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目的探讨基于评估和循证的护理方案在产科高危产妇中的应用效果。方法 100例住院分娩的高危产妇作为研究对象,采用信封分组法分为干预组和常规组,各50例。常规组产妇采用常规护理,干预组产妇采用基于评估和循证的护理方案。比较两组产妇护理干预前后不良情绪及不良妊娠结局发生情况。结果护理干预前,两组产妇汉密尔顿焦虑量表(HAMA)评分、抑郁自评量表(SDS)评分比较,差异均无统计学意义(t=0.2737、0.5550,P>0.05);护理干预后,干预组产妇HAMA评分、SDS评分均低于常规组,差异均具有统计学意义(t=10.1441、10.4730,P<0.05)。干预组产妇早产、产后出血、新生儿窒息、羊水粪染不良妊娠结局发生率均低于常规组,差异均具有统计学意义(χ2=7.1618、7.1111、10.6985、9.4902,P<0.05)。结论基于评估和循证的护理方案在产科高危产妇中应用,能有效减轻产妇不良情绪,降低产妇不良妊娠结局发生率。
Objective To explore the application of nursing program based on evaluation and evidence-based nursing in high-risk obstetrics women. Methods A total of 100 high risk maternal women who were hospitalized were enrolled in this study. Envelope grouping was divided into intervention group and conventional group, 50 cases in each group. The regular group of mothers used routine care and the intervention group employed mothers based on assessment and evidence-based care. The incidence of adverse emotions and adverse pregnancy outcomes before and after maternal nursing intervention were compared between the two groups. Results Before nursing intervention, there was no significant difference in Hamilton Anxiety Scale (HAMA) and Self-rating Depression Scale (SDS) between the two groups (t = 0.2737,0.5550, P> 0.05). After nursing intervention, The scores of HAMA and SDS in the intervention group were lower than those in the conventional group, the differences were statistically significant (t = 10.1441,10.4730, P <0.05). The incidence of preterm delivery, postpartum hemorrhage, neonatal asphyxia, and adverse pregnancy outcomes of meconium-stained amniotic fluid in intervention group were significantly lower than those in routine group (χ2 = 7.1618, 7.1111,10.6985,9.4902, P <0.05). Conclusion Based on the evaluation and evidence-based nursing program in obstetric high-risk maternal application, can effectively reduce maternal negative emotions and reduce maternal adverse pregnancy outcomes.