孕期综合护理干预对妊娠期高血压高危孕妇的效果分析

Effect of comprehensive nursing intervention on pregnant women with high risk of pregnancy hypertension

(1)目的探讨孕期综合干预对妊娠期高血压高危孕妇的高血压发病及母婴结局的影响。(2)方法采用单纯随机的方法,将在唐山协和医院妇产科接受治疗的98例妊娠期高血压高危孕妇分为两组。对照组49例给予常规干预,观察组49例给予孕期综合干预。对比两组患者高血压发病情况及母婴结局和护理满意度。(3)结果干预后观察组及对照组妊娠期高血压疾病发病率分别为4.08%及20.41%,差异具有统计学意义(P <0.05)。观察组顺产率、难产率及剖宫产率分别为67.35%、8.16%和24.49%,而对照组顺产率、难产率及剖宫产率分别为分别为26.53%、20.41%和53.06%,观察组顺产率高于对照组,而难产率以及剖宫产率低于对照组,差异具有统计学意义(P <0.05);观察组FGR、胎儿窘迫、新生儿窒息以及新生儿病死的不良结局总发生率为2.04%,而对照组为16.33%,差异具有统计学意义(P <0.05);观察组护理满意度为93.88%,而对照组为77.55%,差异具有统计学意义(P <0.05)。(4)结论妊娠期高血压高危孕妇采用孕期综合护理干预能够降低妊娠高血压发病率,改善母婴结局,提高护理满意度。

Objective To explore the effect of comprehensive intervention during pregnancy on the incidence of hypertension and maternal and neonatal outcomes in pregnant women with high risk of pregnancy induced hypertension.Methods 98 cases of pregnant women with high-risk hypertension in Tangshan Xiehe hospital were randomly divided into 2 groups,49 patients served as control group and received routine intervention,while another 49 cases as observation group and received comprehensive intervention.The incidences of hypertension and perinatal outcomes,as well as nursing satisfaction of observation were compared between the two groups.Results The incidences of hypertension in observation group and control were 4.08%and 20.41%respectively,and the difference was significantly(P<0.05).The natural delivery rate,vaginal delivery rate and cesarean section rate of observation group were 67.35%,8.16%and 24.49%respectively,and those of control were 26.53%,20.41%and 53.06%respectively.The natural delivery rate of observation group was significantly higher than that of control group,while the vaginal delivery rate and cesarean section rate were significantly lower than those of control group(P<0.05).Total incidence rate of FGR,fetal distress,neonatal asphyxia,neonatal death and perinatal outcome of observation group was 2.04%,while that of control was 16.33%,and the difference was significantly(P<0.05).Nursing satisfaction of observation group was 93.88%,higher than that of the control group which was 77.55%(P<0.05).Conclusion pregnant women with high risk pregnancy with pregnancy comprehensive nursing intervention could significantly reduce the incidence of pregnancy induced hypertension,improve maternal and child outcomes,and the effect was significant worth.