系统性护理干预在妊娠高血压综合征患者中的应用效果

Application Effect of Systematical Nursing Intervention in Patients with Pregnancy-induced Hypertension

目的探讨系统性护理干预在妊娠高血压综合征患者临床应用中的效果。方法选取该院2015年5月—2016年2月收治的104例妊娠高血压综合征患者,随机分为观察组53例和对照组各51例,对照组采用常规护理方法,观察组除给予常规护理外,还增加了心理干预、特殊用药护理、对症护理、胎儿监护等系统性护理干预。比较两组孕妇血压变化、产后并发症、护理满意度等方面的效果。结果观察组干预后血压为收缩压(128.35±12.96)mm Hg、舒张压(83.16±12.07)mm Hg,对照组干预后收缩压(136.25±14.69)mm Hg、舒张压93.35±10.32)mm Hg。两组对照可见观察组血压控制明显优于对照组(P<0.05)。产后并发症的发生率观察组:早产24.53%、产后出血7.54%、胎盘早剥9.43%剖宫产49.06%。对照组:早产43.14%、产后出血23.52%、胎盘早剥17.65%、剖宫产66.67%。观察组并发症发生率明显少于对照在(P<0.05),且胎儿结局好,护理满意度高,护患关系融洽。结论在常规护理的基础上进行系统性护理干预,可有效的控制血压、减少并发症的发生、改善妊娠结局、提高新生儿生存质量。

Objective To study the application effect of systematical nursing intervention in patients with pregnancy - induced hypertension. Methods 104 cases of patients with pregnancy-induced hypertension admitted and treated in our hospital from May 2015 to February 2016 were selected and randomly divided into two groups, the control group with 51 cases adopted the routine nursing method, while the observation group with 53 cases adopted the mental interven-tion, special medication nursing, symptomatic nursing and fetal monitoring, and the blood pressure changes, complica-tions after delivery and nursing satisfactory degree were compared between the two groups. Results After intervention, the systolic pressure and diastolic pressure in the observation group and in the control group were respectively （128.35±12.96）mmHg, （83.16±12.07）mmHg and （136.25±14.69）mmHg, （93.35±10.32）mmHg , and the blood pres-sure control was obviously better than that in the control group （P〈0.05） , and in the observation group, premature de-livery 24.53%, postpartum hemorrhage 7.54%, placental abruption 9.43%, cesarean delivery 49.06%, in the control group, premature delivery 43.14%, postpartum hemorrhage 23.52%, placental abruption 17.65%, cesarean delivery 66.67%,and the incidence rate of complications in the observation group was obviously lower than that in the control group （P〈0.05） , and the fetal outcome was good, the nursing satisfactory degree was high and the nurse-patient corre-lation was harmonious. Conclusion The systematical nursing intervention on the basis of the routine nursing can ef fe c-tively control the blood pressure, reduce the occurrence of complications, improve the pregnant outcome and improve the survival quality of newborns.