Application effect of comprehensive mother-infant blocking nursing in pregnant women infected with hepatitis B
母婴阻断综合护理在乙肝感染孕产妇中的应用效果

摘要

目的 探讨在乙肝感染（HBV）孕产妇中采取母婴阻断综合护理策略的实际护理效果。方法 选取本院2022年2月至2023年4月收治的68例HBV孕产妇，根据奇偶数法随机分组，对照组（常规护理，34例），观察组（母婴阻断综合护理，34例）。对比两组护理前后孕产妇的HBV定量检测结果（乙肝表面抗原/HBsAg、乙肝病毒基因/HBV-DNA），以及新生儿出生3、9个月时的HBsAg、HBV-DNA检测阳性率。结果 观察组孕产妇护理后的HBsAg、HBV-DNA定量检测水平低于对照组，新生儿出生3、9个月时的HBsAg、HBV-DNA检测阳性率低于对照组（P＜0.05）。结论 对HBV孕产妇采用母婴阻断综合护理模式能显著提高孕产妇对HBV知识的掌握程度，从而降低孕产妇的HBV定量检测水平和新生儿的HBV阳性率，值得推广。

Abstract

Objective To explore the practical nursing effect of comprehensive nursing strategy of mother-to-child blocking in pregnant women infected with hepatitis B virus (HBV).
Methods 68 cases of HBV pregnant women admitted to our hospital from February 2022 to April 2023 were randomly divided into control group (routine care, 34 cases) and observation group (comprehensive mother-to-child blocking care, 34 cases) according to odd and even method. The quantitative HBV detection results (HBsAg /HBsAg, HBV gene /HBV-DNA) and the positive rates of HBSAG and HBV-DNA detection at 3 and 9 months after birth were compared between the two groups.
Results The quantitative detection levels of HBsAg and HBV-DNA in the observation group were lower than those in the control group, and the positive rates of HBsAg and HBV-DNA at 3 and 9 months after birth were lower than those in the control group (P < 0.05).
Conclusion   The comprehensive nursing mode of mother-to-child blocking for HBV pregnant women can significantly improve their knowledge of HBV, thus reducing the level of HBV quantitative detection in pregnant women and HBV positive rate in newborns, which is worthy of promotion.