摘要
目的 分析“五色”分级后,对评估为橙色、红色、紫色的高危孕产妇进行专案管理,研究对其及围产儿的影响。方法 选取2021年1月至2022年12月在溧阳市人民医院产检及分娩的孕产妇进行“五色”分级,将2021年1月至12月评估风险等级为橙、红、紫的高危孕产妇540例作对照组,予以常规护理管理;2022年1月至12月评估风险等级为橙、红、紫的高危孕产妇641例作试验组,予以专案管理。对比两组高危孕产妇的分娩恐惧感、分娩自我效能、分娩方式及新生儿不良结局的发生情况。结果 分娩前,试验组的分娩恐惧量表分数为(30.83±4.39)分,低于对照组的(35.21±5.14)分(P<0.05);试验组的分娩自我效能感量表分数为(244.23±28.06)分,高于对照组的(210.54±27.47)分(P<0.05);试验组的顺产率高于对照组(63.96%vs. 51.67%,P<0.05);试验组的新生儿不良结局的发生率低于对照组(21.84%vs. 27.40%,P<0.05)。结论 分级专案管理在高危孕产妇管理中的应用价值显著,有助于缓解其分娩恐惧感,增强分娩自我效能,改善分娩方式,减少围产儿不良结局的发生率。
Objective To investigate the impact of stratified case management on high-risk pregnant women classified as orange,red or purple under the“five-color”risk stratification system and their perinatal infants.Methods The high-risk pregnant women who received antenatal care and delivered at Liyang People's Hospital from January 2021 to December 2022 were selected.Based on the five-color risk assessment,540 high-risk pregnant women with risk levels of orange,red or purple from January to December 2021 were assigned to the control group and received routine nursing management.641 high-risk pregnant women with the same risk level from January to December 2022 were assigned to the experimental group and received case-based stratified management.Childbirth-related fear,childbirth self-efficacy,delivery methods,and adverse outcomes in newborns were compared between the two groups.Results After management,in the experimental group,the childbirth attitudes questionnaire(CAQ)score was significantly lower than that in the control group[(30.83±4.39)vs.(35.21±5.14),P<0.05].In the experimental group,the childbirth self-efficacy inventory(CBSEI)score was significantly higher than that in the control group[(244.23±28.06)vs.(210.54±27.47),P<0.05].The vaginal delivery rate was higher in the experimental group(63.96%vs.51.67%,P<0.05).And the incidence of neonatal adverse outcomes was lower(21.84%vs.27.40%,P<0.05).Conclusions The application of stratified case management in high-risk pregnancy women care significantly alleviates childbirth-related fear,enhances childbirth self-efficacy,improves delivery outcomes,as well as reduces the incidence of adverse outcomes of perinatal infants.
作者
周锁娣
刘玲妹
吴雪莲
ZHOU Suodi;LIU Lingmei;WU Xuelian(Department of Obstetrics,Liyang People's Hospital,Liyang 213300,China)
出处
《医药高职教育与现代护理》
2025年第4期318-322,共5页
Medical Higher Vocational Education and Modern Nursing
关键词
五色分级
专案管理
高危孕产妇
护理管理
围产儿
不良结局
Five-color stratification
Case management
High-risk pregnant women
Nursing management
Perinatal infants
Adverse outcome
作者简介
通信作者:周锁娣,女,本科,主任护师,研究方向:高危孕产妇专案管理,Email:lyzhousuodi@163.com。
