综合护理干预在妊娠期心脏病患者中的护理效果观察.docx

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综合护理干预在妊娠期心脏病患者中的护理效果观察

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Observationonnursingeffectofcomprehensivenursinginterventioninpregnantwomenwithheartdisease

（ZhaoMin,LocalTaxationBureauofShandongCity,Qufuprovince273100）

【摘要】目的:观察综合护理干预在妊娠期心脏病患者中的护理效果。方法：取2015年1月-2017年1月医院治疗的妊娠期心脏病患者80例，采用随机数字法分为观察组40例和对照组40例。对照组采用常规护理，观察组在常规护理的基础上采用综合护理干预，对比两组护理效果。结果：与对照组相比，观察组剖宫产率显著低于对照组，差异具统计学意义（P0.05）；观察组患者主观恐惧率为10%，显著低于对照组，对护理满意率显著高于对照组，能更积极、更有信心的面对治疗和分娩。结论：综合护理干预在妊娠期心脏病患者中的护理效果理想，有助于提高护理治疗，值得推广应用。

Abstract:Objective:Toobservethenursingeffectofcomprehensivenursinginterventioninpregnantwomenwithheartdisease.Methods:fromJanuary2015toJanuary,80casesofpregnantwomenwithheartdiseaseweretreatedinthehospitalof-2017,andwerepidedintotheobservationgroup(40cases)andthecontrolgroup(40cases)byrandomnumbermethod.Thecontrolgroupwastreatedwithroutinenursing,andtheobservationgroupwastreatedwithcomprehensivenursinginterventiononthebasisofroutinenursing.Thenursingeffectsofthetwogroupswerecompared.Results:comparedwithcontrolgroup,theobservationgroupofcesareansectionratewassignificantlylowerthanthecontrolgroup,thedifferencewasstatisticallysignificant(P0.05);observationgroupwas10%patientswithsubjectivefear,significantlylowerthanthecontrolgroup,thenursingsatisfactionratewassignificantlyhigherthanthecontrolgroup,morepositive,moreconfidentinthefaceoftreatmentanddelivery.Conclusion:thecomprehensivenursinginterventioninthetreatmentofpregnantwomenwithheartdiseaseisidealandhelpfultoimprovethenursingtreatment.Itisworthpopularizing.

【关键词】综合护理干预，妊娠期心脏病，护理效果

[keyword]comprehensivenursingintervention,pregnancyheartdisease,nursingeffect

妊娠期心脏病是常见的妊娠期合并症，患者发病后临床表现为缺氧、气急、咳嗽、栓塞、感染、心力衰竭等症状，是孕产妇死亡的重要原因之一[1]。该合并症常见的病因有两类：妊娠前就存在的心脏病和因妊娠诱发的心脏病，其中先天性心脏病占比最大，患者发病后如果得不到及时有效的治疗，将会危及母婴安全，严重者将会引起流产、早产、胎儿窘迫，甚至威胁患者生命[2]。