行为转变理论的整体护理对妊娠期高血压综合征患者血压控制及妊娠结局的影响

Effects of Overall Nursing of Behavioral Change Theory on Blood Pressure Control and Pregnancy Outcome in Patients with Pregnancy-induced Hypertension Syndrome

目的研究行为转变理论的整体护理对妊娘期高血压综合征（ PIH）患者血压控制及妊娘结局的影响.方泫选取 本院治疗 PIH患者 94例,随机数字表法分为观察组和对照组,各 4 7例 .所有患者均采用硫酸镁＋硝苯地平治疗 14d,对照 组予以常规护理干预,观察组在常规基础上予以行为转变理论的整体护理干预.统计对比两组干预前后血压[收缩压 （SBP）、舒张压（ DBP）]变化,并比较妊娘结局.结果 观察组干预后 DBP、 SBP水平较 对 照 组 低 ,差异均有统计学意义 （P〈0. 05）;观察组与对照组阴道分娩率（ 59. 57%、 38. 30%）、胎盘早剥（ 6. 3 8% 、 25. 53% ） 、产后出血（ 8. 5 1% 、 27. 66% ） 、子 痫（ 2. 13% 、 17. 02%）、胎儿宫内窘迫（ 4. 2 6% 、 23. 40%）、新生儿窒息（ 0. 0 0%、14. 8 9% ）比较,差异均有统计学意义 （P〈0. 05乂结论行为转变理论的整体护理应用于妊娘期高血压综合征患者,可降低其血压,并改善妊娘结局.

Objective To study the effect of overall nursing of behavioral change theory on blood pressure control and pregnancy outcome in patients with pregnancy-induced hypertension syndrome . Methods 94 patients with PIH in ourhospital were selected and randomly divided into observation group and control group, each group 47 cases. All patients were treated with magnesium sulfate ＋ nifedipine for 14 days, the control group was treated with routine nursing intervention and the observation group was treated with overall nursing of behavioral change theory on the basis of routine nursing. Blood pres-sure before and after treatment [Systolic blood pressure （SBP） , diastolic blood pressure （DBP）] changes were statistically compared between the two groups？ and compared pregnancy outcome. Results The levels of DBP and SBP in the observation group were lower than those in the control group after intervention（P〈C〇 . 05） ; Vaginal delivery rate in the observation group and control group （ 59. 57% , 38. 30%） , placental abruption （ 6 .3 8% , 2 5 .5 3% ） ,postpartum hemorrhage （8. 51% , 27. 66 %） , Zixian （2.13%, 17.02%）, fetal distress （4. 26%, 23. 40%）, neonatal asphyxia （0. 00% , 14. 89%） , the differ-ence was statistically significant （P〈0 . 05）. Conclusion The overall nursing of behavioral change theory in patients with preg-nancy-induced hypertension syndrome can reduce their blood pressure and improve the outcome of pregnancy.