任巧靖

[摘要] 目的 探討綜合護理干預(yù)應(yīng)用于乙型肝炎初產(chǎn)婦的效果。 方法 選擇2015年1月～2017年6在我院分娩的乙型肝炎初產(chǎn)婦120例為研究對象。隨機分為干預(yù)組與對照組各60例。對照組給予常規(guī)產(chǎn)前、產(chǎn)時護理，干預(yù)給予綜合護理干預(yù)。比較兩組分娩結(jié)局、孕產(chǎn)婦焦慮評分、分娩時VAS評分、分娩應(yīng)對評分、入組時及分娩前HBV-DNA>1000 copies/mL比例、產(chǎn)婦體重超標率、新生兒HBV標記物陽性率。 結(jié)果 分娩前干預(yù)組HBV-DNA>1000 copies/mL比例顯著低于對照組，差異有統(tǒng)計學(xué)意義（P<0.05）。分娩前對照組焦慮評分顯著高于干預(yù)組，差異有統(tǒng)計學(xué)意義（P<0.05）。干預(yù)組新生兒體重≥4 kg率、剖宮產(chǎn)率、會陰側(cè)切率、產(chǎn)后2 h出血量顯著低于對照組，差異有統(tǒng)計學(xué)意義（P<0.05）。干預(yù)組產(chǎn)婦體重超標率、VAS評分顯著低于對照組，應(yīng)對能力評分顯著高于對照組，差異有統(tǒng)計學(xué)意義（P<0.05）。 結(jié)論 綜合護理干預(yù)能夠顯著改善乙型肝炎初產(chǎn)婦焦慮情況、改善分娩應(yīng)對情況、降低剖宮產(chǎn)率及會陰側(cè)切率，改善分娩結(jié)局。

[關(guān)鍵詞] 綜合護理干預(yù)；乙型肝炎；初產(chǎn)婦；分娩結(jié)局

[中圖分類號] R473.71 [文獻標識碼] B [文章編號] 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