Peplau人际关系理论对妊娠高血压的护理临床效果分析

Nursing Effectiveness of Peplau Interpersonal Theory on Gestational Hypertension using

目的探讨Peplau人际关系理论对妊娠高血压的护理效果.方法选择PIH患者69例,随机分为对照组及观察组,分别有34例、35例.对照组采用常规护理,观察组在此基础上采用Peplau人际关系理论进行护理,分别检测护理前后血压、SAS及SDS评分.结果对照组出院前收缩压及舒张压较入院后第1天均有下降,差异有统计学意义(P<0.05),观察组收缩压入院后2周、出院前均较入院后第1天有下降,差异有统计学意义(P<0.05),舒张压出院前均较入院后第1天有下降,差异有统计学意义(P<0.05).观察组出院前收缩压及舒张压较对照组均有下降且在正常值以下,差异有统计学意义(P<0.05).对照组及观察组出院前SDS评分较入院后第1天均有下降,差异有统计学意义(P<0.05)),观察组出院前SDS评分较对照组有下降,差异有统计学意义(P<0.05).对照组出院前SAS评分较入院后第1天均有下降,差异有统计学意义(P<0.05).观察组入院后2周及出院前SAS评分较入院后第1天均有下降,差异有统计学意义(P<0.05).观察组出院前SAS评分较对照组有下降,差异有统计学意义(P<0.05).结论采用Peplau人际关系理论进行护理可有效控制血压水平,缓解患者的焦虑、抑郁情绪.

Objective To investigate the nursing effectiveness of Peplau interpersonal theory on gestational hypertension. Methods 69 patients were randomly divided into control group and observation group, there were 34 cases, 35 cases. Control group accepted conventional care, nursing observation group accepted Peplau interpersonal theory on this basis, blood pressure, SAS and SDS scores were measured before and after care. Results In the control group before discharge systolic and diastolic blood pressure significantly decreased, as compared with the fisrt day after admission （P〈0.05） . In the observation group, the systolic blood pressure two weeks after admission, prior to discharge significantly decreased, as compared with with the fisrt day after admission （P〈0.05）, the diastolic blood pressure before discharge significantly decreased, as compared with the fisrt day after admission （P〈0.05） . In the observation group, the systolic blood pressure and diastolic blood pressure before discharge significantly decreased to the normal value, as compared with the fisrt day after admission （P〈0.05） In observation group and control group, SDS score before discharge significantly decreased, as compared with the fisrt day after admission （P 〈0.05） , SDS score in observation group before discharge significantly decreased, as compared with control group （P〈0.05） SAS score of control group before discharge significantly decreased, as compared with the fisrt day after admission （P〈0.05） SAS score in the observation group two weeks after admission and before discharge two weeks significantly decreased, as compared with the fisrt day after admission （P〈O.05） . SAS score in observation group before discharge significantly decreased, as compared with control group （P〈0.05） . Conclusion Peplau interpersonal theory of nursing can effectively control blood pressure, relieve the patient＇s anxiety and depression.