| 董淼,陈淼.基于风险评估策略的分级管理在高危孕产妇中的应用研究[J].中国医药导报,2024,21(6):111-114 |
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| 基于风险评估策略的分级管理在高危孕产妇中的应用研究 |
| Study application of hierarchical management based on risk assessment strategy in high-risk pregnant women |
| 收稿日期： 修订日期：2023-03-22 |
| DOI：10.20047/j.issn1673-7210.2024.06.26 |
| 关键词: 高危孕产妇 风险评估策略 分级管理 |
| Key Words: |
| 基金项目:首都医科大学附属北京妇产科医院 北京妇幼保健院管理专项课题（FCYYGL202006） |
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| 摘要:目的 分析基于风险评估策略的分级管理在高危孕产妇中的应用效果。 方法 前瞻性纳入首都医科大学附属北京妇产医院2019年1月至2020年12月110例高危孕产妇，按照随机数字表法将其分为对照组和干预组，各55例。对照组应用常规护理管理，干预组在对照组基础上给予基于风险评估策略的分级管理，两组均干预至分娩结束出院。比较两组住院时间、产后出血量、分娩方式及不良妊娠情况；于分娩后6周，比较两组产后抑郁情况。 结果 干预组住院时间短于对照组，产后出血量少于对照组（P＜0.05）。两组分娩方式比较，差异有统计学意义（P＜0.05）。干预组爱丁堡产后抑郁量表评分低于对照组（P＜0.05）。干预组不良妊娠总发生率低于对照组（P＜0.05）。 结论 基于风险评估策略的分级管理可缩短高危孕产妇住院时间，提高自然分娩率，减少产后出血量，并降低不良妊娠和产后抑郁的发生风险。 |
| Abstract: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. |
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