妊娠高血压孕妇应用循证护理的效果研究

Study on the application effect of evidence-based nursing in pregnant women with pregnancy-induced hypertension

目的研究妊娠高血压疾病孕妇护理中循证护理的应用效果。方法选取144例妊娠高血压疾病孕妇,按照随机数表法分成观察组和对照组,每组72例,对照组采用常规的护理方式,观察组采用循证护理,对比两组患者的早产、继发子痫、SAS评分、SDS评分、舒张压、收缩压,新生儿的阿氏评分7分以下的例数,以及患者对护理工作的满意度。结果观察组患者的早产、继发子痫、阿氏评分<7分的发生率均低于对照组,差异均有统计学意义(P<0.05);观察组患者的SAS评分、SDS评分均低于对照组,差异有统计学意义(P<0.05);两组患者护理前的收缩压和舒张压差异无统计学意义(P>0.05),护理后两组均得到了显著的改善(P<0.05),而观察组患者改善的更加明显(P<0.05);观察组患者护理满意度为97.22%,明显高于对照组的80.56%,差异有统计学意义(P<0.05)。结论循证护理能够有效地改善患者不良情绪,降低早产、继发子痫等发生率,控制患者的血压水平,提高护理满意度。

Objective To study the application effect of evidence-based nursing in pregnant women with pregnancy-in-duced hypertension. Methods 144 pregnant women with pregnancy-induced hypertension were selected. According to the random number table method, the patients were divided into observation group and control group, with 72 patients in each group. The control group was given routine nursing care, and the observation group was given evidence-based nursing care. The premature delivery, secondary eclampsia, SAS score, SDS score, diastolic blood pressure, systolic blood pressure, the number of cases with neonatal Apgar score less than 7, as well as patient＇s satisfaction with nursing work were compared between the two groups. Results The incidence rates of premature delivery, secondary eclampsia and Apgar score 〈7 in the observation group were lower than those in the control group, and the differences were statis- tically significant（P〈0.05）; the SAS scores and SDS scores in the observation group were lower than those in the control group, and the differences were statistically significant（P〈0.05）; there was no significant difference in systolic and dias-tolic blood pressure between the two groups before nursing（P〉0.05）. After nursing, the improvement was more signifi- cant in the observation group（P〈0.05）; the satisfaction rate with nursing in the observation group was 97.22%, which was significantly higher than that of 80.56% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Evidence-based nursing can effectively improve the patients＇ negative emotions, reduce the inci-dence rates of premature delivery and secondary eclampsia, control the blood pressure level and improve the nursing satisfaction.