Study application of hierarchical management based on risk assessment strategy in high-risk pregnant women
Objective To analyze the application effect of hierarchical management based on risk assessment strategy in high-risk pregnant women.Methods A total of 110 high-risk pregnant women were prospectively enrolled in Beijing Obstetrics and Gynecology Hospital,Capital Medical University from January 2019 to December 2020.They were divided into control group and intervention group,with 55 cases in each group.Control group was treated with routine nursing management,and intervention group was treated with hierarchical management based on risk assessment strategy on the basis of control group,both groups were treated till the end of delivery and discharge.The hospital stay,postpartum hemorrhage,delivery mode,and adverse pregnancy were compared between two groups;the postnatal depression was compared between two groups at six weeks after delivery.Results The hospitalization time of intervention group and the amount of postpartum hemorrhage were shorter than those of control group(P＜0.05).There was significant difference in delivery mode between two groups(P＜0.05).The Edinburgh postnatal depression scale score of intervention group was lower than that of control group(P＜0.05).The total incidence of adverse pregnancy in intervention group was lower than that in control group(P＜0.05).Conclusion Hierarchical management based on risk assessment strategy can shorten the hospitalization time of high-risk pregnant women,improve the natural delivery rate,reduce the amount of postpartum bleeding,and reduce the risk of adverse pregnancy and postpartum depression.
万方数据
维普
