重度子痫前期产妇产褥期的危险因素及预见性护理

Risk factors and predictive nursing of severe preeclampsia patients in puerperium

目的探究重度子痫前期危险因素,并制定预见性护理方案。方法研究组33例行预见性护理,对照组22例行常规护理,探究危险因素行Logistic回归分析,并针对危险因素提出预见性护理措施。结果重度子痫前期的诱发危险因素较多,经Logistic回归分析显示年龄≥35岁、体质量指数(BMI)≥28.0、未规律产检、高血压病史、负性情绪为独立危险因素。针对相关危险因素采取预见性护理干预后,研究组产妇的产后出血、子痫、心衰、HELLP综合征等并发症发生率显著降低(P<0.05),焦虑、抑郁症状显著改善(P<0.05)。结论针对重度子痫前期产妇的危险因素给予预见性护理干预,能减少产褥期并发症,保证女性安全。

Objective To explore the risk factors of severe preeclampsia, and to develop the predictive nursing plan. Methods A total of 33 cases in study group implemented predictive nurs- ing, and 22 cases in control group implemented routine care, risk factors were explored by logistic re- gression analysis, and the predictive nursing measures were proposed. Results Risk factors of severe preeclampsia were various, logistic regression analysis showed that over 35 years of age, BMI more than or equal to 28.0, irregular antenatal examination, history of hypertension, and negative emotion were independent risk factors. After predictive nursing intervention, complication rates in postpartum hemorrhage, eclampsia, heart failure, and HELLP syndrome in the study group were significantly decreased （ P 〈 0.05 ） , anxiety and depressive symptoms was significantly improved （ P 〈 0.05 ）. Conclusion Predictive nursing intervention for severe preeclampsia can reduce the complication of the puerperium, and ensure the safety of women.