裴景红++++++奚春玉++++++邱雁飞

[摘要]目的 探讨护理干预对危急重症孕产妇院前急救心理及疼痛的影响。方法 选取2015年6月～2016年6月景德镇市医疗紧急救援中心院前急救接诊的危急重症孕产妇患者120例，随机分为对照组和干预组，对照组患者实施常规院前急救护理，干预组患者在常规护理基础上给予系统的院前急救护理干预。对比两组患者的急救后心理评分和疼痛缓解情况。结果 两组患者护理后，SAS评分和SDS评分均得到显著改善（P<0.05），且干预组SAS评分和SDS评分均高于对照组，差异有统计学意义（P<0.05）。干预组疼痛缓解程度显著优于对照组，差异有统计学意义（P<0.05）。结论 对危急重症孕产妇的急救实施规范的院前急救护理可以使患者在第一时间得到有效的救护，急救效果较好，能够显著缓解患者的疼痛情况，改善心理状态。

[关键词]院前急救护理；危急重症孕产妇；疼痛；心理状态

[中图分类号] R248.3 [文献标识码] A [文章编号] 1674-4721（2016）10（c）-0186-03

[Abstract]Objective To explore the impact of emergency and severe maternal pre-hospital care and mental pain of nursing intervention.Methods 120 cases of emergency and severe maternal patients from June 2015 to June 2016 in Medical Emergency Rescue Center of Jingdezhen City were selected，and were randomly divided into control group and intervention group，the control group was given routine care，the intervention group intervention patients were given before administering emergency care hospital system on the basis of conventional nursing.After the patients with psychological first aid and pain relief scores of two groups were compared.Results After treatment，SAS and SDS scores of two groups were improved significantly （P<0.05） compared to pre-intervention，and the SAS and SDS scores of intervention group were higher than that of control group，the differences were significant （P<0.05）.the pain relieving degree of intervention group was significantly better than that of control group，the difference was significant （P<0.05）.Conclusion Severe maternal emergency aid the implementation of standardized pre-hospital emergency care so that patients can get the first time an effective aid，better aid，can significantly ease the pain of the patient and improve mental state.

[Key words]Pre-hospital emergency care；Emergency and severe maternal；Pain；Mentation

危急重症孕产妇的病情一般较为危险，且发展迅速，如若处理不及时则常常会危及产妇及胎儿生命。院前急救是突发的应激反应，孕产妇在急救过程中存在不同程度的心理障碍，恐怖、焦虑、敌对，而医务人员忙于抢救，急于转运，缺少语言沟通，则会加重患者的应激心理，增加孕产妇的痛苦，且不利于医护人员救治工作的开展，严重影响院前急救质量[1-3]，因此在院前急救中，熟练掌握急救护理的理论知识和技能，采取系统的护理干预，建立信任和安全感，配合各项抢救措施，减轻疼痛、降低孕产妇、胎儿的病死率及促进其健康将起到极其重要的作用[4-5]。本研究主要通过研究在景德镇市医疗紧急救援中心院前急救接诊的危急重症孕产妇患者，探讨护理干预对危急重症孕产妇院前急救心理及疼痛的影响，现报道如下。

1资料与方法