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吴婉艺,周雅慧.循证理念下问题解决护理模式对妊娠高血压产妇分娩结局和泌乳功能的影响[J].中国医药科学,2024,14(9):152-155        基金项目:福建省泉州市科技计划项目(2018N090S)
循证理念下问题解决护理模式对妊娠高血压产妇分娩结局和泌乳功能的影响
Effect of problem-solving nursing mode under evidence-based concept on delivery outcome and lactation function of pregnant women with hypertension
  
DOI:
中文关键词:  循证理念;问题解决护理;妊娠高血压产妇;分娩结局;泌乳功能
英文关键词:Evidence-based concept; Problem-solving nursing; Pregnant women with hypertension; Delivery outcome; Lactation function
作者单位
吴婉艺,周雅慧 福建省泉州市妇幼保健院·儿童医院护理部,福建泉州 362000 
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中文摘要:
      [摘要] 目的 探讨循证理念下问题解决护理模式对妊娠高血压产妇分娩结局和泌乳功能影响。 方法 选取泉州市妇幼保健院·儿童医院2020年8月至2022年5月妊娠高血压产妇200例,根据自愿原则分为观察组(n=123)和对照组(n=77),对照组采用常规护理,观察组采用循证理念下问题解决护理模式。比较两组分娩结局和泌乳功能。 结果 观察组剖宫产率和胎盘早剥,产后出血,溶血肝功能异常血小板减少(HELLP)综合征并发症发生率低于对照组(P < 0.05)。观察组新生儿窒息、胎儿窘迫、巨大儿、胎儿早产和围产儿死亡率低于对照组(P < 0.05)。观察组产后48 h泌乳充足比例为90.24%,高于对照组的75.32%(P < 0.05),观察组产后泌乳始动时间短于对照组,差异有统计学意义(P < 0.05)。 结论 循证理念下问题解决护理模式可改善妊娠高血压产妇的分娩结局和泌乳功能,具有较高的临床应用价值。
英文摘要:
      [Abstract] Objective To analyze the effect of problem-solving nursing mode under evidence-based concept on delivery outcome and lactation function of pregnant women with hypertension. Methods A total of 200 pregnant women with hypertension admitted to Quanzhou Women’s and Children’ Hospital from August 2020 to May 2022 were selected and divided into the observation group (n=123) and the control group (n=77) according to the principle of voluntariness. The control group received routine nursing, while the observation group received the problem-solving nursing mode under evidence-based concept. The delivery outcome and lactation function were compared between the two groups. Results The rate of cesarean section and the rate of complications such as placental abruption, postpartum hemorrhage and hemolysis, elevated liver function and low platelet count (HPLLP) syndrome in the observation group were lower than those in the control group, with statistically significant differences (P < 0.05). The neonatal asphyxia, fetal distress, macrosomia, premature delivery and perinatal mortality in the observation group were lower than those in the control group, with statistically significant differences (P < 0.05). The proportion of adequate lactation at 48 h postpartum in the observation group (90.24%) was higher than that in the control group (75.32%), with statistically significant difference (P < 0.05). The onset time of postpartum lactation in the observation group was shorter than that in the control group, with statistically significant difference (P < 0.05). Conclusion The problem-solving nursing mode under the evidence-based concept can improve the delivery outcome and lactation function of pregnant women with hypertension, and therefore, it has high clinical application value.
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