个案管理方案在妊娠高血压综合征合并胎盘早剥护理干预中的实施效果

The effect of case management in the nursing intervention of pregnancy induced hypertension syndrome with placental abruption

目的探讨妊娠高血压综合征合并胎盘早剥护理干预中,个案管理方案的实施方法及实施效果。方法选取我院接诊妊娠高血压综合征合并胎盘早剥患者84例,随机分为两组,各组42例,对照组行常规干预,观察组行个案管理方案干预模式,观测两组患者收缩压(SBP)、舒张压(DBP)变化,统计妊娠结局和并发症。结果对照组干预后收缩压(SBP)分别为(131.02±19.42)mmHg,舒张压(DBP)为(84.12±9.87)mmHg;观察组干预后收缩压(S B P)分别为(112.35±13.86)mmHg,舒张压(DBP)为(75.81±9.66)mmHg,(P<0.05);对照组自然分娩率为7.14%,剖宫产率为92.83%,并发症发生率为28.57%;观察组自然分娩率为28.57%,剖宫产率为71.43%,并发症发生率为11.90%,(P<0.05)。结论通过为妊娠高血压综合征合并胎盘早剥患者实施个案管理方案,可有效控制患者血压水平,控制并发症,提高自然分娩率。

Objective To explore the implementation and effect of the case management scheme in the nursing intervention of pregnancy induced hypertension syndrome and placental abruption. Methods our hospital admissions syndrome complicated with placental abruption in 84 patients with pregnancy induced hypertension, were randomly divided into two groups, 42 cases in each group, the control group received routine intervention, observation group received case management intervention model, observation of two groups of patients with systolic blood pressure （SBP）, diastolic blood pressure （DBP） changes, pregnancy outcome and complications. Results the intervention group systolic blood pressure control （SBP） respectively （131.02±19.42） mmHg, diastolic blood pressure （DBP） for （84.12±9.87） mmHg; the observation group after intervention, systolic blood pressure （SBP） respectively （112.35±13.86） mmHg, diastolic blood pressure （DBP） for （75.81± 9.66） mmHg. The control group （P〈0.05）; the natural birth rate was 7.14%, the rate of cesarean section was 92.83%, the complication rate was 28.57%; the observation group and natural birth rate was 28.57%, the rate of cesarean section was 71.43%, the complication rate was 11.90% （P〈0.05）. Conclusion case management program for patients with pregnancy induced hypertension complicated with placental abruption can effectively control blood pressure level, control complications and improve natural delivery rate.