整体护理干预对妊娠高血压综合征患者妊娠结局的影响研究

Study on the Influence of Holistic Nursing Intervention on the Pregnancy Outcomes of Patients with Pregnancy Hypertension Syndrome

目的分析妊娠高血压综合征患者采用整体护理干预对其妊娠结局产生的影响。方法将130例2018年3月至2019年2月进行治疗的妊娠高血压患者分成两组,参照组(n=65,接受常规护理干预)及试验组(n=65,接受整体护理干预)。对比两组患者护理前后血压控制效果(MAP、SBP、DBP)情况、不良妊娠结局(子痫、产后出血、新生儿窒息、胎儿窘迫、胎盘早剥)、新生儿出生后10 min Apgar评分情况。结果护理前两组MAP、SBP、DBP水平差异不大,P>0.05;护理后MAP、SBP、DBP水平较治疗前均下降,且试验组患者MAP、SBP、DBP水平均低于参照组。试验组子痫、产后出血、新生儿窒息以及胎儿窘迫发生率均低于参照组,P<0.05,但两组胎盘早剥发生率无明显差异,P>0.05。试验组新生儿出生后10 min Apgar评分明显低于参照组,P<0.05。结论妊娠高血压综合征患者采用整体护理干预能够取得理想的血压控制效果,可降低不良妊娠结局风险,有助于改善母婴健康。

Objective To analyze the influence of holistic nursing intervention on pregnancy outcome in patients with pregnancy-induced hypertension.Methods A total of 130 patients with hypertension in pregnancy who were treated from March 2018 to February 2019 were divided into two groups,the reference group(n=65,receiving routine nursing intervention)and the experimental group(n=65,receiving holistic nursing intervention).The blood pressure control effects(MAP,SBP,DBP),adverse pregnancy outcomes(eclampsia,postpartum hemorrhage,neonatal asphyxia,fetal distress,abruption of the placenta),and Apgar scores of newborns 10 minutes after birth were compared between the two groups of patients before and after nursing.Results The levels of MAP,SBP,and DBP were no significantly different between the two groups before nursing,P>0.05;after nursing,the levels of MAP,SBP,and DBP were all lower than before treatment,and the levels of MAP,SBP,and DBP in the experimental group were lower than those in the reference group.The incidence of eclampsia,postpartum hemorrhage,neonatal asphyxia and fetal distress in the experimental group were lower than the reference group,P<0.05,but there was no significant difference in the incidence of placental abruption between the two groups,P>0.05.The Apgar score of neonates in the experimental group was significantly lower than that in the reference group at 10 min after birth,P<0.05.Conclusion The holistic nursing intervention for patients with pregnancy-induced hypertension can achieve ideal blood pressure control effects,reduce the risk of adverse pregnancy outcomes,and help improve the health of mothers and babies.