectant therapy was implemented, and the control group was given routine care. The experimental group was based on the control group and implemented evidence-based nursing. The incidence of serious complications, perinatal condition and health care satisfaction during early hospitalized patients with severe preeclampsia were compared between the two groups. Results: The incidence of anxiety in the experimental group was lower than that of the control group (P <0.05), while the satisfaction rate of medical care was increased but the difference was not statistically significant (P> 0.05). The gestational age of the experimental group was longer than that of the control group, Perinatal mortality rates were lower than the control group (P <0.05). Conclusion: Evidence-based nursing not only reduces the incidence of serious complications in patients to a certain extent, improves the survival rate of patients and their perinatals, but also helps to improve the nursing service level and improve the doctor-patient relationship.