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妊娠合并戊型病毒性肝炎孕妇的围生期护理 被引量:1

Perinatal nursing care of the pregnant women with Viral hepatitis E
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摘要 目的探讨妊娠合并戊型病毒性肝炎孕妇实施围生期护理的临床效果。方法选取2012年3月至2015年1月收治的妊娠合并戊型病毒性肝炎孕妇78例为研究对象,随机分为观察组对照组,每组39例,对照组给予常规护理,观察组在对照组基础上实施围生期护理,观察两组孕妇护理满意度、心理状况、妊娠结局及母婴感染发生情况。结果观察组孕妇护理满意率为94.87%,与对照组的79.49%比较,显著较高,差异存在统计学意义(P<0.01);两组孕妇护理前SAS及SDS评分无明显差异,护理后均有改善,观察组孕妇护理后SAS及SDS评分同对照组比较明显较低,差异存在统计学意义(P<0.01);观察组孕妇不良妊娠结局发生率为10.26%,同对照组的23.08%比较,明显较低,观察组未出现母婴感染,对照组感染率为5.13%,两组差异均存在统计学意义(P<0.05)。结论对合并戊型病毒性肝炎孕妇实施围生期护理,能有效提高孕妇满意度,改善心理状态,降低母婴感染发生风险,值得推广。 Objective To investigate the clinical effect of perinatal nursing care in the pregnant women with hepatitis E. Methods Seventy-eight pregnant women with hepatitis E were included in this project, from March 2012 to January 2015, which were divided into the observation group (n=39) and the control group (n=39) randomly. The control group was given the routine nursing, while the observation group was given the routine nursing combined with the perinatal nursing care. The nursing satisfaction, psychological status, preg-nancy outcomes and the maternal infection were evaluated. Results The nursing satisfaction rate of the obser-vation group was 79.49%, compared with the control group, the difference was statistically significant (P〈0.05). The SAS and SDS scores of these two groups were not significantly different, but the SAS and SDS scores were significantly lower than that in the control group (P〈0.05). The adverse pregnancy outcomes in the observation groups was 10.26%, which was obviously lower than the control group (23.8%). The observa-tion group had no maternal infection, versus the infection rate 5.13% in the control group (P 〈 0.05). Conclusion The pregnant women with hepatitis E virus (HEV) got the perinatal nursing care could improve the satisfaction and the psychological state effectively, and reduce the maternal infection obviously. The peri-natal nursing care is worth to be popularized.
作者 钟园园 徐花
出处 《现代消化及介入诊疗》 2016年第1期57-60,共4页 Modern Interventional Diagnosis and Treatment in Gastroenterology
关键词 戊型病毒性肝炎 妊娠 护理 围生期 临床效果 Hepatitis E Pregnancy Nursing Perinatal period Clinical effect
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