社会心理干涉施行 乙型肝炎初产妇施行归纳护理干涉的作用剖析

任巧靖

[摘要] 意图 探討归纳护理干涉应用于乙型肝炎初产妇的作用。 办法 挑选2015年1月～2017年6在我院临产的乙型肝炎初产妇120例为研讨目标。随机分为干涉组与对照组各60例。对照组给予惯例产前、产时护理，干涉给予归纳护理干涉。比较两组临产结局、孕产妇焦虑评分、临产时VAS评分、临产应对评分、入组时及临产前HBV-DNA>1000 copies/mL份额、产妇体重超支率、新生儿HBV符号物阳性率。 成果 临产前干涉组HBV-DNA>1000 copies/mL份额明显低于对照组，差异有统计学含义（P<0.05）。临产前对照组焦虑评分明显高于干涉组，差异有统计学含义（P<0.05）。干涉组新生儿体重≥4 kg率、剖宫产率、会阴侧切率、产后2 h出血量明显低于对照组，差异有统计学含义（P<0.05）。干涉组产妇体重超支率、VAS评分明显低于对照组，应对才能评分明显高于对照组，差异有统计学含义（P<0.05）。 定论 归纳护理干涉可以明显改进乙型肝炎初产妇焦虑状况、改进临产应对状况、下降剖宫产率及会阴侧切率，改进临产结局。

[关键词] 归纳护理干涉；乙型肝炎；初产妇；临产结局

[中图分类号] R473.71 [文献标识码] B [文章编号] 1673-9701（2017）33-0145-04

[Abstract] Objective To explore the effect of comprehensive nursing intervention on primiparas with hepatitis B. Methods 120 hepatitis B primiparas from January 2015 to June 2017 delivered in our hospital were selected and randomly divided into intervention group（n=60）and control group （n=60）. The control group was given routine antenatal and intrapartum care. The intervention group was given comprehensive nursing intervention. The outcome of delivery， maternal anxiety score， VAS score at delivery， childbirth coping score， the rate of HBV-DNA>1000 copies/mL at the time of enrollment and before delivery， the maternal weight exceeded rate and the positive rate of neonatal HBV markers were compared between the two groups. Results The percentage of HBV-DNA> 1000 copies/mL in the intervention group was significantly lower than that in the control group before delivery（P<0.05）. The anxiety score of the control group before delivery was significantly higher than that of the intervention group， and the difference was statistically significant（P<0.05）. The rate of neonatal weight≥4 kg， cesarean section rate， lateral perineal cut rate and postpartum 2h bleeding were significantly lower than those of control group， and the differences were statistically significant（P<0.05）. The maternal weight exceeded rate and VAS score in the intervention group were significantly lower than those in the control group， and the score of coping ability in the intervention group was significantly higher than that of the control group， and the difference was statistically significant（P<0.05）. Conclusion Comprehensive nursing intervention can significantly improve the situation of anxiety and the coping situation of childbirth in hepatitis B primiparas， which reduces cesarean section rate and lateral perineal cut rate and improves the outcome of delivery.

[Key words] Comprehensive nursing intervention；Hepatitis B；Primipara；Delivery outcomeendprint