护理干预对先兆早产患者结局的影响

目的分析护理干预对先兆早产患者心理状况及临床治疗效果的影响,为妇产科护理制订科学、合理的护理方案提供借鉴。方法选取本院2012年1～12月收治的176例先兆早产患者,采用随机数字表法分为研究组和对照组,每组88例。两组患者均给予常规护理,研究组在此基础上给予心理干预。在住院当天和治疗3周后比较两组抑郁自评量表（SDS）和焦虑自评量表（SAS）评分,统计两组孕妇保胎成功率。结果两组患者住院当天SDS及SAS评分差异无统计学意义（P〉0.05）,治疗3周后研究组SDS评分为（45.2±1.5）分,SAS评分为（49.2±1.4）分;对照组SDS评分为（53.1±1.3）分,SAS评分为（55.8±1.4）分,差异均有统计学意义（P〈0.05）。研究组孕周≥37周者86例,保胎成功率为97.7%,对照组孕周≥37周者74例,保胎成功率为84.1%,差异有统计学意义（P〈0.05）。结论对先兆早产患者实施护理干预不仅能够改善患者的心理状况,还能降低早产发生率,获得较为满意的临床效果。

Influence of nursing intervention on patients with threatened preterm labor

Objective To analyze the influence of nursing intervention on psychological status and clinical therapeutic effect of patients with premature,and provide reference for obstetrics and gynecology formulating scientific and reasonable nursing program. Methods 176 cases of preterm patients in our hospital from January 2012 to December 2012 were selected,by using random number table group,all the patients were divided into study group and control group, with 44 cases in each group.Two groups of patients were given routine nursing,while the study group added psychological intervention.On the day of admission and after third weeks treatment,the scores of self-rating depression scale（SDS） and self-rating anxiety scale （SAS） of the two groups was compared,and the success rate of miscarriage was counted. Results The difference of SDS and SAS scores in the two groups was no statistically significant （ P ＆gt; 0.05）,after third week treatment, the SDS score of study group was （45.2±1.5）,and the SAS score was （49.2±1.4）;while the SDS score of control group was（53.1±1.3）,and the SAS score was（55.8±1.4）,the difference was statistically significant（P ＆lt; 0.05）.The patients whose gestational weeks ≥37 in study group were 86 cases,and the success rate of fetus was 97.7%;the patients whose gestational weeks≥37 in control group were 74 cases,and the success rate of fetus was 84.1%, the difference was statistically significant （P ＆lt; 0.05）. Conclusion For patients with threatened preterm labor,the implementation of nursing intervention can not only improve the mental status of the patients,but also reduce the incidence of preterm, obtain satisfactory clinical effect.