循证护理理念在妊娠高血压综合征产妇产后护理中的应用分析

The application of evidence-based nursing concept in postpartum nursing of pregnant women with hypertension syndrome

目的探讨循证护理理念在妊娠高血压综合征产妇产后护理中的应用效果.方法：研究资料均为本院于2015 年 10 月至2017 年 10 月期间接收的妊娠高血压综合征产妇,共 108 例随机分组各 54 例,对照组为产后常规护理,观察组产后循证护理,观察两组产后出血情况及不良反应率.结果：观察组产后 2h（105.64±10.25）ml 和产后 24h（148.65±15.74）ml 出血量均显著低于对照组,两组比较差异具有统计学意义P〈0.05.两组在干预前收缩压、舒张压并无显著差异,干预后观察组血压水平降低显著优于对照组,组间数据差异显著（P〈0.05）.观察组产后不良反应率11.11%显著低于对照组31.48%,两组比较差异具有统计学意义P〈0.05.结论：在妊娠高血压综合征产妇产后护理中落实循证护理理念可减少产后出血量,并减少产后不良反应,保证产妇安全,应用价值较高.

objective： to explore the application effect of evidence-based nursing concept in postpartum nursing of pregnant women with hypertension. Methods： the data are in our hospital from October 2015 to October 2015 received during the period of maternal gestational hypertension syndrome, a total of 108 cases randomly assigned the 54 cases, control group for postpartum routine nursing care, observation group postpartum evidence-based nursing, observe two groups of postpartum hemorrhage and the rate of adverse reactions. Results： in the observation group, 2h （105.64 ＋ 10.25） and 24h （148.65 ＋ 15.74） were significantly lower than the control group, and the difference between the two groups was statistically significant （P 〈 0.05）. There was no significant difference in systolic blood pressure and diastolic blood pressure between the two groups before intervention, and the decrease of blood pressure in the observation group after intervention was significantly better than that in the control group, and the difference between the groups was significant （P 〈 0.05）. The postpartum adverse reaction rate of the observation group was 11.11%, which was significantly lower than that in the control group, 31.48%, and the difference between the two groups was statistically significant （P 〈 0.05）. Conclusion： the concept of evidence-based nursing can reduce postpartum hemorrhage and reduce postpartum adverse reactions in pregnancy and postpartum nursing.