The clinical effect of the personalized care model for patients with dangerous placenta previa
个性化护理模式用于凶险性前置胎盘患者的临床效果

摘要

目的 将个性化护理方案，在凶险性前置胎盘患者中开展，探讨效果。方法 病例是凶险性前置胎盘患者80例，研究时间2020年2月到2022年2月。普通组（40例）方案：实施常规护理；个性化护理组（40例）：实施个性化护理。探讨不良妊娠事件发生率，生活质量量表（WHOQOL-BREF）评分，护理前、护理后的焦虑（HAMA）、产后2h出血量、新生儿评分、抑郁（HAMD）评分，临床护理满意率。结果 ①不良妊娠事件发生率、HAMA、HAMD指标，与普通组比较而言，个性化护理组的均更低（p＜0.05）；②WHOQOL-BREF评分、新生儿评分、临床护理满意率指标，与普通组比较而言，个性化护理组的均更高（p＜0.05）。③产后2h出血量指标，与普通组比较而言，个性化护理组的更少（p＜0.05）。结论 将个性化护理方案，用于凶险性前置胎盘患者，能够发挥改善临床分娩结局的优点，在生命质量提升、负面情绪减轻、新生儿出生质量改善方面显示出更佳的护理效果，并能够减少产后出血量，让患者更满意。

Abstract

Objective To carry out the personalized nursing plan in patients with dangerous placenta previa and explore the effect.
Methods The cases were 80 patients with dangerous placenta previa, and the study period was from February 2020 to February 2022. Program of general group (40 cases): implementation of routine nursing; personalized nursing group (40 cases): implementation of personalized nursing. To explore the incidence of adverse pregnancy events, quality of life scale (WHOQOL-BREF) score, pre-nursing and post-nursing anxiety (HAMA), 2h postpartum bleeding, neonatal score, depression (HAMD) score, and satisfaction rate of clinical care.
Results ① The incidence of adverse pregnancy events, HAMA, HAMD, which were lower in the personalized care group (p <0.05); ②WHOQOL-BREF score, neonatal score, and clinical care satisfaction rate were higher compared with the general group (p <0.05).③ 2h postpartum bleeding index, compared with the general group, the personalized care group was less (p <0.05).
Conclusion   The personalized nursing program for patients with dangerous placenta previa can play the advantages of improving clinical delivery outcomes, show better nursing effect in the improvement of quality of life, negative mood reduction, improvement of newborn birth quality, and reduce the amount of postpartum bleeding, and make patients more satisfied.