护理干预对妊娠合并精神病孕产妇患者分娩风险事件发生及母婴结局的影响

Impacts of care intervention on occurrance of delivery risk events and maternal and neonatal outcomes of pregnant women patients with maternal mental illness

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(5)
作者
作者单位

胶州中心医院产科 ;
胶州中心医院产科 ;

摘要
【摘 要】 探讨护理干预对妊娠合并精神病孕产妇患者分娩风险事件发生及母婴结局的影响。方法 随机选取我院2014年4月至2016年4月收治的妊娠合并精神病孕产妇患者80例,依据护理方法将这些患者分为护理干预组(n=40)和常规护理组(n=40)两组,对两组患者的分娩风险事件发生及母婴结局进行统计分析。结果 护理干预组患者的分娩风险事件发生率7.5%(3/40)显著低于常规护理组22.5%(9/40)(P<0.05),自然分娩、新生儿足月产、Apgar评分8-10分比例均显著高于常规护理组(P<0.05),人工助产、剖宫产比例、疼痛、产后出血、感染、切口愈合不良发生率、新生儿早产、胎儿生长受限、Apgar评分4分、4-7分比例均显著低于常规护理组(P<0.05)。结论 护理干预能够有效减少妊娠合并精神病孕产妇患者分娩风险事件,改善母婴结局。
Abstract
[Abstract] Objective To investigate the impacts of care intervention on occurrance of delivery risk events and maternal and neonatal outcomes of pregnant women patients with maternal mental illness. Methods 80 cases of pregnant women patients with maternal mental illness who were treated in our hospital from April 2014 to April 2016 were randomly selected, these patients were divided into care intervention group (n = 40) and usual care group (n = 40) two groups according to the care methods, the delivery risk events and maternal and neonatal outcomes of the two groups were statistically analyzed. Results The occurrance rate of delivery risk events of the care intervention group 7.5% (3/40) was significantly lower than the usual care group 22.5% (9/40) (P <0.05), the proportions of natural childbirth, full-term newborns, Apgar score 8-10 min were significantly higher (P <0.05), the proportions of artificial midwifery, cesarean section, the incidences of pain, postpartum hemorrhage, infection, poor wound healing, the proportions of premature birth, fetal growth restriction, Apgar score 4 points 4-7 points were significantly lower than the usual care group (P <0.05). Conclusion Care intervention can effectively reduce delivery risk events, improve maternal and neonatal outcomes of pregnant women patients with maternal mental illness.
关键词
【关键词】护理干预;妊娠合并精神病孕产妇;分娩风险事件;母婴结局
KeyWord
[Key words] Care intervention; Pregnant women with maternal mental illness; Delivery risk events; Maternal and neonatal outcomes
基金项目
页码 923-925
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刘雪梅*,常学江, 王立中 ,薛飞杨. 护理干预对妊娠合并精神病孕产妇患者分娩风险事件发生及母婴结局的影响 [J]. 国际精神病学杂志. 2016; 43; (5). 923 - 925.

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