早期实施护理干预对妊娠高血压轻度子痫前期患者血压和24 h尿蛋白的影响

Influence of Early Nursing Interventions in the Blood Pressure and 24h Urinary Protein for Pregnancy-Induced Hypertension Patients with Mild Preeclampsia

目的探究妊娠高血压轻度子痫前期患者实施早期护理干预对血压、24h尿蛋白影响。方法方便选取2017年1月—2018年12月期间收入妊娠高血压轻度子痫前期患者共计80例,按照随机数字排列表法分为两组,各40例,对照组予以常规护理,观察组予以早期针对性护理干预,比较两组血压及24h尿蛋白情况。结果护理前观察组收缩压、舒张压数值分别为(152.65±6.56)、(98.96±6.45)mmHg,对照组为(151.58±5.98)、(99.12±6.32)mmHg,两组差异无统计学意义(P>0.05),护理后观察组收缩压、舒张压分别为(124.65±5.15)mmHg、(80.18±4.65)mmHg,低于对照组(141.65±5.25)mmHg、(93.28±4.58),两组差异有统计学意义(P<0.05),护理前观察组24h尿蛋白水平为(1645.65±254.65)mg,对照组为(1648.65±245.78)mmHg,两组差异无统计学意义(P>0.05),护理后3、7、14d观察组24h尿蛋白水平分别为(1167.45±211.58)、(945.58±125.65)、(845.65±121.65)mg,低于对照组(1567.87±245.65)、(1265.28±245.65)、(1145.65±224.69)mg,两组差异有统计学意义(P<0.05)。结论妊娠高血压轻度子痫前期患者开展早期针对性护理干预,能稳定患者血压水平,促使24h尿蛋白水平下降,利于病情后期康复,值得推广。

Objective To study the influence of early nursing interventions in the blood pressure and 24h urinary protein for pregnancy-induced hypertension(PIH)patients with mild preeclampsia.MethodsA total of 80 PIH patients with mild preeclampsia treated from January 2017 to December 2018 in our hospital were convenient selected.According to random number table,patients were assigned to control group(n=40)and observation group(n=40).The control group was treated with routine nursing,while the observation group was treated with early nursing interventions.The blood pressure and 24h urinary protein for two groups were compared.Results Before intervention,systolic blood pressure(SBP)and diastolic blood pressure(DBP)in the observation group were(152.65±6.56)and(98.96±6.45)mmHg;SBP and DBP in the control group were(151.58±5.98)and(99.12±6.32)mmHg;the difference was not statistically significant(P>0.05).After intervention,SBP and DBP in the observation group were(124.65±5.15)and(80.18±4.65)mmHg,which were significantly lower than those in the control group[(141.65±5.25)mmHg,(93.28±4.58)mmHg](P<0.05).Before intervention,24h urinary protein contents in the observation group and control group were(1 645.65±254.65)mg and(1 648.65±245.78)mg,without statistically significant difference(P>0.05).After 3,7 and 14 d of intervention,24h urinary protein contents in the observation group were(1 167.45±211.58)mg,(945.58±125.65)mg and(845.65±121.65)mg,which were significantly lower than those in the control group[(1 567.87±245.65)mg,(1 265.28±245.65)mg,(1 145.65±224.69)mg](P<0.05).Conclusion For PIH patients with mild preeclampsia,the early nursing interventions can stabilize the blood pressure,reduce 24 h urinary protein contents and promote the fast recovery.It is worthy of clinical promotion.