黄惠玲 庄秀娥

【摘要】 目的：探討胎心远程监护结合延续性护理对待产孕妇心理状态及妊娠结局的影响，为待产孕妇管理提供临床指导。方法：选取2018年1-12月泉州市妇幼保健院待产且具备经阴道分娩条件的90例孕妇作为研究对象。按照随机数字表法，分为对照组和观察组，各45例。对照组采用常规监测，观察组采用胎心远程监护结合延续性护理。观察并比较两组抑郁自评量表（SDS）和焦虑自评量表（SAS）评分，分娩方式和妊娠结局。结果：干预后观察组SDS评分和SAS评分分别为（37.26±2.73）、（34.17±3.27）分，明显低于干预前的（55.11±3.03）、（50.92±4.12）分，且明显低于对照组的（54.15±2.57）、（50.28±5.11）分，差异均有统计学意义（P<0.05）。观察组自然生产率77.78%，明显高于对照组的55.56%，剖宫产率11.11%，明显低于对照组的33.33%，差异均有统计学意义（P<0.05）。观察组不良妊娠结局发生率2.22%，明显低于对照组的15.55%，差异有统计学意义（P<0.05）。观察组护理总满意度95.56%，明显高于对照组的71.11%，差异有统计学意义（P<0.05）。结论：胎心远程监护结合延续性护理能够改善待产孕妇负性心理，减少不良妊娠结局的发生，最终提高新生儿质量和护理满意度，值得临床应用。

【关键词】 待产孕妇 胎心远程监护 延续性护理 不良心理 妊娠结局

doi：10.14033/j.cnki.cfmr.2019.28.040 文献标识码 B 文章编号 1674-6805（2019）28-00-03

Effect of Fetal Heart Rate Remote Monitoring Combined with Continuous Nursing on the Psychological Status and Pregnancy Outcome of Expectant Mothers/HUANG Huiling， ZHUANG Xiue. //Chinese and Foreign Medical Research， 2019， 17（28）： -99

[Abstract] Objective： To explore fetal heart rate remote monitoring combined with continuous nursing on the psychological status and pregnancy outcome of expectant mothers， and to provide some clinical guidance for the management of expectant mothers. Method： From January to December 2018， a total of 90 expectant mothers in Quanzhou Womens and Childrens Hospital who were ready for delivery and qualified for transvaginal delivery were selected as subjects. According to the random number table method， they were divided into the control group and the observation group， with 45 cases in each group. The control group was used routinely monitoring， and the observation group was used fetal heart rate remote monitoring combined with continuous nursing. The self-rating depression scale （SDS） score， the self-rating anxiety scale （SAS） score， the mode of delivery and the pregnancy outcome were observed and compared between the two groups. Result： After intervention， the SDS score and SAS score of the observation group were （37.26±2.73） points， （34.17±3.27） points respectively， which were significantly lower than those before intervention （55.11±3.03） points， （50.92±4.12） points， and were significantly lower than （54.15±2.57） points， （50.28±5.11） points of the control group， and the differences were statistically significant （P<0.05）. The incidence of natural delivery of the observation group was 77.78%， significantly higher than 55.56% of the control group， and the incidence of cesarean section was 11.11%， significantly lower than 33.33% of the control group， and the differences were statistically significant （P<0.05）. The incidence of adverse pregnancy outcomes in the observation group was 2.22%， lower than 15.55 of the control group， and the difference was statistically significant （P<0.05）. The total satisfaction of nursing in the observation group was 95.56%， significantly higher than 71.11% of the control group， and the difference was statistically significant （P<0.05）. Conclusion： Fetal heart rate remote monitoring combined with continuous nursing can improve the negative psychology of expectant mothers， reduce the occurrence of adverse pregnancy outcomes， and ultimately improve the quality of newborns and satisfaction of nursing， which is worthy of clinical application.

[Key words] Expectant mothers Fetal heart rate remote monitoring Continuous nursing Bad psychology Pregnancy outcome

First-authors address： Quanzhou Womens and Childrens Hospital， Quanzhou 362000， China

孕婦产前检测不到位会导致不良妊娠结局的发生[1]。胎心监护不同于常规检测，是监测胎儿胎动和胎心的主要手段。远程监护是在胎心监护基础上的一种更为方便的方法，可以远程监测胎动和胎心异常情况，能够减少不良妊娠结局的发生[2]。但是单一的胎儿远程监护不能起到很好的作用，因此给予孕妇适当的孕期护理尤为重要。延续性护理不仅包括孕期护理，还有产后康复护理，具有针对性，可以明显改善新生儿质量[3]。本研究旨在探讨胎心远程监护结合延续性护理在待产孕妇管理中的应用，报道如下。

1 资料与方法

1.1 一般资料

选取2018年1-12月泉州市妇幼保健院待产且具备经阴道分娩条件的90例孕妇作为研究对象。纳入标准：入选者均在笔者所在医院建卡。……