许明娟

【摘 要】目的：探讨在高危妊娠产妇管理中开展风险意识持续性认知管理的应用效果。方法：选择我院收治的108例高危妊娠产妇作为研究对象，随机分为对照组（n=54）和观察组（n=54），比较两组患者的分娩结局、心理状态、知识掌握度及护理满意度。结果：观察组患者的生产成功率及顺产率均高于对照组，流产率低于对照组，新生儿Apgar评分优于对照组（P<0.05）；干预后，两组患者的焦虑评分量表（SAS）评分和抑郁评分量表（SDS）评分均降低，且观察组低于对照组（P<0.05）；两组患者的知识掌握度均提高，且观察组高于对照组（P<0.05）；观察组的护理满意度明显优于对照组（P<0.05）。结论：在高危妊娠产妇管理中开展风险意识持续性认知管理有助于改善产妇不良情绪，提高分娩成功率。

【关键词】高危妊娠产妇；风险意识；认知管理；分娩成功率

Analysis on the effect of continuous cognitive management of risk awareness in high-risk pregnant women

Xu Mingjuan

Huai ’an Hospital of Huai ’an City， Jiangsu （Huai ’an Cancer Hospital）， Huai’an Jiangsu 223200， China

【Abstract】Objective：To explore the application effect of continuous cognitive management of risk awareness in the management of highrisk pregnant women. Methods： 108 high-risk pregnant women treated in our hospital were selected as the research objects and randomly divided into control group （n=54） and observation group （n=54）.The delivery outcome， psychological state， knowledge mastery and nursing satisfaction of the two groups were compared. Results： The success rate and natural delivery rate of the observation group were higher than those of the control group， the abortion rate was lower than that of the control group， and the Apgar score of newborns was better than that of the control group（P<0.05）.After intervention，the SAS scores and SDS scores of patients in both groups decreased， and the scores in the observation group was lower than those in the control group（P<0.05）.The knowledge mastery of patients in both groups was improved， and the observation group was higher than that in the control group（P<0.05）.The nursing satisfaction of the observation group was better than that of the control group（P<0.05）.Conclusion：Carrying out continuous cognitive management of risk awareness in the management of highrisk pregnant women is helpful to improve the bad mood of pregnan women and improve the success rate of delivery..

【Key？Words】High-risk pregnant women； Risk awareness； Cognitive management； Delivery success rate

高危妊娠是指在妊娠过程中存在可能会导致难产或危及母婴健康的危险性因素，其产生原因包括孕妇自身条件（年龄过大或过小）、孕期合并症（妊娠期高血压、妊娠期糖尿病）等[1]。高危妊娠的症状表现主要与其产生原因有关，因此其症状表现不都是一致的。加强高危妊娠产妇的风险管理，提高产妇风险意识，对提高分娩成功率及降低流产率和围产儿死亡率有非常重要的意义[2]。基于此，本文针对高危妊娠产妇开展风险意识持续性认知管理，以提高其风险意识，现报告如下。

1.1 临床资料

选取我院2018年1月至2020年1月收治的108例高危妊娠产妇进行研究，将其随机分为对照组（n=54）和观察组（n=54）。……