Abstract:

Objective　To explore the application of standardized health education based on the concept of precision nursing in cesarean section parturients with hyperthyroidism during pregnancy. Methods　A total of 166 cesarean section parturients with hyperthyroidism during pregnancy admitted to The Third People's Hospital of Xintai City from October 2019 to October 2021 were selected and were divided into an observation group (83 cases) and a control group (83 cases) by the random number table. The age of the observation group was (23.55±2.67) years old and the gestational age was (37.62±2.11) weeks; the age of the control group was (24.17±2.92) years old and the gestational age was (37.29±2.44) weeks. The observation group adopted the standardized health education based on the concept of precision nursing, while the control group adopted the conventional health education and nursing. The maternal knowledge mastery rate, postpartum hemorrhage rate, breastfeeding, psychological status, and complications were compared between the two groups. Independent sample t test and χ² test were used. Results　Compared with those in the control group, the maternal knowledge mastery rate in the observation group was better [(96.33±7.25) points vs. (85.62±6.49) points, t=10.027, P<0.001], and the success rate of breastfeeding was higher [93.96% (78/83) vs. 80.72% (67/83), χ²=6.556, P=0.010]. Compared with those in the control group, the rate of postpartum hemorrhage [1.20% (1/83) vs. 10.84% (9/83), χ²=6.769, P=0.009], the score of Edinburgh Postnatal Depression Scale (EPDS) [(9.26±2.11) vs. (10.87±2.19) points, t=4.823, P<0.001], and the incidence of complications [16.87% (14/83) vs. 34.94% (29/83), χ²=7.019, P=0.008] in the observation group were lower. Conclusion　Standardized health education based on the concept of precision nursing can strengthen the knowledge mastery rate in cesarean section parturients with hyperthyroidism during pregnancy, improve the success rate of breastfeeding, and reduce the rate of postpartum hemorrhage, EPDS score, and incidence of complications.

Key words: Concept of precision nursing, Standardized health education, Hyperthyroidism, Cesarean section

摘要： 目的　探讨基于精准护理理念的标准化健康教育在妊娠期合并甲亢的剖宫产产妇中的应用。方法　回顾性分析新泰市第三人民医院2019年10月至2021年10月收治的妊娠期合并甲亢的剖宫产产妇166例为研究对象，采用简单随机数字表法分为观察组和对照组，每组83例。观察组年龄（23.55±2.67）岁，孕周（37.62±2.11）周；对照组年龄（24.17±2.92）岁，孕周（37.29±2.44）周。观察组采用基于精准护理理念的标准化健康教育护理，对照组采用常规健康教育护理。比较两组产妇知识掌握情况、产后出血率、母乳喂养情况、心理状态及并发症发生情况。统计学方法采用独立样本t检验和χ²检验。结果　与对照组相比，观察组产妇知识掌握情况较好［（96.33±7.25）分比（85.62±6.49）分，t=10.027，P<0.001］，且母乳喂养成功率较高［93.96%（78/83）比80.72%（67/83），χ²=6.556，P=0.010］；与对照组相比，观察组产妇产后出血率［1.20%（1/83）比10.84%（9/83），χ²=6.769，P=0.009）］、爱丁堡产后抑郁量表评分［（9.26±2.11）分比（10.87±2.19）分，t=4.823，P<0.001］及并发症总发生率［16.87%（14/83）比34.94%（29/83），χ²=7.019，P=0.008］均较低。结论　基于精准护理理念的标准化健康教育能加强妊娠期合并甲亢的剖宫产产妇知识掌握情况，提高母乳喂养成功率，并降低产后出血率、爱丁堡产后抑郁量表评分及并发症发生率。

关键词: 精准护理理念, 标准化健康教育, 甲亢, 剖宫产