全程优质护理对妊娠期高血压疾病孕产妇的影响

Effect of whole-course quality nursing on pregnant women with gestational hypertension

目的探讨全程优质护理对妊娠期高血压疾病孕产妇的影响。方法回顾性分析2017年2月至2018年3月我院产科接诊的96例妊娠期高血压疾病孕产妇资料,运用随机分为对照组46例和研究组50例,对照组给予常规护理指导,研究组实施全程优质护理。观察两组孕产妇干预前后血压变化、妊娠结局,并对比干预前后产妇心理状态及生活质量变化。结果经干预后两组孕产妇收缩压、舒张压指数显著优于干预前,干预后组间对比差异有统计学意义(P <0. 05);研究组产妇自然分娩率显著高于对照组,且产后出血、胎盘早剥及子痫发生率显著低于对照组(P <0. 05);两组孕产妇经干预后SAS、SDS水平得到显著改善,干预后组间对比差异明显(P <0. 05);研究组孕产妇经干预后生活质量得到显著改善,研究组干预后各项评估指数显著高于对照组(P <0. 05)。结论妊娠期高血压疾病孕产妇实施全程优质护理,有效改善血压水平,改善妊娠结局及负性情绪,提高孕产妇生活质量,效果显著,临床可进一步拓展运用。

Objective To investigate the effect of whole-course quality nursing on pregnant women with gestational hypertension. Methods To compared the status of the changes of blood pressure and pregnancy outcome before and after intervention, and observed the changes of maternal psychological status and quality of life before and after intervention, 96 cases of records of pregnant women with gestational hypertension treated in our hospital from February 2017 to March 2018 were retrospectively analyzed, and were randomly divided into control group of 46 cases and study group of 50 cases. The control group adopted routine nursing guidance, while the study group adopted the whole-course quality nursing. Results The systolic blood pressure and diastolic blood pressure index in the two groups after intervention were apparently better than that before intervention, and the difference between the two groups after intervention was statistically significant（ P 〈0.05）. The natural delivery rate of the study group was evidently higher than the control group, at that the incidence of incidence of postpartum hemorrhage, placental abruption and eclampsia was greatly lower than the control group（ P 〈0.05）. The SAS and SDS levels in the two groups after intervention were significantly improved, which the difference between the two groups after intervention significantly highlighted（ P 〈0.05）. The quality of life of the pregnant women in the study group had been greatly improved after intervention and evidently with higher respective evaluation index than the control group after intervention（ P 〈0.05）. Conclusion The application of whole-course quality nursing on pregnant women with gestational hypertension could effectively improve blood pressure level, pregnancy outcome and negative emotion which would thereby improve their quality of life. It＇s highly appreciated implementation that worth further clinical popularization.