初产妇行介入性产前诊断临床护理研究.doc

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1、初产妇行介入性产前诊断临床护理研究【摘要】目的：探究个性化护理在初产妇行介入性产前诊断中的应用价值。方法：将2013年5月-2014年5月在本院拟行介入性产前诊断的210例初产妇作为观察对象，随机将其分为对照组和观察组，每组105例。对照组采取常规护理，观察组采取个性化护理。观察比较两组初产妇的汉密尔顿焦虑评分(HAMA)及生命体征。结果：两组入组时的HAMA评分比较差异无统计学意义(P〉0.05),而观察组穿刺前及穿刺检查后的IIAMA评分分别为(23.15±5.66)分及(18.12±5.36)分,均明显低于对照组的(26.16±5.03)分及(20.31±5.13)分，差异均

2、有统计学意义(P0.05),而在检查结束时观察组的I1R、SBP及DBP均明显低于对照组，差异均有统计学意义(P0.05)o结论：人性化护理可有效地缓解初产妇行介入性产前诊断的负面情绪，并可在一定程度上改善产妇在接受检查时的生命体征，值得临床推广。【关键词】初产妇；介入性；产前诊断；个性化护理[Abstract]Objective：Toexploretheapplicationvalueofpersonalizedcareintheprimiparasforinterventionalprenataldiagnosis.Method:210prirnip且raswithinterv

3、entionalprenataldiagnosisinourhospitalfromMay2013toMay2015wereselectedasobservationobjects,theywererandomlydividedinlolhecontrolgroupandtheobservationgroup,105casesineachgroup・Thecontrolgroupwasgivenroutinenursingcare,theobservationgroupwasgivenpersonalizedcare・TheHamiltonanxietyscale(HAMA)sco

4、reandvitalsignbetweenthetwogroupswereobservedandcompared.Result：Therewasnostatistical1ysignificantdiffereneeinHAMAscoreofthetwogroupbeforetreatment.(P>0.05)•TheHAMAscoreoftheobservationgroupbeforepunctureandafterpunctureexaminationwere(23・15±5.66)pointsand(18.12±5.36)points,whichweresignific且n

5、tlylowerthan(26.16+5.03)pointsand(20.31+5.13)pointsofthecontrolgroup,thedifferenceswerestatisticallysignificant(P0.05)・Butattheendoftheinspection,theHR,SBPandDBPoftheobservationgroupweresignificantlylowerthanthoseofthecontrolgroup,thedifferenceswerestatisticallysignificanl.(P0.05).Conclusion：P

6、ersonalizedcarecaneffectivelyrelievethenegativeemotionsofprimiparasforintervention且1prenataldiagnosis,andtoacertainextent,canimprovematernalvitalsignsduringinspection,isworthyofclinicalpromotion.[Keywords]Primiparas；Interventional；Prenataldiagnosis；PersonalizedcareFirst-author'saddress：TheFour

7、thHospitalofShijiazhu且ngCity,Shijiazhuang050011,Chinadoi:10.3969/j.issn.1674-4985.2015.21.032介入性产前诊断属于一种侵袭性操作，其引导装置为经过特殊处理超声装备，并用细针直达孕妇宫腔进行相关检查的方法［1-2］o介入性产前诊断存在一定的风险，往往会给孕妇及其家属带来焦虑及恐惧等负而情绪，影响检查的顺利进行［3-4］。为可有效地改善接受介入性产前诊断检查产妇的负面情绪，木科总结多