优质护理对妊娠期肝内胆汁淤积症产妇分娩自我效能及新生儿Apgar评分的影响
Effect of quality nursing on delivery self-efficacy and neonatal Apgar score in women with intrahepatic cholestasis during pregnancy
徐慧1
作者信息
- 1. 泰兴市人民医院 产科,江苏 泰兴 225400
- 折叠
摘要
目的 探讨优质护理对妊娠期肝内胆汁淤积症产妇分娩自我效能及新生儿Apgar评分的影响.方法 选择妊娠期肝内胆汁淤积症产妇78例,依据数字随机表法分为对照组及观察组.对照组(39例)采用常规护理,观察组(39例)采用优质护理.比较两组产妇的产程时间、分娩自我效能、心理状态及妊娠结局.结果 观察组各产程时间均短于对照组(P＜0.05).护理后,观察组结果期望、自我效能期望评分均高于对照组,焦虑自评量表、抑郁自评量表评分均低于对照组(P＜0.05).观察组母婴不良结局发生率低于对照组(P＜0.05).观察组新生儿Apgar评分为(9.07±0.24)分,高于对照组的(7.26±0.35)分(P＜0.05).结论 妊娠期肝内胆汁淤积症产妇分娩中接受优质护理的效果确切,可有效缩短产程时间,增强产妇分娩自我效能,改善其不良心理情绪,降低母婴不良结局发生率.
Abstract
Objective To investigate the effect of quality nursing on delivery self-efficacy and neonatal Apgar score in women with intrahepatic cholestasis during pregnancy.Methods 78 pregnant women with intrahepatic cholestasis were selected and were divided into a control group and an observation group according to random table method.The control group(39 cases)received conventional nursing,while the observation group(39 cases)received high quality nursing.The labor time,delivery self-efficacy,psychological state and pregnancy outcome of the two groups were compared.Results The durations of labor in the observation group were shorter than those in the control group(P＜0.05).After nursing,the outcome expectation and self-efficacy expectation scores of the observation group were higher than those of the control group,while the scores of self-rating anxiety scale and self-rating depression scale in the observation group were lower than those in the control group(P＜0.05).The incidence of adverse outcomes in the observation group was lower than those in the control group(P＜0.05).The neonatal Apgar score in the observation group was(9.07±0.24)points,which was higher than(7.26±0.35)points in the control group(P＜0.05).Conclusion The quality nursing in women with intrahepatic cholestasis during pregnancy can effectively shorten the labor time,enhance the delivery self-efficacy,improve the adverse psychological emotions and reduce the incidence of adverse outcomes of maternal and infant.
关键词
妊娠期肝内胆汁淤积症/分娩自我效能/心理状态Key words
Intrahepatic cholestasis during pregnancy/Delivery self-efficacy/Psychological status引用本文复制引用
出版年
2024
NETL
NSTL
万方数据