Risk warning management in pregnant women with late threatened abortion by magnesium sulfate treatment
-
摘要: 目的 观察晚期先兆流产孕妇硫酸镁治疗的风险预警管理效果。 方法 选取2019年1—12月应用硫酸镁治疗的晚期先兆流产孕妇22例为观察组,实施全程风险预警管理。选取2019年之前未实施风险预警管理的25例孕妇为对照组。比较负责2组孕妇的妇科护士的风险预警管理相关指标(药物知识掌握评分、硫酸镁及输液泵规范操作评分、高危药品管理质控检查评分)掌握情况。比较2组孕妇满意度、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分、护理风险事件发生情况。 结果 观察组护士的药物知识掌握评分、硫酸镁及输液泵规范操作评分、高危药品管理质控检查评分均高于对照组护士,差异有统计学意义(P<0.05)。观察组孕妇满意度为90.91%(20/22), 高于对照组的64.00%(16/25), 差异有统计学意义(P<0.05)。观察组孕妇SAS、SDS评分低于对照组孕妇,差异有统计学意义(P<0.05)。观察组孕妇护理风险事件发生率低于对照组孕妇,差异有统计学意义(P<0.05)。 结论 风险预警管理能有效降低护理不良事件的发生率,增强护理人员的风险意识和防范能力,提高孕妇的满意度,保障孕妇的生命安全。Abstract: Objective To observe effect of risk warning management in pregnant women with late threatened abortion by magnesium sulfate treatment. Methods A total of 22 pregnant women with late threatened abortion by treatment of magnesium sulfate from January to December 2019 were selected as observation group, and they were conducted with whole process risk warning management. Another 25 pregnant women without risk warning management before 2019 were selected as control group. The mastery degree of risk warning management indicators(score for mastery of drug knowledge, score for standard manipulations of magnesium sulfate and infusion pump, score for quality control inspection of high-risk drug management)of nurses in charge of pregnant women in both groups were compared. The satisfaction degree of pregnant women to nursing services, scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS), and nursing risk events were compared between the two groups. Results Score for mastery of drug knowledge, score for standard manipulations of magnesium sulfate and infusion pump, and score for quality control inspection of high-risk drug management of nurses in charge of pregnant women in the observation group were significantly higher than those in the control group(P<0.05). The satisfaction degree of pregnant women in the observation group was 90.91%(20/22), which was significantly higher than 64.00%(16/25)in the control group(P<0.05). The scores of SAS and SDS in the observation group were significantly lower than those in the control group(P<0.05). The incidence of nursing risk events in the observation group was significantly lower than that in the control group(P<0.05). Conclusion Risk warning management can effectively reduce the incidence of nursing risk events, enhance the risk awareness and prevention ability of nursing staffs, increase the satisfaction degree of pregnant women, and ensure safety of pregnant women.
-
Keywords:
- risk warning management /
- magnesium sulfate /
- threatened abortion /
- infusion pump /
- high-risk drugs
-
-
叶小丽, 吴志军, 许园姣. 不同宫缩抑制剂在先兆早产治疗中临床疗效与安全性的研究[J]. 中国妇幼健康研究, 2017, 28(8): 957-960. 马燕, 陈丹青. 早产药物治疗的循证评价[J]. 实用妇产科杂志, 2019, 35(7): 489-491. 刘爱莲. 盐酸利托君与硫酸镁治疗早产临床效果与安全性研究[J]. 世界最新医学信息文摘, 2019, 19(73): 134-135. 马腾, 周莉. 硫酸镁对早产儿脑神经保护作用的研究进展[J]. 中国医刊, 2020, 55(2): 130-133. 金晶, 邹丽. 硫酸镁对胎儿及新生儿的影响[J]. 妇产与遗传: 电子版, 2014, 4(1): 45-48. HANLEY M, SAYRES L, REIFF E S, et al, Tocolysis: a review of the literature[J]. Obstet Gynecol Surv, 2019, 74(1): 50-55.
DOYLE LW, CROWTHER CA, MIDDLETON P, et al. Magnesium sulphate for women at risk of preterm birth for neuroprotection of the fetus[J]. Cochrane Database Syst Rev, 2009(1): CD004661.
刘洋铭, 王寒冰, 漆洪波. 美国妇产科医师学会早产管理指南2016年补充公告解读[J]. 中国实用妇科与产科杂志, 2016, 32(12): 1189-1192. 韩雪玲, 杜晓琴. 硫酸镁对有早产风险孕妇胎儿神经保护的研究进展[J]. 继续医学教育, 2017, 31(6): 144-146. 殷祝美. 盐酸利托君与硫酸镁治疗早产临床效果与安全性分析[J]. 临床合理用药杂志, 2017, 10(23): 61-62. -
期刊类型引用(8)
1. 孔雪玲，陈娇. 小剂量低分子肝素治疗妊娠期子宫肌瘤红色变性患者的临床效果及妊娠结局观察. 医学临床研究. 2024(06): 922-925 . 
百度学术
2. 曹建英，王佩军. 硫酸镁注射液致视觉障碍1例并文献分析. 中国药业. 2023(20): 140-143 . 百度学术
3. 胡冬梅. 护理干预对孕早期先兆流产保胎患者睡眠质量和负性情绪的影响. 中外医疗. 2022(02): 134-137 . 百度学术
4. 张曼俐，杨自力. 寿胎丸对先兆流产患者孕酮与雌二醇的影响及保胎效果. 西北药学杂志. 2022(01): 121-124 . 百度学术
5. 邱永军，汪芳，邱在军. 先兆流产或先兆早产患者初次应用硫酸镁注射液的药品不良反应预测模型研究. 实用临床医药杂志. 2022(09): 63-67 . 本站查看
6. 罗琪，徐喆，杨欢，汪洋. 先兆流产或先兆早产患者应用硫酸镁注射液的不良反应预测模型. 中国实验诊断学. 2022(08): 1180-1182 . 百度学术
7. 陆云惠. 晚期先兆流产保胎用药的护理干预效果观察. 实用妇科内分泌电子杂志. 2022(24): 126-128 . 百度学术
8. 马小磊，冯迟，李轶凡，刘正，冯欣. 地屈孕酮治疗早期先兆流产效果的影响因素及妊娠结局随访研究. 现代生物医学进展. 2021(24): 4672-4675+4680 . 百度学术
其他类型引用(2)
计量
- 文章访问数:
- HTML全文浏览量:
- PDF下载量:
- 被引次数: 10
下载:
苏公网安备 32100302010246号