首页|冰山理论个体化干预模式对妊娠伴心脏病患者心功能及母婴结局的改善作用

冰山理论个体化干预模式对妊娠伴心脏病患者心功能及母婴结局的改善作用

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目的 探讨妊娠伴心脏病患者护理中行冰山理论个体化干预的价值.方法 选取 2021 年 1 月至 2022年12 月江苏省淮安市第一医院收治的 89 例妊娠伴心脏病患者为研究对象,采用随机数字表法将其分为常规组(44 例)和干预组(45例).常规组行常规护理,干预组在常规组的基础上增加冰山理论个体化护理.两组护理均实施至患者分娩后 1周.观察两组干预前后心功能、心理状态变化情况,同时观察患者的母婴结局.结果 干预后,两组心功能分级优于干预前,且干预组优于常规组(P<0.05).干预组剖宫产率、产妇不良结局发生率、围生儿不良结局发生率均低于常规组(P<0.05).结论 冰山理论个体化护理在妊娠伴心脏病患者心功能、母婴结局方面均发挥了积极的改善作用.
Effect of iceberg theory individualized intervention model on the im-provement of cardiac function and maternal and infant outcomes in preg-nant women with heart disease
Objective To explore the value of iceberg theory individualized intervention in nursing of pregnant patients with heart disease.Methods A total of 89 pregnant women with heart disease admitted to the Huaian First People's Hospital from January 2021 to December 2022 were divided into the conventional group(44 cases)and the intervention group(45 cases)by random number table method.The conventional group received routine nursing,and the intervention group added iceberg theory individualized nursing on the basis of conventional group.In both groups,care was administered until one week after delivery.The changes of cardiac function and psychological state of the patients before and after intervention were observed,and the maternal and infant outcomes of the patients were also observed.Results After intervention,the cardiac function grading of the two groups was better than that before intervention,and the intervention group was better than the conventional group(P<0.05).The incidence of cesarean section,adverse maternal outcomes,and adverse perinatal outcomes in the intervention group were lower than those in the conventional group(P<0.05).Conclusion Iceberg theory individualized nursing for pregnant women with heart disease plays a positive role in improving cardiac function,emotional status,and maternal and infant outcomes.

PregnancyHeart diseaseIceberg theoryIndividualized nursingCardiac functionMaternal and infant outcomes

李含悦、于周、肖黎辉

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江苏省淮安市第一人民医院产科,江苏淮安 223300

妊娠 心脏病 冰山理论 个体化护理 心功能 母婴结局

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(9)
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