Department of Obstetrics and Gynecology, Huanggang Central Hospital Huanggang, Hubei 438000, China.
Medicine (Baltimore). 2024 Apr 5;103(14):e37133. doi: 10.1097/MD.0000000000037133.
This study aimed to assess the impact of continuous precision nursing on neurobehavioral function and pregnancy outcomes in patients experiencing threatened abortion. A total of 130 patients with early threatened abortion admitted to our hospital between October 2020 and January 2023 were selected and categorized into 2 groups based on intervention methods. The control group received routine nursing intervention, whereas the observation group received continuous precision nursing intervention. Changes in affective status scores, SF-36 scores, knowledge mastery scores, and satisfaction scores in the neurobehavioral function test before and after intervention were recorded in both groups. Additionally, pregnancy outcomes, obstetric adverse reaction rates, and neonatal conditions were documented. Following intervention, scores for tension-anxiety, depression-dejection, anger-hostility, vigor-activity, fatigue-inertia, and confusion-bewilderment gradually decreased in both groups, with significantly lower scores observed in the observation group compared to the control group (P < .05). SF-36 scores in 8 dimensions, including physical functioning, role-physical, bodily pain, and overall health rating, showed a gradual increase in both groups, with the observation group scoring higher than the control group (P < .05). Knowledge mastery and satisfaction scores also increased significantly after intervention, with the observation group surpassing the control group (P < .05). The observation group exhibited lower rates of abortion and premature birth, along with a higher rate of full-term pregnancy compared to the control group, with statistically significant differences (P < .05). Furthermore, the observation group displayed lower rates of adverse reactions and low birth weight infants, with significant differences compared to the control group (P < .05). No significant differences were observed in neonatal mortality and neonatal intensive care unit transfer rates between the observation and control groups (P > .05). Continuous precision nursing contributes to improved pregnancy outcomes for patients with threatened miscarriage within the first 12 weeks of pregnancy. This comprehensive care approach is associated with enhanced knowledge retention, protection of neurological function, and an overall improvement in quality of life.
本研究旨在评估连续精准护理对有先兆流产风险的患者神经行为功能和妊娠结局的影响。选取 2020 年 10 月至 2023 年 1 月我院收治的 130 例早期有先兆流产患者，根据干预方法分为两组。对照组给予常规护理干预，观察组给予连续精准护理干预。记录两组患者神经行为功能测试前后的情感状态评分、SF-36 评分、知识掌握评分和满意度评分的变化，同时记录妊娠结局、产科不良反应发生率和新生儿情况。干预后，两组患者的紧张-焦虑、抑郁-沮丧、愤怒-敌意、活力-活动、疲劳-惰性和困惑-迷茫评分逐渐下降，观察组明显低于对照组（P ＜ 0.05）。两组患者的生理功能、角色生理、躯体疼痛和总体健康评分等 8 个维度的 SF-36 评分均逐渐升高，观察组高于对照组（P ＜ 0.05）。知识掌握和满意度评分干预后也明显升高，观察组高于对照组（P ＜ 0.05）。观察组的流产和早产率均低于对照组，足月妊娠率高于对照组，差异有统计学意义（P ＜ 0.05）。观察组的不良反应发生率和低出生体重儿发生率低于对照组，差异有统计学意义（P ＜ 0.05）。观察组和对照组的新生儿死亡率和新生儿重症监护病房转科率比较差异无统计学意义（P ＞ 0.05）。连续精准护理有助于改善妊娠 12 周内有先兆流产风险的患者的妊娠结局。这种综合护理方法与知识保留、神经功能保护和生活质量全面提高有关。
