妊娠合并心脏病患者的护理措施的效果研究

妊娠合并心脏病患者的护理措施的效果研究摘要目的：讨论护理对策对不同种类妊娠合并心脏疾病患者母儿愈后产生的影响状况。方法：选择2009年1月~2013年12月来医院就医的妊娠合并心脏疾病患者80例，将患者依照随机数字表安排到观察组与对照组，观察组患者40例，对照组患者40例，观察组与对照组在心脏病种类及等级分类上差别无统计学意义(P>0.05)。对照组患者给与基本护理，观察组患者给与从孕期到住院的健全护理，较为2组患者VAS得分、新生婴儿Apgar得分、病发症发生率、护理满意率、血清肌酶谱及血清BNP水准、心态及生活品质。结论：根据护理后，①观察组VAS得分、Apger得分均好于对照组，差别有统计学意义(P<0.05)。观察组流血及感柒病发症发生率与对照组相非常低，且差别有统计学意义(P<0.05)。②观察组产妇护理后血清肌酶水准及血清BNP水平较护理前获得了大大提高(P<0.05),对照组孕妇血清肌酶水准及血清BNP水平较护理前改进不显眼(P>0.05)。③对照组孕妇心理健康状况在护理前后左右无很大变化(P>0.05),观察组产妇护理后心理健康状况获得明显改进(P<0.05)。④观察组孕妇各类生活品质得分明显高过对照组，差别有统计学意义(P<0.05)。结果：完备的护理对策对妊娠合并心脏疾病产妇身心健康及胎宝宝的成功出世起着至关重要的作用。关键词：妊娠合并心脏病：护理措施：并发症：生活质量AbstractObjective:To discuss the influence of nursing strategies on the recovery ofmothers and infants in different types of pregnancy complicated with heart diseases.Methods:From January 2009 to December 2013,80 pregnant women with heart diseaseswere selected and randomly assigned to the observation group and the control group,with 40 patients in the observation group and 40 patients in the control group.Therewas no significant difference in the classification of heart diseases between theobservation group and the control group (P >0.05).Patients in the control groupwere given basic nursing care,while patients in the observation group were givensound nursing care from pregnancy to hospitalization.The VAS score,Apgar scoreof newborn babies,incidence of diseases,nursing satisfaction rate,serum musclezymogram and serum BNP level,mentality and quality of life were compared betweenthe two groups.Conclusion:According to the nursing,1 the VAS score and Apgerscore of the observation group are better than those of the control group,and thedifference is statistically significant (P<0.05).Compared with the control group,the incidence of bleeding and flu in the observation group was very low,and thedifference was statistically significant (P<0.05).2 After nursing,the serummuscle enzyme level and serum BNP level of pregnant women in the observation groupwere greatly improved compared with those before nursing (P 0.05),while thosein the control group were not significantly improved (P>0.05).3 The mental healthof pregnant women in the control group did not change much before and after nursing(P >0.05),but the mental health of pregnant women in the observation group wassignificantly improved after nursing (P<0.05).4 The scores of quality of lifeof pregnant women in the observation group were significantly higher than those inthe control group (P<0.05).Results:A complete nursing strategy plays an importantrole in the physical and mental health of pregnant women with heart diseases andthe successful birth of their babies.Key words:Pregnancy complicated with heart disease:Nursing measures:Complications;quality of life目口录一、引言…二、资料与方法2.1临床资料12.2诊断方法22.3护理措施2.3.1妊娠期护理22.3.2分娩期的护理2.3.3加强孕期保健32.3.4预防心力衰竭.42.3.5急性心力衰竭的紧急处理2.3.6一般处理52.4评价指标…62.5统计学分析7三、结果…3.】两组产妇护理后评分.73.2护理后血清肌酶谱及血清BNP水平.83.3护理后两组产妇心理状况…93.4两组患者护理后生活质量评分.9四、讨论…10五、小结10致谢.….11参考文献.12