目的 探讨协同护理干预在妊娠合并心脏病患者围产期风险管理中的应用效果，为改善患者妊娠结局、降低围产期风险提供实践依据。方法 选取某院 2022 年 1 月 - 2023 年 12 月收治的 80 例妊娠合并心脏病患者，按照随机数字表法分为对照组与观察组，各 40 例。对照组采用围产期常规护理，观察组在常规护理基础上实施协同护理干预。比较两组患者围产期并发症发生率、母婴不良结局发生率及护理满意度。结果 观察组围产期心力衰竭、心律失常、肺部感染等并发症发生率（7.50%）低于对照组（25.00%），差异有统计学意义（P<0.05）；观察组胎儿窘迫、新生儿窒息、早产等母婴不良结局发生率（5.00%）低于对照组（20.00%），差异有统计学意义（P<0.05）；观察组护理满意度（97.50%）高于对照组（82.50%），差异有统计学意义（P<0.05）。结论 协同护理干预可有效降低妊娠合并心脏病患者围产期并发症及母婴不良结局发生率，提升护理满意度，在围产期风险管理中具有重要应用价值。
Objective: To explore the application effect of collaborative nursing intervention in perinatal risk management of pregnant patients with heart disease, and provide practical basis for improving pregnancy outcomes and reducing perinatal risks. Method: 80 pregnant women with concomitant heart disease admitted to a certain hospital from January 2022 to December 2023 were randomly divided into a control group and an observation group, with 40 cases in each group, using a random number table method. The control group received routine perinatal care, while the observation group received collaborative nursing intervention on the basis of routine care. Compare the incidence of perinatal complications, maternal and infant adverse outcomes, and nursing satisfaction between two groups of patients. The incidence of complications such as heart failure, arrhythmia, and pulmonary infection during the perinatal period in the observation group (7.50%) was lower than that in the control group (25.00%), and the difference was statistically significant (P<0.05); The incidence of adverse outcomes such as fetal distress, neonatal asphyxia, and premature birth in the observation group (5.00%) was lower than that in the control group (20.00%), and the difference was statistically significant (P<0.05); The nursing satisfaction of the observation group (97.50%) was higher than that of the control group (82.50%), and the difference was statistically significant (P<0.05). Conclusion: Collaborative nursing intervention can effectively reduce the incidence of perinatal complications and adverse outcomes for pregnant women with heart disease, improve nursing satisfaction, and has important application value in perinatal risk management.
