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综合护理干预对胎心无刺激试验准确性影响的研究
引用本文:朱社宁,王晨虹,李金华,邓惠敏,陈丽华. 综合护理干预对胎心无刺激试验准确性影响的研究[J]. 中国实用护理杂志, 2010, 26(11). DOI: 10.3760/cma.j.issn.1672-7088.2010.04.045
作者姓名:朱社宁  王晨虹  李金华  邓惠敏  陈丽华
作者单位:南方医科大学附属深圳妇幼保健院,518028
基金项目:深圳市科技和信息局立项课题 
摘    要:目的 探讨综合护理干预措施对胎心无刺激试验(NST)准确性的影响.方法 采用信封法将400例无高危因素的正常初产孕妇随机分成研究组和对照组各200例.研究组接受综合护理干预,对照组接受常规护理.比较2组孕妇NST无反应的发生情况,及新生儿Apgar评分≤7分的发生率、孕妇羊水污染的发生率和剖宫产率.结果 研究组NST无反应发生率为15.08%,显著低于对照组29.40%的发生率.研究组新生儿Apgar评分≤7分的发生率、孕妇羊水污染的发生率分别为8.5%和19.0%,与对照组相比无显著差异.研究组孕妇的剖宫产率为38.5%,显著低于对照组孕妇65.5%的剖宫产率.结论 综合护理干预措施能提高NST监测的准确性,降低孕妇的剖宫产率.

关 键 词:胎心监护  无刺激试验  晚期  妊娠  护理

Impact of comprehensive nursing intervention on the accuracy of non-stress test
ZHU She-ning,WANG Chen-hong,LI Jin-hua,DENG Hui-min,CHEN Li-hua. Impact of comprehensive nursing intervention on the accuracy of non-stress test[J]. Chinese Journal of Practical Nursing, 2010, 26(11). DOI: 10.3760/cma.j.issn.1672-7088.2010.04.045
Authors:ZHU She-ning  WANG Chen-hong  LI Jin-hua  DENG Hui-min  CHEN Li-hua
Abstract:Objective To explore the impact of comprehensive musing intervention on the accuracy of non-stress test (NST). Methods With sealed envelope method, 400 cases of primiparous pregnant women without high risk factors were randomly divided into the research group and the control group with 200 cases in each group. The research group was given comprehensive care intervention, the control group received routine nursing. The incidence of non reaction of non-stress test, Apgar score no higher than 7 points, amniotic fluid pollution and cesarean section rate were compared between the two groups. Results The incidence of non reaction of NST was 15.08% in the research group, which was lower than 29.40% of the control group. The incidence of Apgar score no higher than 7 points and amniotic fluid pollution were 8.5% and 19.0% respectively in the research group, which showed no significant difference compared with those of the control group. The cesarean section rate in pregnant was 38.5% in the research group, which was significantly lower than 65.5% of the control group. Conclusions Comprehensive care intervention is effectively to improve the accuracy of NST , so that it can reduce cesarean section rate.
Keywords:Fetal heart monitoring  Non stress test  Late stage  Pregnancy  Nursing
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