针对性护理干预对子宫肌瘤合并高血压患者的护理效果

Efficacy of targeted nursing intervention in uterine myoma complicated with hypertension

目的探讨针对性护理干预对子宫肌瘤合并高血压患者的护理效果。方法选取2016年12月至2017年12月间陕西中医药大学第二附属医院收治的111例接受手术治疗的子宫肌瘤合并高血压患者进行回顾性研究,将采用针对性护理干预的56例患者纳入试验组,采用常规护理干预的55例患者纳入对照组。比较两组患者的血压水平、生活质量评分及阴道出血、术后感染、术后疼痛、排尿困难和其他不良反应发生情况。结果护理后,试验组患者血压水平显著优于对照组,生活质量量表8个维度的评分均优于对照组,不良反应发生率优于对照组,差异均有统计学意义(均P<0.05)。结论采用针对性护理干预子宫肌瘤合并高血压患者,可较好控制患者的血压水平,降低不良反应发生率,提高生活质量,有重要的临床推广意义。

Objective To investigate the effect of targeted nursing intervention on the nursing efficacy in patients with uterine fibroids complicated with hypertension. Methods We selected 111 patients with uterine fibroids complicated with hypertension who were admitted to Second Affiliated Hospital,Shaanxi University of Traditional Chinese Medicine for surgery between December 2016 and December 2017. The experimental group（ 56 patients） received targeted nursing intervention and the control group（ 55 patients）received routine nursing. Blood pressure levels,quality of life scores and adverse eractions inckuding vaginal bleeding,postoperative infections,postoperative pain,dysuria,and other adverse events were compared between the two groups. Results After care,blood pressure levels in the experimental group were significantly better than in the control group,and quality of life score in 8 aspects were significantly better in the experimental group than in the control group（ all P〈0. 05）. The incidence of adverse reactions in the experimental group was significantly better than in the control group（ P〈0. 05）. Conclusion For patients with uterine fibroids complicated with hypertension,the implementation of targeted nursing interventions could have good control of blood pressure,lower incidence of adverse reactions,and improve the quality of life,which has important clinical significance.