摘要
目的:探究个性化护理在初产妇行介入性产前诊断中的应用价值。方法:将2013年5月-2014年5月在本院拟行介入性产前诊断的210例初产妇作为观察对象,随机将其分为对照组和观察组,每组105例。对照组采取常规护理,观察组采取个性化护理。观察比较两组初产妇的汉密尔顿焦虑评分(HAMA)及生命体征。结果:两组入组时的HAMA评分比较差异无统计学意义(P>0.05),而观察组穿刺前及穿刺检查后的HAMA评分分别为(23.15±5.66)分及(18.12±5.36)分,均明显低于对照组的(26.16±5.03)分及(20.31±5.13)分,差异均有统计学意义(P<0.05)。而两组入组时的心率(HR)、收缩压(SBP)、舒张压(DBP)、呼吸频率(R)及血氧饱和度(Sp O2)比较差异均无统计学意义(P>0.05),而在检查结束时观察组的HR、SBP及DBP均明显低于对照组,差异均有统计学意义(P<0.05),而两组的R及Sp O2比较差异均无统计学意义(P>0.05)。结论:人性化护理可有效地缓解初产妇行介入性产前诊断的负面情绪,并可在一定程度上改善产妇在接受检查时的生命体征,值得临床推广。
Objective：To explore the application value of personalized care in the primiparas for interventional prenatal diagnosis.Method：210 primiparas with interventional prenatal diagnosis in our hospital from May 2013 to May 2015 were selected as observation objects,they were randomly divided into the control group and the observation group,105 cases in each group.The control group was given routine nursing care,the observation group was given personalized care.The Hamilton anxiety scale（HAMA） score and vital sign between the two groups were observed and compared.Result：There was no statistically significant difference in HAMA score of the two group before treatment（P〈0.05）.The HAMA score of the observation group before puncture and after puncture examination were（23.15±5.66）points and（18.12±5.36）points,which were significantly lower than（26.16±5.03）points and（20.31±5.13）points of the control group,the differences were statistically significant（P〈0.05）.And there were no statistically significant difference in heart rate（HR）,systolic blood pressure（SBP）,diastolic blood pressure（DBP）,breathing rate（R） and the blood oxygen saturation（Sp O2） of the two group before treatment（P〈0.05）.But at the end of the inspection,the HR,SBP and DBP of the observation group were significantly lower than those of the control group,the differences were statistically significant（P〈0.05）.There were no statistically significant difference in R and Sp O2 between the two group（P〈0.05）.Conclusion：Personalized care can effectively relieve the negative emotions of primiparas for interventional prenatal diagnosis,and to a certain extent,can improve maternal vital signs during inspection,is worthy of clinical promotion.
出处
《中国医学创新》
CAS
2015年第21期85-87,共3页
Medical Innovation of China
关键词
初产妇
介入性
产前诊断
个性化护理
Primiparas
Interventional
Prenatal diagnosis
Personalized care
