产后全方位护理在妊娠高血压疾病患者中的应用

Application of different postpartum nursing in patients with hypertensive disorder complicating pregnancy

目的探讨产后不同护理在妊娠高血压疾病患者中的应用。方法选择2019年1月至2020年12月赣南医学院第一附属医院收治的70例妊娠高血压疾病患者,按随机数字表法分为两组,每组各35例。对照组给予常规护理,观察组在该基础上给予产后全方位护理。比较两组的产后总出血量、产后血压恢复正常时间、满意度,并比较两组的产后并发症发生率和护理前后的血压、焦虑自评量表和抑郁自评量表评分。结果观察组的产后总出血量少于对照组,差异有统计学意义(P<0.05)。观察组的产后血压恢复正常时间短于对照组,差异有统计学意义(P<0.05)。观察组的总满意度高于对照组,差异有统计学意义(P<0.05)。观察组的产后并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组护理后血压、焦虑自评量表和抑郁自评量表评分低于对照组,差异均有统计学意义(P<0.05)。结论产后全方位护理对于妊娠期高血压疾病的护理效果确切,可减少产后出血量,有效控制血压,提高患者满意度和减轻患者焦虑和抑郁情绪,降低产后并发症的发生,值得临床推广。

Objective To explore the application of different postpartum nursing in patients with hypertensive disorder complicating pregnancy.Methods A total of 70 patients with pregnancy induced hypertension in the First Affiliated Hospital of Gannan Medical University from January 2019 to December 2020 were selected and divided into two groups according to random number table method,35 patients in each group.The control group was given routine nursing,the observation group was given postpartumomni-directional nursing on this basis.The total amount of postpartum hemorrhage,the time for postpartum blood pressure to return to normal and satisfaction were compared between the two groups,and the incidence of postpartum complications and the scores of blood pressure,self-rating anxiety scale and self-rating depression scale before and after nursing were compared.Results The total amount of postpartum hemorrhage in the observation group was less than that in the control group,the difference was statistically significant(P<0.05).The time of postpartum blood pressure returning to normal in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The total satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of postpartum complications in the observation group was lower than that in the control group,the scores of blood pressure,self-rating anxiety scale and self-rating depression scale in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion Postpartum omni-directional nursing has a definite effect on the nursing of hypertensive disorder complicating pregnancy,which can reduce the total amount of postpartum hemorrhage,effectively control blood pressure,improve patients′satisfaction,reduce patients′anxiety and depression,and reduce the occurrence of postpartum complications.It′s worth popularizing.