首页|持续质量改进的临床护理措施对重度子痫前期产妇妊娠结局影响

持续质量改进的临床护理措施对重度子痫前期产妇妊娠结局影响

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目的:分析基于持续质量改进的临床护理措施对重度子痫前期(SPE)产妇妊娠结局的影响.方法:采用随机抽样的方式在本院2020年1-2022年12月收治的SPE患者120例作为研究对象,随机数字表法分为对照组和观察组各60例.对照组给予常规护理干预,观察组给予基于持续质量改进的临床护理措施.对比分析两组分娩孕周、分娩方式、血压水平、孕产妇并发症发生率以及新生儿状态.结果:护理干预后两组分娩方式无差异(P>0.05),分娩孕周观察组(37.8±2.8周)高于对照组(36.1±2.9周)(P<0.05);两组血压水平均降低且观察组(126.8±14.0 mmHg、88.5±6.8 mmHg)均低于对照组(135.5±13.4 mmHg、92.5±6.3 mmHg).观察组孕产妇并发症发生率(6.7%)低于对照组(20.2%),新生儿Apgar评分(7.8±1.0分)高于对照组(7.1±1.3分),新生儿并发症发生率(11.7%)低于对照组(26.7%)(均P<0.05).结论:基于持续质量改进的临床护理措施可降低SPE患者的血压水平,改善妊娠结局.
Influence of the clinical nursing measures based on continuous quality improvement for pregnant women with severe pre-eclampsia on their pregnancy outcomes
Objective:To analyze the influence of the clinical nursing measures based on continuous quality improve-ment for pregnant women with severe preeclampsia(SPE)on pregnancy outcomes.Methods:A total of 120 pregnant women with SPE were randomly selected as the research objects by random sampling from January 2020 to December 2022.The enrolled women were divided into control group and observation group by random number table method,with 60 cases in each group.The women in the control group were given routine nursing intervention,and the women in the observation group were given clinical nursing measures based on continuous quality improvement.The gestation-al weeks at delivery,the mode of delivery,the blood pressure value,the incidence of maternal complications and the neonatal status of the women were analyzed and compared between the two groups.Results:There was no significant difference in the mode of delivery of the women after nursing intervention between the two groups(P>0.05).The gestational weeks at delivery(37.8±2.8 weeks)of the women in the observation group was significantly higher than that(36.1±2.9 weeks)of the women in the control group(P<0.05).The values of systolic and diastolic blood pres-sure of the women in the two groups had decreased significantly,and which(126.8±14.0 mmHg and 88.5±6.8 mm-Hg)of the women in the observation group were significantly lower than those(135.5±13.4 mmHg and 92.5±6.3 mmHg)of the women in the control group.The incidence of maternal complications(6.7%)and the incidence of neo-natal complications(11.7%)in the observation group were significantly lower than those(20.2%and 26.7%)in the control group.The neonatal Apgar score(7.8±1.0 points)in the observation group was significantly higher than that(7.1±1.3 points)in the control group(all P<0.05).Conclusion:The clinical nursing measures based on continuous quality improvement for the pregnant women with SPE can decrease their blood pressure and improve their pregnancy outcomes.

Severe eclampsiaContinuous quality improvementBlood pressurePregnancy outcomesComplication

薛山、张亚囡、左青

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江苏省人民医院,南京医科大学第一附属医院(210000)

重度子痫 持续质量改进护理干预 血压 妊娠结局 并发症

江苏省科技项目

BK20191070

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(1)
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