简介:摘要目的探究连续细致化护理模式对高危初产妊娠结局、孕期体重增长以及产后母乳喂养自我效能的影响.方法随机选取我院2014年1月至2015年1月我院妇产科就诊的300例高危妊娠初产妇作为研究对象并随机均分为对照组、观察组.对照组产妇予以常规护理;观察组在对照组常规护理的基础上予以连续细致化护理模式.结果(1)妊娠结局观察组顺产率70.00%显著高于对照组52.67%,P<0.05;观察组新生儿Apgar评分(7.31±2.52)分显著高于对照组新生儿(5.93±3.64)分,P<0.05;(2)自我效能母乳喂养自我效能量表(Breast-feedingSelf-EfficacyScale,BSES)评分观察组产前(93.72±8.41)分、产后(127.84±5.67)分别显著高于对照组,P<0.05;(3)体重观察组产妇孕期体重增长超标者11例(7.33%)显著低于对照组37例(24.67%),P<0.05.结论连续细致化护理模式可以提高高危初产妊娠顺产率、产后母乳喂养自我效能以及有效控制孕期体重增长,值得临床推广应用.关键词高危妊娠;妊娠结局;连续细致护理模式TheEffectsofContinuousCarefulNursingModelonPregnancyOutcomes,WeightandBreast-feedingSelf-EfficacyofEarlyPregnantWomenwithHighRisks.LIU-Xia1(1,departmentofgynecologyandobstetrics,YulinFirstHospitalofShanxiProvince,Yulin,Shanxi,719000)AbstractObjectiveToexploretheeffectsofcontinuousandcarefulnursing-modelonpregnancyoutcomes,weightandbreast-feedingself-efficacyofearlypregnantwomenwithhighrisks.Methods300casesofearlypregnantwomenwithhighriskswhoweretreatedatobstetricsandgynecologydepartmentinourhospitalbetweenJanuary2014toJanuary2015wererandomlyselectedasresearchobjects,andallthecaseswererandomlydividedintoexperimentalgroupandcontrolgroupwith150casesofeach.Thecasesofcontrolgroupweregivenroutinenursing,whilethecasesofobservationgroupweregivencontinuousandcarefulnursingcare.ResultsTherateofvaginaldeliveryintheobservationgroup(70%)wassignificantlyhigherthanthatinthecontrolgroup(52.67%),P<0.05;theApgarscoreintheobservationgroup(7.31±2.52)wassignifiGcantlyhigherthanthatinthecontrolgroup(5.93±3.64),P<0.05;thescoresofBreast-feedingSelf-EfficacyScaleintheobservationgroup(93.72±8.41,127.84±5.67)werehigherthanthoseinthecontrolgroup(82.14±9.34,101.65±8.14),P<0.05;thecasesofweightgainoverstandardsintheobservationgroup(11,7.33%)weresignifiGcantlylowerthanthatinthecontrolgroup(37,24.67%),P<0.05.ConclusionsThecontinuousandcarefulnursing-modelisworthyofclinicalpromotionwhichcanimprovetherateofKveayginwaolrddselivery,breast-feedingself-efficacyonearlypregnantwomenwithhighrisks,andcanalsocontroltheweightgainduringpregnancyineffect.HighRiskPregnancy;PregnancyOutcome;ContinuousandCarefulNursing-model中图分类号R714.1文献标识码A文章编号1008-6315(2015)12-0706-02
简介:摘要目的探讨护理干预对药物氧喷吸入治疗小儿喘息性支气管炎患儿过程中的临床疗效。方法收集100例小儿喘息性支气管炎患儿,随机分为观察组和对照组,各50例。对照组患儿在使用药物氧喷吸入治疗后对患儿进行常规护理,观察组患儿在使用药物氧喷吸入治疗后对患儿采取护理干预的方法进行护理。两组患儿在护理完成后比较两组患儿的治疗效果以及并发症发生率。结果两组患儿在经过治疗后均有所好转,但观察组患儿的治疗总有效率98%明显优于对照组患儿的治疗总有效率80%,同时观察组患儿的并发症发生率4%明显优于对照组患儿的并发症发生率12%,所有差异均为显著性差异(P<0.05),有统计学意义。结论在对小儿喘息性支气管炎患儿使用药物氧喷吸入治疗后,对患儿采取护理干预的方法明显优于使用常规护理方法的护理效果,并且能够明显降低患儿的并发症发生率,在临床治疗小儿喘息性支气管炎患儿的过程中值得推广应用。